Feasibility, reliability and validity of the Chinese simplified version of the MOS-HIV health survey among AIDS patients in China

Zj, Huang; Mao, Tianqiu; Dai, Se-Ying; Ye, Dong-Qing

doi:10.1007/s11136-012-0148-0

Cited by 13 publications

(15 citation statements)

References 14 publications

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“…In addition, an excellent success rate was also demonstrated by the results of the item-discriminant validity tests. Our results showed that the convergent validity and discriminant validity measures for all scales were satisfactory, representing findings that were consistent with those of previous studies [ 6 , 35 – 39 ].…”

Section: Discussionsupporting

confidence: 92%

“…In light of distribution of the MOS-HIV scores, three scales (role function (35.4%), social function (17.8%), and cognitive function (15.7%)) showed moderate ceiling effects; similar effects have been previously reported [ 6 , 37 – 39 ]. This phenomenon could be in part attributable to the presence of fewer items in the role function, social function, and cognitive function domains [ 6 , 37 – 39 ]. The observed ceiling effects may also imply that these scales have weak differentiation capabilities; however, the internal consistency tests confirmed that the items were more highly correlated with their own scales than with others.…”

Section: Discussionsupporting

confidence: 79%

“…The MOS-HIV instrument has been found to be suitable and appropriate to assess QOL of HIV-infected individuals in many countries. The instrument has been reported to have good psychometric properties [ 6 , 23 – 25 , 28 , 32 ]. In China, the MOS-HIV questionnaire was also used to assess the quality of life and related influencing factors of PLWHA in Zhejiang, Henan, Shanxi, Guangxi and Yunnan provinces which showed acceptable reliability and validity in general [ 33 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

“…Since 2003, free highly active antiretroviral treatment (HAART) has been provided to patients who agree with the conditions of treatment as a response to the HIV/AIDS epidemic in China [ 5 ]. Advances in treatment have improved survival rates in HIV-infected individuals, and AIDS has been shifted from a fatal disease to a chronic illness [ 6 ]. The result is that persons living with HIV are more likely to experience deteriorating physical health and psychological stress [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Reliability and validity of the Chinese version of the Medical Outcomes Study HIV Health Survey (MOS-HIV) in people living with HIV/AIDS (PLWHA) in China

Liu

Zhu

2018

PLoS ONE

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ObjectiveThe aim of the study was to assess the psychometric properties of the Medical Outcomes Study HIV Health Survey (MOS-HIV) in people living with HIV/AIDS (PLWHA) in mainland China.MethodsA cross-sectional survey was conducted in 646 PLWHA between May 2015 and March 2016 in Dalian, Ningbo, and Zhengzhou City, China. The MOS-HIV includes 35 items and measures 10 scales. These ten scales can be effectively calculated under two summary scale scores, the physical health score (PHS) and the mental health score (MHS), with the physical functioning, pain and role functioning scales contributing to the PHS, the mental health, health distress, quality of life and cognitive function scales contributing to the MHS, and the energy/fatigue, general health and social functioning contributing to both factors. Reliability was measured in terms of internal consistency and test-retest reliability. The internal consistency of the questionnaire was analyzed using Cronbach’s α coefficient, and test-retest reliability was assessed using Pearson’s correlation coefficient. Validity was analyzed via construct validity, convergent and discriminant validity, and known group validity. Confirmatory factor analyses (CFA) were used to test construct validity. A multiple-group CFA analysis was conducted to investigate whether the MOS-HIV measured the same constructs across gender groups.ResultsThe MOS-HIV questionnaire was reliable and valid. Reliability of the PHS and MHS scales was 0.87 and 0.89, respectively. While the Cronbach’s α coefficients for each of the dimensions were > 0.70. According to the results of the confirmatory factor analysis (CFA), the hypothesized model was acceptable. The instrument showed factorial invariance across gender groups. All correlation coefficients were greater than 0.40, with a range of 0.60–0.94. The correlation coefficients observed between items and other dimensions were lower than the coefficients for the correlations between items and hypothesized dimensions for all scales, suggesting good convergent and discriminant validity. Patients with CD4 counts >500 cells/mm3 demonstrated better QOL than those with lower CD4 counts on six scales and the PHS (p<0.05) and symptomatic respondents had significantly lower scores than asymptomatic respondents on all the scales except health transition scales (p<0.05) suggesting good known group validity.ConclusionsThe results of this study provide evidence that the MOS-HIV may be an acceptable, valid and reliable instrument for evaluating QOL of PLWHA in mainland China.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Reliability and validity of the Chinese version of the Medical Outcomes Study HIV Health Survey (MOS-HIV) in people living with HIV/AIDS (PLWHA) in China

Liu

Zhu

2018

PLoS ONE

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“…It also permits within-group and cross-cultural comparisons as it has been applied to PLWHA worldwide, enabling the use of a vast amount of accumulated data for such comparisons [ 13 ]. The feasibility of the use of the MOS-HIV has been proven [ 14 , 15 ], and it has been validated in several languages such as Chinese [ 16 , 17 ], French [ 18 ], German [ 18 ], Greek [ 19 ], Italian [ 20 , 21 ], Spanish [ 14 ], Thai [ 22 ] and Luganda [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Korean version of the medical outcomes study HIV health survey: results from a multicenter survey in Korea

Shim

Lee

et al. 2018

Health Qual Life Outcomes

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BackgroundPrecise assessment of health-related quality of life (HRQOL) with a reliable and valid measure is a prerequisite to the enhancement of HRQOL. This study examined the psychometric properties of the Korean version of the Medical Outcomes Study HIV Health Survey (K-MOS-HIV).MethodsThe reliability and validity of the K-MOS-HIV were examined in a multicenter survey involving 201 outpatients with human immunodeficiency virus (HIV)/ acquired immunodeficiency syndrome (AIDS) from four teaching hospitals throughout Korea.ResultsCeiling effects were observed in six subscales scores, particularly, for the role functioning (71.1%), social functioning (63.2%), and pain (48.8%) scores. The Cronbach’s α for the physical health summary and mental health summary were 0.90 and 0.94, respectively, and it ranged from 0.78 to 0.95 for the subscales. The results of the exploratory structural equation modeling supported the two-factor structure of the K-MOS-HIV (physical health summary and mental health summary). An examination of the mean square statistics values from the Rasch analysis showed that the information-weighted fit and outlier-sensitive fit statistics were within the acceptable ranges of 0.6–1.4 except for two items in the mental health summary. The convergent validity of the K-MOS-HIV was supported by its significant positive correlations with the World Health Organization Quality of Life-HIV-BREF subscale scores. Its known-group validity was proven with its ability to detect significant differences in several K-MOS-HIV subscale scores among participants with different sociodemographic and clinical characteristics.ConclusionsThe K-MOS-HIV health survey appears to be a reliable and valid measure of HRQOL.

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Comparison of Turkish version of the medical outcomes study‐HIV health survey with short form health survey‐36 in people living with human immunodeficiency virus

Tigen

Şengel

Özben

et al. 2022

Health Planning & Management

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Background/aim: Several questionnaires have been developed to evaluate the quality of life (QoL) for people living with human immunodeficiency virus (HIV). The aim of this study was to compare Turkish version of the Medical Outcomes Study-HIV Health Survey (MOS-HIV) with Short Form Health Survey (SF-36) in people with HIV. Patients and methods: A hundred and 14 patients with HIV were consecutively included. The MOS-HIV and SF-36 questionnaires were applied to all patients at the same day. MOS HIV included 35 items and assessed general health perceptions (GH), physical functioning (PF), social functioning (SF), mental health (MH), bodily pain (P), cognitive functioning, health distress, overall QoL, health transition, role functioning (RF), energy/vitality (EV), physical (Physical health summary score) and mental (MHSS) health summary scores. SF-36 included 36 items and measured eight domains of health concepts including SF, PF, P, RF, GH, role emotional, vitality (V) and MH. Correlation analysis and Bland-Altman plots were used to compare the MOS-HIV and SF-36 questionnaires. Results: GH, PF, P, RF, EV, SF, and MH domains of the MOS-HIV were significantly correlated with those of SF 36.The agreement between the tests were 91.2% for PF, 92.1%

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Feasibility, reliability and validity of the Chinese simplified version of the MOS-HIV health survey among AIDS patients in China

Abstract: The Chinese simplified version of MOS-HIV health survey had good feasibility, reliability and validity. It was successfully adapted for AIDS patients in rural areas and could be a valuable tool in evaluating the quality of life of AIDS patients.

Cited by 13 publications

References 14 publications

Reliability and validity of the Chinese version of the Medical Outcomes Study HIV Health Survey (MOS-HIV) in people living with HIV/AIDS (PLWHA) in China

Reliability and validity of the Chinese version of the Medical Outcomes Study HIV Health Survey (MOS-HIV) in people living with HIV/AIDS (PLWHA) in China

Psychometric properties of the Korean version of the medical outcomes study HIV health survey: results from a multicenter survey in Korea

Comparison of Turkish version of the medical outcomes study‐HIV health survey with short form health survey‐36 in people living with human immunodeficiency virus

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