The Italian McGill Quality of Life Questionnaire-Revised (MQoL-R): Psychometrics in Neurological and Neoplastic Populations.

IF 1.3 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Palliative Care Pub Date : 2023-07-01 DOI:10.1177/08258597221123454

Edoardo Nicolò Aiello, Debora Pain, Alice Radici, Elvira Filippelli, Stefania Ruvolo, Francesca Madonia, Annarita Caimi, Cinzia Sguazzin

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引用次数: 2

Abstract

Background: The McGill Quality of Life Questionnaire-Revised (MQoL-R) is the gold standard for assessing QoL in end-of-life, chronic patients; however, an Italian standardization is lacking.

Objective: This study aimed at assessing the psychometric properties of the Italian MQoL-R in patients with chronic neurological/oncological conditions.

Methods: 177 inpatients with life-threatening, chronic neurological/oncological conditions were consecutively recruited in 8 clinics in Northern/Southern Italy were administered the MQoL-R and the Karnofsky Performance Status (KPS). Factorial structure (Confirmatory Factor Analysis, CFA), reliability (Cronbach's α) and construct validity against the KPS (Pearson's coefficients) were examined.

Results: The four-factor model (Physical, Psychological, Existential and Social subscales) was met (comparative fit index = .93; root mean square error of approximation = .07), with all items significantly loading on respective subscales. Internal consistency was good for both the whole scale (Cronbach's α = .83) and subscales (range = .6-.85). The KPS was unrelated to MQoL-R measures, except for the Physical subscale (r = .24).

Conclusions: The Italian MQoL-R is a valid and reliable tool to assess QoL in end-of-life, both neoplastic and neurological, chronic inpatients undergoing palliative care, whose adoption is thus encouraged in both clinical practice and research addressed to such populations.

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意大利麦吉尔生活质量问卷-修订(MQoL-R):神经和肿瘤人群的心理测量学。

背景:麦吉尔生活质量问卷修订版(MQoL-R)是评估生命末期慢性患者生活质量的金标准;然而，意大利的标准化是缺乏的。目的:本研究旨在评估意大利MQoL-R在慢性神经/肿瘤疾病患者中的心理测量特性。方法:在意大利北部/南部的8个诊所连续招募177例危及生命的慢性神经系统/肿瘤住院患者，给予MQoL-R和Karnofsky性能状态(KPS)。检验因子结构(验证性因子分析，CFA)、信度(Cronbach’s α)和构造效度对KPS (Pearson’s系数)的影响。结果:符合四因素模型(生理、心理、存在和社会分量表)(比较拟合指数= 0.93;近似均方根误差= .07)，所有项目都在各自的子量表上显著加载。整体量表(Cronbach's α = 0.83)和子量表(范围= 0.6 - 0.85)的内部一致性均良好。除了Physical subscale外，KPS与MQoL-R测量无关(r = 0.24)。结论:意大利MQoL-R是评估临终病人生活质量的有效和可靠的工具，无论是肿瘤还是神经系统，慢性住院患者接受姑息治疗，因此在临床实践和研究中都鼓励采用这种方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Palliative Care 医学-卫生保健

CiteScore

3.20

自引率

5.90%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Palliative Care is a quarterly, peer-reviewed, international and interdisciplinary forum for practical, critical thought on palliative care and palliative medicine. JPC publishes high-quality original research, opinion papers/commentaries, narrative and humanities works, case reports/case series, and reports on international activities and comparative palliative care.