Psychometric properties of the Menopause Specific Quality of Life questionnaire among Thai women with a history of breast cancer.
Psychometric properties of the Menopause Specific Quality of Life questionnaire among Thai women with a history of breast cancer.
复制标题
有乳腺癌病史的泰国女性更年期特定生活质量问卷的心理测量特性。
DOI：
10.1016/j.ejon.2018.08.008
复制
发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Barton,DebraL
中科院分区：
文献类型：
--
作者：
Phligbua,Warunee;Smith,EllenMLovie;Barton,DebraL
目的评价泰式更年期特定生活质量问卷(MENQOL)在有乳腺癌病史的绝经期泰国妇女中的心理测量特性。采用内部一致性信度和条目分析的方法评价泰式生活质量量表的信度。结果MENQOL总量表的Cronbach‘sα系数为0.86，血管运动、心理社会、生理、性领域的Cronbach’sα系数分别为0.73、0.78、0.81、0.83。自我报告的潮热频率和严重程度与血管运动评分显著相关(r‘s ≥ 0.50，p’s <； 0.001)。单项“面部毛发增多”与大多数项目相关性较差(r = 为0.13)。验证性因素分析支持4个因素解释总方差的42.35%。条目-领域相关分析显示，所有条目与自身领域的相关程度均高于与其他领域的相关程度。结论泰文版MENQOL具有良好的心理测量学特性(内部一致性信度、收敛效度和结构效度)。我们建议从泰语版本中删除单独的项目，即增加的面部毛发，因为与大多数项目的相关性较低。泰式MENQOL可用于测量有乳腺癌病史、出现绝经症状的泰国妇女与绝经相关的生活质量。
PurposeThis study evaluated the psychometric properties of the Thai Menopause Specific Quality of Life Questionnaire (MENQOL) instrument in menopausal Thai women with a history of breast cancer.MethodsTwo hundred and ninety women with a history of breast cancer who reported hot flashes completed the Thai MENQOL. Internal consistency reliability and item analysis were used to evaluate the reliability of the Thai MENQOL. Construct validity was evaluated by examining the correlations between the self-reported hot flash frequency and severity with the vasomotor MENQOL subscale (convergent validity); and assessed using exploratory factor analysis (structural validity).ResultsThe Cronbach's alpha coefficient for the MENQOL total scale was 0.86 and for the vasomotor, psychosocial, physical, sexual domains were 0.73, 0.78, 0.81, and 0.83, respectively. Self-reported frequency and severity of hot flashes were correlated significantly with the vasomotor subscale (r's ≥ 0.50, p's < 0.001). The single item “increased facial hair” was poorly correlated with most items (r = 0.13). Confirmatory factor analysis supported four factors explaining 42.35% of the total variance. Item-domain correlation analysis showed that all items correlated more strongly with their own domains than with other domains.ConclusionsThe Thai version of the MENQOL demonstrates good psychometric properties (internal consistency reliability, convergent validity, and structural validity). We recommend removal of the single item, “increased facial hair” from the Thai version due to low correlations with most items. The Thai MENQOL can be used to measure menopause-related quality of life in Thai women with a history of breast cancer experiencing menopausal symptoms.