Abstract
This study presents data on the cultural adaptation to Latino populations of two outcome measures that respond to the need for developing comprehensive instruments for outcome assessments in minority populations. We examined the psychometric properties of outcome measures designed to assess impairment in functioning, and quality of life. Impairment in functioning was measured with the Disability Assessment Schedule II (WHO-DASII) developed by the World Health Organization (1997) and quality of life was measured with A. F. Lehman’s (A. F. Lehman, 1983; A. F. Lehman, 1988) shortened Quality of Life Interview (QOLI). Spanish speaking consumers (N= 198) from Fresno (CA), San Antonio (TX) and San Juan (PR) participated in this study. They were recruited from both mental health outpatient clinics and primary care rural clinics. The WHO-DASII showed good to excellent internal consistency in all sites (α = .72 to .97) except for one subscale (Self-Care α = .47). Test–retest reliability estimates were mostly moderate to substantial (.57 to .83), again with one exception, the Self-Care subscale (.46). For the QOLI internal consistency ranged from .34 to .98 and test–retest reliability ranged from .40 to .86 across all sites. An initial validation strategy using both known-groups and concurrent validity produced promising evidence of the construct validity of both measures. The Spanish versions of the WHO-DASII and the QOLI lend support to the translation and adaptation process to which these instruments were subjected.
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References
Aguirre-Molina, M., & Molina, C. (1994). Latino populations: Who are they? In C. W. Molina & M. Aguirre-Molina (Eds.), Latino health in the US: A growing challenge. Washington, DC: American Public Health Association, pp. 3–22.
Allen, M. J., & Yen, W. M. (1979). Introduction to measurement theory. California: Brooks/Cole.
EuroQol Group. (1990). EuroQol—A new facility for the measurement of health-related quality of life. The EuroQol Group. Health Policy, 16, 199–208.
Attkisson, C., Cook, J., Karno, M., Lehman, A., McGlashan, T. H., Meltzer, H. Y., et al. (1991). Clinical services research. Schizophrenia Bulletin, 18, 561–626.
Bravo, M., Ribera, J., Rubio-Stipec, M., Canino, G., Shrout, P., Ramírez, R., et al. (2001). Test–retest reliability of the Spanish version of the Diagnostic Interview Schedule for Children (DISC-IV). Journal of Abnormal Child Psychology, 29, 433–444.
Bravo, M., Woodbury-Fariña, M., Canino, G., & Rubio-Stipec, M. (1993). The Spanish translation and cultural adaptation of the Diagnostic Interview Schedule for Children (DISC) in Puerto Rico. Culture, Medicine and Psychiatry, 17, 329–344.
Canino, G., & Bravo, M. (1994). The adaptation and testing of diagnostic and outcome measures for cross-cultural research. International Review and Psychiatry, 6, 281–286.
Canino, G., & Guarnaccia, P. (1997). Methodological challenges in the assessment of Hispanic children and adolescents. Applied Development Science, 1, 124–134.
Canino, G., Lewis Fernández, R., & Bravo, M. (1997). Methodological challenges in cross-cultural mental health research. Transcultural Psychiatric Research Review, 34, 163–184.
Hohmann, A. A., & Shear, M. K. (2002). Community-based intervention research: coping with the “noise”of real life in study design. American Journal of Psychiatry, 159, 201–207.
Kessler, R. C., Ormel, J., & Stang, P. E. (2003). Comorbid mental disorders account for the role impairment of commonly occurring chronic physical disorders: Results from the National Comorbidity Survey. Journal of Occupational and Environmental Medicine, 45(12), 1257–1266.
Kramer, C. Y. (1956). Extension of multiple range tests to group means with unequal numbers of replications. Biometrics, 12, 307–310.
Lehman, A. F. (1983). The well-being of chronic mental patients: Assessing their quality of life. Archives of General Psychiatry, 40, 369–373.
Lehman, A. F. (1988). A quality of life interview for the chronically mentally ill. Evaluation and Program Planning, 11, 51–62.
Lehman, A. F. (1995). Measuring quality of life in a reformed health system. Health Affairs, 14, 90–101.
Lehman, A. F. (1996). Measures of quality of life among persons with severe and persistent mental disorders. Social Psychiatry and Psychiatric Epidemiology, 31, 78–88.
Lehman, A. F., & Burns, B. J. (1990). Severe mental illness in the community. In B. Spiker (Ed.). Quality of life assessments in clinical trials (pp. 257–266). New York: Raven Press.
Lehman, A. F., Ward, N. C., & Linn, L. S. (1982). Chronic mental patients: The quality of life issue. American Journal of Psychiatry, 139, 1271–1276.
Matías-Carrelo, L., Chavez, L. M., Negrón, G., Canino, G., Aguilar-Gaxiola, S., & Hoppe, S. (2003). The Spanish translation and cultural adaptation of five outcome measures. Culture, Medicine and Psychiatry, 27, 291–313.
Rehm, J., Üstün, B., Saxena, S., Nelson, C. B., Chaterji, S., Ivis, F., et al. (1999), On the development and psychometric testing of the WHO screening instrument to assess disablement in the general population. International Journal of Methods in Psychiatric Research, 8, 110–122.
Reise, S. P., Widaman, K. F., & Pugh, R. H. (1993). Confirmatory factor analysis and item response theory: Two approaches for exploring measurement invariance. Psychological Bulletin, 114, 552–566.
Shrout, P. E. (1998). Measurement reliability and agreement in psychiatry. Statistical Methods in Medicine Research, 7, 301–317
Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86, 420–428.
Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30, 473–483.
World Health Organization. (2001). ICF: International classification of functioning, disability and health. Report by the Secretariat April 9, 2001.
World Health Organization. (1997). International classification of impairments, activities and participation. A manual of dimensions of disablement and functioning. Beta-1 draft for field trials. Geneva: World Health Organization.
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Chávez, L.M., Canino, G., Negrón, G. et al. Psychometric Properties of the Spanish Version of Two Mental Health Outcome Measures: World Health Organization Disability Assessment Schedule II and Lehman’s Quality of Life Interview. Ment Health Serv Res 7, 145–159 (2005). https://doi.org/10.1007/s11020-005-5783-4
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DOI: https://doi.org/10.1007/s11020-005-5783-4