Cross-national comparability of the WHOQOL-BREF: A measurement invariance approach

Theuns, Peter; Hofmans, Joeri; Mazaheri, Mehrdad; Acker, Frederik Van; Bernheim, Jan L.

doi:10.1007/s11136-009-9577-9

Cited by 25 publications

(24 citation statements)

References 32 publications

(42 reference statements)

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“…Esta misma similitud se ha encontrado en estudios que comparan el uso transcultural del WHOQOL-BREF. Sin embargo sería esperable respuestas diferenciadas entre los dominios de salud física y psicológica en diferentes culturas (Theuns et al, 2010).…”

Section: Discussionunclassified

“…Es importante mencionar que en coincidencia con otros estudios (Theuns et al, 2010) algunos reactivos tienen una variación importante atribuible a variables desconocidas, específicamente los reactivos eliminados de las categorías salud física y salud psicológica. La correlación entre factores, particularmente alta entre salud física y salud psicológica sugiere la revisión de los reactivos en términos de una adaptación cultural.…”

Section: Discussionunclassified

“…Al comparar el WHOQOL-BREF con otros cuestionarios de calidad de vida, se ha identificado una menor validez de constructo (Huang, Wu, & Frangakis, 2006). De manera similar, mediante la aplicación del análisis factorial confirmatorio, se ha encontrado un ajuste marginal para el modelo de cuatro factores propuesto originalmente (Hanestad, Rustoen, Knudsen, Lerdal, & Wahl, 2004;Wong, Kuen-Lam, Leung, & Zhao, 2012;Xia, Li, Hau, Liu, & Lu, 2012 posible encontrar múltiples señalamientos sobre la pertinencia de algunos indicadores en diferentes culturas, específicamente de las dimensiones física y psicológica pues no funcionan en el mismo sentido cuando se aplican en diferentes culturas (Theuns et al, 2010). Por último existe insuficiente investigación sobre las características psicométricas del cuestionario en la cultura Mexicana, El objetivo de este trabajo es evaluar las propiedades psicométricas del WHOQOL-BREF en una muestra de adultos mexicanos.…”

Section: Introductionunclassified

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Propiedades Psicométricas De La Versión en Español De La Escala De Calidad De Vida Who Qol Bref en Una Muestra Mexicana

Huerta¹,

Romo²,

Tayabas³

2017

Rev. Iberoam. Diagn. Eval.-Aval. P.

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ResumenEl cuestionario Calidad de Vida, versión breve (WHOQOL-BREF) de la Organización Mundial de la Salud, es un instrumento de medición para evaluar calidad de vida en diferentes escenarios culturales. En el presente estudio se examinan sus propiedades psicométricas: la estructura factorial y consistencia interna de la versión en español, en una muestra de adultos Mexicanos empleando modelamiento de ecuaciones estructurales. Se encuestó un total de 678 participantes: 491 estudiantes de pregrado, 87 choferes de autobús y, 100 cuidadores de enfermos crónicos. Se obtuvieron valores mayores a .70 del coeficiente alfa de Cronbach en las diferentes dimensiones. En el análisis factorial confirmatorio los datos mostraron un ajuste débil con el modelo original de 4 factores. En el último modelo se eliminaron 7 reactivos observándose una mejoría importante en el ajuste del modelo aunque de manera insuficiente (RMR .092, GFI .869, NFI .589, RFI .539, PRATIO .891, PGFI .713). Se concluye que el SEM es un modelo adecuado para la evaluación de la estructura factorial del cuestionario. El modelo de cuatro dimensiones propuesto originalmente en el WHOQoL BREF se ajusta de forma débil a esta muestra, sin embargo se recomienda la evaluación cultural de los reactivos eliminados para obtener un mejor ajuste con el modelo teórico original.Palabras clave: modelo de ecuaciones estructurales, análisis factorial confirmatorio, calidad de vida, WHO QoL BREF, propiedades psicométricas, muestra mexicana AbstractThe World Health Organization Quality of Life BREF (WHOQOL-BREF) questionnaire is a measurement instrument for assessing the quality of life in different cultural settings. The present study examine the psychometric properties: factorial structure and internal consistence of the Spanish version in a Mexican adult sample, using structural equations modelling. A total of 678 participants were tested: 491 undergraduate students, 87 bus drivers and, 100 caregivers of chronic patients. Cronbach´s alpha for different categories was high .70. In confirmatory factor analysis, the data showed differed slightly from the original 4 factor model, for the last model 7 items were eliminated, noting important in the fit of the model although insufficient improvement (RMR .092, GFI .869, NFI .589, RFI .539, PRATIO .891, PGFI .713). It is concluded that the SEM is an adequate model for the evaluation of the structure factor of the questionnaire. Four dimensional model originally proposed in the BREF WHOQoL is adjusted weak form to this sample, sin embargo A cultural assessment of deleted items is recommended in order to obtain a better adjustment to the original theoretical model.

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Section: Discussionunclassified

Section: Introductionunclassified

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Propiedades Psicométricas De La Versión en Español De La Escala De Calidad De Vida Who Qol Bref en Una Muestra Mexicana

Huerta¹,

Romo²,

Tayabas³

2017

Rev. Iberoam. Diagn. Eval.-Aval. P.

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“…The sample was racially and geographically diverse with nearly 30% of the sample born outside the U.S. At least one study has found that aspects of wealth, environmental conditions, and psychosocial life relate to overall quality of life differently across cultural populations (Theuns, Hofmans, Mazaheri, Van Acker, & Bernheim, 2010). Furthermore, the wide age range in addition to the varying times since gender transition may also impact the internal consistency of domains such as physical health or social relations.…”

Section: Discussionmentioning

confidence: 99%

Quality-of-Life Measurement: Assessing the WHOQOL-BREF Scale in a Sample of High-HIV-Risk Transgender Women in San Francisco, California

Thompson¹,

Reisner²,

VanKim³

et al. 2015

International Journal of Transgenderism

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“…1, 65.2, 65.2, and 58.7 in the four domains (Nedjat, 2011), the participants showed a lower degree of satisfaction, with their scores of 59.0, 57.4, 51.9, and 56.9, respectively. However, it was noted that cross-national comparisons should be made with great caution due to cultural differences or research samples (Theuns, 2010). When the results of the study were compared with those of Taiwanese groups, such as with 311 school nurses in Taipei City (66.6, 58.1, 62.3, and 60.5) or 7,000 members of the general Taiwanese population (3.8, 3.5, 3.6, and 3.4), the participants also scored slightly lower (Huang, 2005;Lee, 2010).…”

Section: Discussionmentioning

confidence: 99%

College Freshmen’s Quality of Life and Its Perceived Determinants: A Case Study of a Chinese Island University

Yang¹

2016

JMC

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The aims of the study were to investigate health-related quality of life (QoL) and its perceived determinants among college freshmen at an island Chinese University located between China and Taiwan. The framework of QoL given by the WHO was employed to evaluate the QoL of 404 college freshmen in January 2013, and a retrospective approach was adopted to solicit the participants' perceived determinants of their QoL. Each participant completed the WHOQOL-BREF questionnaire and specified reasons for their degree of satisfaction in each life facet addressed in the questionnaire. The participants expressed a moderate degree of satisfaction in all of the life facets measured (M = 3.29), with 3.4 in the physical, 3.3 in the psychological, 3.1 in the social, and 3.2 in the environmental domain on a 5-point scale. Among the 24 life facets assessed, sleep quality, transportation availability, medical service quality, concentration, and energy were the top five unsatisfactory facets. Determinants of the participants' QoL involved multiple factors such as the ease of day-to-day living, living environment, psychological factors, time arrangement, sleep quality, etc. The freshmen year is a transition period requiring great adjustment in lifestyle due to the change from secondary to tertiary education and from home stay with parents' care to independent dormitory life. The findings of the study indicated that college freshmen in the context of the university studied had not experienced expected satisfactory levels of life quality, and that the perceived determinants of their life quality could be further addressed for promotion of health and education quality. The study could serve as an example to call for regular examinations on students' experience and discrepancies between experience and expectation in order to address related issues for higher educational quality.

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Cross-national comparability of the WHOQOL-BREF: A measurement invariance approach

Abstract: Notwithstanding some limitations of this study, it must be concluded that the WHOQOL-BREF should only be used with great caution in cross-national comparisons.

Cited by 25 publications

References 32 publications

Propiedades Psicométricas De La Versión en Español De La Escala De Calidad De Vida Who Qol Bref en Una Muestra Mexicana

Propiedades Psicométricas De La Versión en Español De La Escala De Calidad De Vida Who Qol Bref en Una Muestra Mexicana

Quality-of-Life Measurement: Assessing the WHOQOL-BREF Scale in a Sample of High-HIV-Risk Transgender Women in San Francisco, California

College Freshmen’s Quality of Life and Its Perceived Determinants: A Case Study of a Chinese Island University

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