Validation of the Dermatology Life Quality Index among patients with podoconiosis in southern ethiopia
Validation of the Dermatology Life Quality Index among patients with podoconiosis in southern ethiopia
复制标题
DOI：
10.1111/j.1365-2133.2008.08773.x
复制
发表时间：
2008-10-01
影响因子：
10.3
通讯作者：
Davey, G.
中科院分区：
文献类型：
--
作者：
Henok, L.;Davey, G.
背景足尘病是一种地球化学象皮病，常见于埃塞俄比亚的自给农民。这是完全可以预防的，但如果不加以治疗，会导致严重的身体残疾、社会耻辱和经济不利。迄今为止，尚未对足尘病患者的生活质量进行评估。目的我们旨在评估其可行性，内部一致性和并行效度的阿姆哈拉语翻译的卡迪夫皮肤病生活质量指数（DLQI）的患者在埃塞俄比亚南部。对74名新患者和74名在苔藓足治疗和预防协会的外展诊所接受至少3个月治疗的患者进行的横断面研究，结果DLQI使用快速、简便，平均用时4 min。它成功区分了新患者和已治疗患者（中位评分13比3，P < 0.001）。项目间相关平均为0.44，Cronbach's alpha为0.90，表明内部一致性较高。所有患者的平均DLQI评分为8.42，最高评分为第2项（自我意识）。结论阿姆哈拉语DLQI量表在埃塞俄比亚南部地区尘肺患者中具有可行性、可靠性和有效性。DLQI将在评估当地可用的身体和社会干预措施以及指导将这些干预措施推广到埃塞俄比亚各地更大的患者群体方面发挥重要作用。
Background Podoconiosis is a geochemical elephantiasis common among subsistence farmers in Ethiopia. It is completely preventable but, untreated, leads to considerable physical disability, social stigma and economic disadvantage. Quality of life has to date not been assessed among patients with podoconiosis.Objectives We aimed to assess the feasibility, internal consistency and concurrent validity of an Amharic translation of the Cardiff Dermatology Life Quality Index (DLQI) among patients with podoconiosis in southern Ethiopia.Methods We performed a comparative cross-sectional study among 74 new patients and 74 patients treated for at least 3 months at outreach clinics of the Mossy Foot Treatment and Prevention Association, a nongovernment organization providing services for more than 30 000 patients annually in southern Ethiopia.Results The DLQI was quick and simple to use, taking on average 4 min to administer. It distinguished successfully between new and treated patients (median scores 13 vs. 3, P < 0.001). The inter-item correlation averaged 0.44, and Cronbach's alpha was 0.90, indicating high internal consistency. The mean DLQI score for all patients was 8.42, and the highest score was for item 2 (feeling self-conscious). The item with the highest score among new patients was item 1 (pain), while that among treated patients was item 4 (clothes choice).Conclusions The Amharic DLQI appears feasible, reliable and valid among patients with podoconiosis in southern Ethiopia. The DLQI will play an important role in assessing the physical and social interventions available locally and in guiding the roll-out of these interventions to much larger groups of patients throughout Ethiopia.