Health and Quality of Life Outcomes最新文献

{"title":"Psychometric evaluation of the Korean version of the Child Oral Health Impact Profile Short Form (COHIP-SF 19): a cross-sectional study.","authors":"Ji-Soo Song","doi":"10.1186/s12955-026-02540-w","DOIUrl":"https://doi.org/10.1186/s12955-026-02540-w","url":null,"abstract":"<p><strong>Background: </strong>The Child Oral Health Impact Profile Short Form 19 (COHIP-SF 19) is widely used to assess oral health-related quality of life (OHRQoL). However, its psychometric properties have not been evaluated in Korea. This study aimed to examine the factor structure of the Korean COHIP-SF 19 and to assess its reliability and validity in schoolchildren.</p><p><strong>Methods: </strong>Data were obtained from 980 fourth-grade elementary school students (aged 10 years) participating in a 2023 national oral health program. Children completed the COHIP-SF 19 online, and clinical examinations recorded caries, malocclusion, gingivitis, and oral hygiene status. Exploratory and confirmatory factor analyses were performed. Reliability was assessed using Cronbach's alpha, corrected item-total correlations, and test-retest intraclass correlation coefficients (ICC). Convergent and discriminant validity were evaluated using self-rated oral health, perceived treatment need, and clinical findings.</p><p><strong>Results: </strong>Exploratory factor analysis supported a four-factor solution with separation of the self-image subscale. Confirmatory factor analysis showed better fit for the modified model than the original structure. The total score demonstrated excellent test-retest reliability (ICC = 0.905). Cronbach's alpha for the 19 items was 0.729, with higher values in the modified model. Convergent validity was confirmed by correlations with self-rated oral health and treatment need. Discriminant validity was supported: children with caries or malocclusion had lower scores, whereas gingivitis and oral hygiene showed no associations. Gender differences appeared only in the modified model, with girls reporting lower functional well-being and social well-being scores.</p><p><strong>Conclusions: </strong>The Korean COHIP-SF 19 demonstrated satisfactory psychometric properties in 10-year-old schoolchildren. The modified model showed improved structural validity, higher internal consistency, and better subgroup discrimination, including by gender. These findings support its use in clinical and epidemiological research.</p>","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural adaptation and psychometric evaluation of the CHU-9D in Hong Kong adolescents.","authors":"Richard Huan Xu, Yuanshuo Xu","doi":"10.1186/s12955-026-02549-1","DOIUrl":"https://doi.org/10.1186/s12955-026-02549-1","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to perform a cultural adaptation of the Child Health Utility 9D (CHU-9D), a health-related quality of life (HRQoL) instrument, into Traditional Chinese specifically for use in Hong Kong, and evaluating its psychometric properties among a sample of local adolescents.</p><p><strong>Methods: </strong>A cross-sectional survey design was employed for data collection. Adolescents aged 13 to 17 years were recruited from diverse local community settings to complete a self-administered questionnaire that included the adapted CHU-9D and relevant demographic items. Psychometric evaluations encompassed assessments of ceiling and floor effects, factorial validity through confirmatory factor analysis, convergent validity via correlation analysis, and known-group validity to examine differences across predefined risk groups.</p><p><strong>Results: </strong>A total of 627 adolescents successfully completed the survey, providing a robust dataset for analysis. The unidimensionality of the CHU-9D was confirmed, demonstrating excellent model fit indices. A ceiling effect was observed, with 27% of participants reporting full health status on the CHU-9D descriptive system, indicating potential limitations in capturing variations at the upper end of health. Convergent validity was supported by significant correlations between CHU-9D and conceptually relevant items and subscales from another HRQoL instrument. The instrument exhibited strong known-group validity, effectively discriminating HRQoL differences across various risk groups with statistically significant results.</p><p><strong>Conclusion: </strong>The culturally adapted Traditional Chinese version of the CHU-9D demonstrates sound psychometric properties in Hong Kong adolescents, supporting it as a valid tool for measuring and valuing HRQoL in this population and cultural context.</p>","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive functioning and nausea as stage-specific drivers of quality of life in breast cancer: a longitudinal network analysis.","authors":"Furong Chen, Jinxian Feng, Min Xu, Shaoxue Li, Yuen-Shan Ho, Naomi Takemura, Janelle Yorke, Jiaying Li, Zengjie Ye","doi":"10.1186/s12955-026-02525-9","DOIUrl":"10.1186/s12955-026-02525-9","url":null,"abstract":"","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":"24 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13151383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive analysis of health-related quality of life trajectories in older patients with chronic pain based on explainable machine learning models.","authors":"Xiaoang Zhang, Weichen Liu, Yaqing Hu, Daying Zhang, Yuping Liao, Ziqi Wu, Meijuan Huang, Jianmei Wei","doi":"10.1186/s12955-026-02543-7","DOIUrl":"https://doi.org/10.1186/s12955-026-02543-7","url":null,"abstract":"<p><strong>Background: </strong>Health-related quality of life (HRQoL) is a vital indicator of evaluating care outcomes and prognosis, yet little is understood about its developmental trajectories in older patients with chronic pain. This study aimed to identify latent HRQoL trajectories and their predictors, and to develop explainable machine learning models for predicting HRQoL deterioration.</p><p><strong>Methods: </strong>This prospective cohort study assessed 608 older patients with chronic pain at admission and at 1, 3, and 6 months post-admission, collecting data on HRQoL, general characteristics, pain level, activities of daily living (ADL), depression, and perceived social support. Growth mixture modeling was applied to identify trajectories of physical and mental HRQoL. Predictors were selected using LASSO regression and SVM-RFE. Nine explainable machine learning models were developed for both components, and SHAP interpreted the outputs. An HRQoL decision-support dashboard was developed to facilitate potential clinical application.</p><p><strong>Results: </strong>Three physical HRQoL trajectories were identified: Stable High, Decline and Low Stability, alongside two mental HRQoL trajectories: Improvement and Decline. Key predictors included education level, pain duration, pain level, ADL, depression, and perceived social support, with ADL and pain level being the most influential for physical and mental HRQoL, respectively.</p><p><strong>Conclusions: </strong>This dual-trajectory study identified five distinct HRQoL patterns in older patients with chronic pain, elucidating key predictors via explainable machine learning. The proposed HRQoL decision-support dashboard may provide an interpretable tool to support understanding of predictive relationships and assist healthcare professionals in HRQoL assessment.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Real-world comparative evaluation of quality of life and economic burden in patients with psoriatic arthritis and axial spondyloarthritis under different treatment strategies: a multicenter cross-sectional study.","authors":"Lin Zhang, Shuying Chang, Yumei Sun, Yongkang Chen, Dongmei Zhou, Kun Liu, Chichi Du, Guan Jiang","doi":"10.1186/s12955-026-02542-8","DOIUrl":"https://doi.org/10.1186/s12955-026-02542-8","url":null,"abstract":"","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical, social, and home-level factors associated with the quality of life of residents living with dementia in Canadian nursing homes: a cross-sectional, multi-province study.","authors":"Gabriel J Dusing, Kyle Corbett, Emily Dymchuk, Hannah M O'Rourke, Stephanie A Chamberlain, Malcolm B Doupe, Christine Kelly, Janice Keefe, Katie Aubrecht, Anna S Beeber, Amit Arya, Sube Banerjee, Pam Jarrett, Carole A Estabrooks, Shovana Shrestha, Rashmi Devkota, Melissa Ristau, Matthias Hoben","doi":"10.1186/s12955-026-02539-3","DOIUrl":"https://doi.org/10.1186/s12955-026-02539-3","url":null,"abstract":"","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurement properties of patient-reported outcome measures for sexual health in the general population: a systematic review following the COSMIN 2.0 guidelines.","authors":"Yihan Shang, Quan Yuan, Yihang Shen, Kang Xu, Gentao Zhang, Baojun Ju","doi":"10.1186/s12955-026-02535-7","DOIUrl":"https://doi.org/10.1186/s12955-026-02535-7","url":null,"abstract":"","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of multimorbidity on change in quality of life in a multi-ethnic Asian population: a longitudinal study.","authors":"Fatima Zahoor, Hamimatunnisa Johar, Joanne Ryan, Devi Mohan, Sophia Zoungas, Tin Tin Su","doi":"10.1186/s12955-026-02528-6","DOIUrl":"https://doi.org/10.1186/s12955-026-02528-6","url":null,"abstract":"","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient- and provider-level determinants of self-assessed health and well-being among adults with chronic conditions in Slovenian primary care.","authors":"Nena Kopčavar Guček, Aleksander Stepanović, Nina Ružić Gorenjec, Zalika Klemenc-Ketiš","doi":"10.1186/s12955-026-02538-4","DOIUrl":"https://doi.org/10.1186/s12955-026-02538-4","url":null,"abstract":"","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of the Health Belief Scale for Sarcopenia Prevention and Management (HBSPM): a pilot study among older adults in Guangdong, China.","authors":"Jiamin Fang, Hao Liang, Jintao Zhong, Zhixia Jiang, Shilong Lu, Zhuyun Liu, Rui Chen, Ruotong Liao, Tao Zou, Qingyuan Su, Lin Wei","doi":"10.1186/s12955-026-02537-5","DOIUrl":"https://doi.org/10.1186/s12955-026-02537-5","url":null,"abstract":"","PeriodicalId":12980,"journal":{"name":"Health and Quality of Life Outcomes","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}