Developing and validating the Arabic version of the Diabetes Quality of Life questionnaire

Abstract

Background: The Diabetes Quality of Life (DQoL) questionnaire has been used frequently among people with diabetes. Aims: To develop and validate a revised Arabic version of the DQoL questionnaire for patients in Jordan with type 2 diabetes. Methods: We recruited patients with type 2 diabetes from 3 public health clinics in Jordan. The original DQoL questionnaire was translated to Arabic and then back-translated by a different translator, and the 2 versions were compared. Prior to circulating the final version of the questionnaire, a cognitive validity test was applied to ensure that all the questions were clear. The final Arabic version of the DQoL questionnaire, along with a questionnaire that included demographic and other health-related questions, were circulated to the participants. The questionnaire data were analysed using exploratory factor analysis and confirmatory factor analysis after excluding duplicated questions and questions that included > 10% missing data. Cronbach's a was also conducted to confirm internal consistency. Results: Analysis validated an Arabic version of DQoL questionnaire that included 29 items divided into 3 factors: worries, impact and satisfaction. Different variables were associated with DQoL scores including insulin administration, low income status, marital status, and presence of diabetic complications. 1 / 12 WHO EMRO | Developing and validating the Arabic version of the Diabetes Quality of Life questionnaire Conclusions: We validated an Arabic tool that can be used to evaluate QoL among Arabic-speaking patients with type 2 diabetes.

Quality of life, stress, anxiety and depression and associated factors among people with type 2 diabetes mellitus in Western region Saudi Arabia

“…The present findings are more or less similar to other studies (15,20). Al-Qerem W (2021) showed an association of the mean DQoL questionnaire total score with HbA1c, insulin treatment, diabetic complications, and the low-income group (15). Education, marital status, profession, parental history of diabetes, comorbidities, and social support were all linked to DQoL in a Nigerian study (20).…”

“…Moreover, increased depression, anxiety, and stress scale score (> 38) and longer disease duration were significantly associated with poor QoL. The present findings are more or less similar to other studies (15,20). Al-Qerem W (2021) showed an association of the mean DQoL questionnaire total score with HbA1c, insulin treatment, diabetic complications, and the low-income group (15).…”

“…Given diabetes’ pronounced impact on QoL and the multifaceted nature of QoL, which encompasses physical, social, and emotional dimensions related to the illness and its treatment ( 14 ), it becomes crucial to identify factors that detrimentally affect the QoL of individuals with diabetes and to design interventions that target improvements in their QoL ( 15 ). The literature reveals divergent results concerning these factors.…”

Patient-reported outcome measures for assessing health-related quality of life in people with type 2 diabetes: A systematic review

“…Impact 3. Worry 1.9 items 2.8 items 3.7 items Not applicable Al-Qerem et al [ 154 ] Diabetes Quality of Life (DQOL)-Arabic-29 Arabic Type 2 Diabetes patients Quality of life 1. Satisfaction 2.…”

Content Validity of Patient-Reported Outcome Measures Developed for Assessing Health-Related Quality of Life in People with Type 2 Diabetes Mellitus: a Systematic Review

“…For measuring anxiety, we found sufficient content validity of the worry subscale of the Diabetes Questionnaire [35], based on moderate quality evidence, and sufficient content validity of the DFS-SF [30], DQLCTQ [43], DQOL [49][50][51][52][53][54][55][56], and DQOL-Arab [57], based on very low to low-quality evidence.…”