Validity of the Patient Generated Index as a quality-of-life measure in radiation oncology.
Oncol Nurs Forum
; 38(3): 319-29, 2011 May.
Article
en En
| MEDLINE
| ID: mdl-21531682
ABSTRACT
PURPOSE/OBJECTIVES:
To evaluate psychometric properties of an instrument designed to measure individualized health-related quality of life (HRQOL).DESIGN:
Repeated measures of self-reported quality of life.SETTING:
An outpatient radiation therapy department in the western part of the United States. SAMPLE 86 adults with cancer receiving their first course of radiation therapy.METHODS:
The Patient Generated Index (PGI), the National Comprehensive Cancer Network's Distress Thermometer (DT), and the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire-Core-30 (QLQ-C30). MAIN RESEARCH VARIABLES Convergent validity, responsiveness, sensitivity, and response shift.FINDINGS:
PGI scores were inversely correlated with scores on the DT (r = -0.49, -0.55, -0.44; p < 0.001), as well as the role (r = 0.31, 0.4, 0.38; p < 0.01), emotional (r = 0.33, 0.41, 0.33; p < 0.01), social functioning (r = 0.27, 0.49, 0.42; p < 0.05), pain (r = -0.29, -0.39, -0.39; p < 0.01), and fatigue (r = -0.35, -0.25, -0.47; p < 0.05) QLQ-C30 subscales at all measurement times. The PGI was responsive to those reporting high or low DT scores (t = 4.42, 3.32, 2.9; p < 0.05). A small-to-moderate effect size was detected in those who had an increase (effect size = 0.51) or decrease (effect size = 0.38) in HRQOL over time. Participants reconceptualized HRQOL over time.CONCLUSIONS:
Data supported the PGI as a valid measure of individualized HRQOL. IMPLICATIONS FOR NURSING The PGI potentially provides a more patient-centered measure of HRQOL in patients with cancer. Additional testing is needed in larger, more diverse groups.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Psicometría
/
Calidad de Vida
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Radioterapia
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Encuestas y Cuestionarios
/
Neoplasias
Tipo de estudio:
Observational_studies
/
Qualitative_research
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Oncol Nurs Forum
Año:
2011
Tipo del documento:
Article
País de afiliación:
Estados Unidos