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Development and Psychometric Evaluation of a Quality of Life Scale for Korean Patients with Cancer(C-QOL)

Journal of Korean Academy of Nursing 2007³â 37±Ç 3È£ p.324 ~ 333
KMID : 0806120070370030324
ÀÌÀºÇö ( Lee Eun-Hyun ) - ¾ÆÁÖ´ëÇб³ º¸°Ç´ëÇпø

Abstract

Purpose:The purpose of this study was to develop and evaluate a quality of life scale for Korean patients with cancer (C-QOL).

Methods:The C-QOL was developed and validated as follows, item generation, pilot study, and psychometric tests. A total of 337 patients diagnosed with stomach, liver, lung, colon, breast, or cervix cancer were recruited. The patients were asked to complete the preliminary questionnaire comprising the content-validated items, the SF-36, and the ECOG performance status. The obtained data was analyzed using descriptive statistics, factor analysis, multidimensional scaling (MDS), multitrait/multi-item matrix, ANOVA, t-test, and Cronbach¡¯¡¯s alpha.

Results:Preliminarily twenty-six items were generated through content validity and a pilot study. Factor analysis and MDS extracted a total of 21 items with a 5-point Likert-type scale (C-QOL). The C-QOL included five subscales: physical status (6 items), emotional status (6 items), social function (3 items), concern status (2 items), and coping function (4 items). The C-QOL established content validity, construct validity, item convergent and discriminant validity, known-groups validity, reliability, and sensitivity.

Conclusions:The Newly developed C-QOL is an easily applicable instrument which established psychometric properties and reflected Korean culture. It is recommended for further study to examine the responsiveness of the C-QOL using a longitudinal research design.
KeyWords
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Cancer, Health-related quality of life, Reliability, Validity, Sensitivity
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