Reliability and validity of the Japanese version of the Diabetes Quality-Of-Life questionnaire for Japanese patients with type 2 diabetes mellitus.
Reliability and validity of the Japanese version of the Diabetes Quality-Of-Life questionnaire for Japanese patients with type 2 diabetes mellitus.
复制标题
日本 2 型糖尿病患者糖尿病生活质量问卷日文版的信度和效度。
DOI：
10.1007/s13340-013-0125-z
复制
发表时间：
2014
影响因子：
2.2
通讯作者：
Watada H
中科院分区：
文献类型：
--
作者：
Sato F;Mita T;Yamamoto R;Hirose T;Ito C;Tamura Y;Yokota A;Someya Y;Uchida T;Uchino H;Kawamori R;Gosho M;Ohmura C;Kanazawa A;Watada H
客观生活质量（QOL）被认为是一项重要的医疗结果。本研究的目的是测试最初由糖尿病控制和并发症试验开发的日本版糖尿病生活质量（J-DQOL）问卷的有效性和可靠性。患者和方法遵循跨文化适应的标准程序来开发日本版 J-DQOL。经过语言验证后，通过评估重测信度和内部一致性来评估信度。还通过检查下限和上限效应、因子结构和结构效度来评估效度。结果对 319 名自愿回答问卷的 2 型糖尿病患者中的 298 名患者的反应进行了分析。 J-DQOL 及其四个量表具有高度的内部一致性（Cronbach’s alpha，0.73-0.91）和重测信度（组内相关系数，0.66-0.86）。在对社会/职业问题和糖尿病的担忧类别中发现了地板效应。此外，因子分析表明，J-DQOL 结构与原始 DQOL 结构并不完全一致。仅通过 J-DQOL 评分与糖尿病治疗满意度调查问卷、幸福问卷和贝克抑郁量表的某些组成部分之间的相对相关性来证实结构有效性。 结论 这项研究证实了 J-DQOL 调查问卷的可靠性，并表明日本 2 型糖尿病患者的 DQOL 对于评估 QOL 是无效的，尤其是在担忧领域方面。
ObjectiveQuality of life (QOL) is recognized as an important medical outcome. The aim of this study was to test the validity and reliability of the Japanese version of the Diabetes Quality-Of-Life (J-DQOL) questionnaire originally developed by the Diabetes Control and Complications Trial.Patients and methodsThe standard procedure for cross-culture adaptation was followed to develop the Japanese version of the J-DQOL. After linguistic validation, reliability was assessed by evaluating the test–retest reliability and internal consistency. Validity was also assessed by examining the floor and ceiling effects, factor structure, and construct validity.ResultsThe responses of 298 of 319 patients with type 2 diabetes who volunteered to answer the questionnaire were analyzed. The J-DQOL and its four scales had high degrees of internal consistency (Cronbach’s alpha, 0.73–0.91) and test–retest reliability (intraclass correlation coefficients, 0.66–0.86). Floor effects were found in the categories of worry about social/vocational issues and diabetes. Also, factor analysis indicated that the J-DQOL structure was not completely consistent with that of the original DQOL. Construct validity was confirmed by relative correlation between J-DQOL scores only and certain components of the Diabetes Treatment Satisfaction Questionnaire, the Well-being Questionnaire, and the Beck Depression Inventory measures.ConclusionsThis study confirmed the reliability of the J- DQOL questionnaire and indicates that DQOL for Japanese patients with type 2 diabetes mellitus is not valid for assessing QOL, especially with regard to worry domains.