Skip to main content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Quality of Life Research 2/2015

01-02-2015

Lymphedema Quality of Life Inventory (LyQLI)-Development and investigation of validity and reliability

Auteurs: Pia Klernäs, Aina Johnsson, Vibeke Horstmann, Linda J. Kristjanson, Karin Johansson

Gepubliceerd in: Quality of Life Research | Uitgave 2/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

The purpose of this study was to reduce the 188-item Swedish Lymphedema Quality of Life Inventory (SLQOLI) to an abbreviated, clinically useful version (phase 1) and to test it for reliability and validity (phase 2).

Methods

In phase 1 correlation analysis, factor analysis, content validity assessment and expert panels were used to reduce the number of items in SLQOLI to 45 items, which was named, Lymphedema Quality of Life Inventory (LyQLI). In phase 2, LyQLI was sent to 200 patients with lymphedema. 126 patients completed the questionnaire twice to determine stability of the instrument over time. SF-36 was sent to the patients once, correlations between the three domains in LyQLI and the two sum scores Physical Health (PCS) and Mental Health (MCS) in SF-36 were used to assess concurrent validity.

Results

The 188-item SLQOLI was reduced to 45-item LyQLI. Four domains were reduced to three: physical, psychosocial and practical. Reliability estimates using ICC for the physical and psychosocial domains were 0.88 (p < 0.01) and 0.87 (p < 0.01), for the practical domain 0.87 (p < 0.01). Cronbach’s alpha coefficients for the three domains were 0.88, 0.92 and 0.88, respectively. The physical domain correlated highly significantly with PCS, psychosocial highly significantly with MCS and practical equally highly significantly to both PCS and MCS. Using skewness coefficients, small floor effects in the items were found.

Conclusion

The shorter LyQLI demonstrated good reliability and validity with potential use to assess quality of life in clinic settings and in further cross-sectional studies of patients with lymphedema.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
1.
go back to reference Damstra, R. J., & Mortimer, P. S. (2008). Diagnosis and therapy in children with Lymphedema. Phlebology, 23(6), 276–286. PubMedCrossRef Damstra, R. J., & Mortimer, P. S. (2008). Diagnosis and therapy in children with Lymphedema. Phlebology, 23(6), 276–286. PubMedCrossRef
2.
go back to reference Lawenda, B. D., Mondry, T. E., & Johnstone, A. S. (2009). Lymphedema: A primer on the identification and management of a chronic condition in oncologic treatment. CA: A Cancer Journal for Clinicians, 59, 8–24. CrossRef Lawenda, B. D., Mondry, T. E., & Johnstone, A. S. (2009). Lymphedema: A primer on the identification and management of a chronic condition in oncologic treatment. CA: A Cancer Journal for Clinicians, 59, 8–24. CrossRef
3.
go back to reference Szuba, A., & Rockson, S. G. (1998). Lymphedema: Classification, diagnosis and therapy. Vascular medicine, 3, 145–156. PubMedCrossRef Szuba, A., & Rockson, S. G. (1998). Lymphedema: Classification, diagnosis and therapy. Vascular medicine, 3, 145–156. PubMedCrossRef
4.
go back to reference Bogan, L. K., Powell, J. M., & Dudgeon, B. J. (2007). Experiences of living with non-cancer-related lymphedema: Implications for clinical practice. Qualitative Health Research, 17, 213–224. PubMedCrossRef Bogan, L. K., Powell, J. M., & Dudgeon, B. J. (2007). Experiences of living with non-cancer-related lymphedema: Implications for clinical practice. Qualitative Health Research, 17, 213–224. PubMedCrossRef
5.
go back to reference Lane, K., Worsley, D., & McKenzie, D. (2005). Exercise and the lymphatic system: Implications for breast-cancer survivors. Sports medicine, 35, 461–471. PubMedCrossRef Lane, K., Worsley, D., & McKenzie, D. (2005). Exercise and the lymphatic system: Implications for breast-cancer survivors. Sports medicine, 35, 461–471. PubMedCrossRef
6.
go back to reference Brorson, H., Ohlin, K., Olsson, G., et al. (2006). Quality of life following liposuction and conservative treatment of arm lymphedema. Lymphology, 39, 8–25. PubMed Brorson, H., Ohlin, K., Olsson, G., et al. (2006). Quality of life following liposuction and conservative treatment of arm lymphedema. Lymphology, 39, 8–25. PubMed
7.
go back to reference Mikami, T., Hosono, M., Yabuki, Y., Yamamoto, Y., Yasumura, K., Sawada, H., et al. (2011). Classification of lymphoscintigraphy and relevance to surgical indication for lymphaticovenous anastomosis in upper limb lymphedema. Lymphology, 44(4), 155–167. PubMed Mikami, T., Hosono, M., Yabuki, Y., Yamamoto, Y., Yasumura, K., Sawada, H., et al. (2011). Classification of lymphoscintigraphy and relevance to surgical indication for lymphaticovenous anastomosis in upper limb lymphedema. Lymphology, 44(4), 155–167. PubMed
8.
go back to reference Murdaca, G., Cagnati, P., Gulli, R., Spanò, F., Puppo, F., Campisi, C., et al. (2012). Current views on diagnostic approach and treatment of lymphedema. American Journal of Medicine, 125(2), 134–140. PubMedCrossRef Murdaca, G., Cagnati, P., Gulli, R., Spanò, F., Puppo, F., Campisi, C., et al. (2012). Current views on diagnostic approach and treatment of lymphedema. American Journal of Medicine, 125(2), 134–140. PubMedCrossRef
9.
go back to reference Morgan, P. A., Franks, P. J., & Moffatt, C. J. (2005). Health-related quality of life with lymphoedema: A review of the literature. International Wound Journal, 2, 47–62. PubMedCrossRef Morgan, P. A., Franks, P. J., & Moffatt, C. J. (2005). Health-related quality of life with lymphoedema: A review of the literature. International Wound Journal, 2, 47–62. PubMedCrossRef
10.
go back to reference Sakorafas, G. H., Peros, G., Cataliotti, L., & Vlastos, G. (2006). Lymphedema following axillary lymph node dissection for breast cancer. Surgical Oncology, 15, 153–165. PubMedCrossRef Sakorafas, G. H., Peros, G., Cataliotti, L., & Vlastos, G. (2006). Lymphedema following axillary lymph node dissection for breast cancer. Surgical Oncology, 15, 153–165. PubMedCrossRef
11.
go back to reference Johansson, K., Holmström, H., Nilsson, I., Ingvar, C., Albertsson, M., & Ekdahl, C. (2003). Breast cancer patients´ experiences of lymphoedema. Scandinavian Journal of Caring Sciences, 17, 35–42. PubMedCrossRef Johansson, K., Holmström, H., Nilsson, I., Ingvar, C., Albertsson, M., & Ekdahl, C. (2003). Breast cancer patients´ experiences of lymphoedema. Scandinavian Journal of Caring Sciences, 17, 35–42. PubMedCrossRef
12.
go back to reference No authors listed. (1993). Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Quality of Life Research, 2(2), 153–159. CrossRef No authors listed. (1993). Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Quality of Life Research, 2(2), 153–159. CrossRef
13.
go back to reference Fayers, P. M., & Machin, D. (2000). Quality of Life: Assessment, analysis and interpretation (2nd ed.). West Sussex: Wiley & Sons. CrossRef Fayers, P. M., & Machin, D. (2000). Quality of Life: Assessment, analysis and interpretation (2nd ed.). West Sussex: Wiley & Sons. CrossRef
14.
go back to reference Berzon, R., Hays, R. D., & Shumaker, S. A. (1993). International use, application and performance of health-related quality of life instruments. Quality of Life Research, 2, 367–368. PubMedCrossRef Berzon, R., Hays, R. D., & Shumaker, S. A. (1993). International use, application and performance of health-related quality of life instruments. Quality of Life Research, 2, 367–368. PubMedCrossRef
16.
go back to reference Schipper, H., Clinch, J., McMurray, A., & Lewitt, M. (1984). Measuring quality of life of cancer patients: the functional living index-cancer, development and validation. Journal of Clinical Oncology, 2, 472–483. PubMed Schipper, H., Clinch, J., McMurray, A., & Lewitt, M. (1984). Measuring quality of life of cancer patients: the functional living index-cancer, development and validation. Journal of Clinical Oncology, 2, 472–483. PubMed
17.
go back to reference Brazier, J. E., Harper, R., Jones, N. M., O’Cathain, A., Thomas, K. J., Usherwood, T., et al. (1992). Validating the SF-36 health survey questionnaire: new outcome measure for primary care. British Medical Journal, 305(6846), 160–164. PubMedCentralPubMedCrossRef Brazier, J. E., Harper, R., Jones, N. M., O’Cathain, A., Thomas, K. J., Usherwood, T., et al. (1992). Validating the SF-36 health survey questionnaire: new outcome measure for primary care. British Medical Journal, 305(6846), 160–164. PubMedCentralPubMedCrossRef
18.
go back to reference Sullivan, M., Karlsson, J., Taff, C., & Ware, J. E. (2002). SF-36 hälsoenkät: Svensk manual ochTolkningsguide, 2:a upplagan (Swedish Manual and Interpretation Guide (2nd ed.). Gothenburg: Sahlgrenska University Hospital. Sullivan, M., Karlsson, J., Taff, C., & Ware, J. E. (2002). SF-36 hälsoenkät: Svensk manual ochTolkningsguide, 2:a upplagan (Swedish Manual and Interpretation Guide (2nd ed.). Gothenburg: Sahlgrenska University Hospital.
21.
go back to reference Keeley, V. (2008). Quality of life assessment in chronic oedema. British journal of community nursing, 13(10), 22–27. CrossRef Keeley, V. (2008). Quality of life assessment in chronic oedema. British journal of community nursing, 13(10), 22–27. CrossRef
22.
go back to reference Pyszel, A., Malyszczak, K., Pyszel, K., Andrzejak, R., & Szuba, A. (2006). Disability, psychological distress and quality of life in breast cancer survivors with arm lymphedema. Lymphology, 39, 185–192. PubMed Pyszel, A., Malyszczak, K., Pyszel, K., Andrzejak, R., & Szuba, A. (2006). Disability, psychological distress and quality of life in breast cancer survivors with arm lymphedema. Lymphology, 39, 185–192. PubMed
23.
go back to reference Wilson, R. W., Hutson, L. M., & Vanstry, D. (2005). Comparison of 2 quality-of-life questionnaires in women treated for breast cancer: The RAND 36-item health survey and the functional living index-cancer. Physical Therapy, 85, 851–860. PubMed Wilson, R. W., Hutson, L. M., & Vanstry, D. (2005). Comparison of 2 quality-of-life questionnaires in women treated for breast cancer: The RAND 36-item health survey and the functional living index-cancer. Physical Therapy, 85, 851–860. PubMed
24.
go back to reference Jäger, G., Doller, W., & Roth, R. (2006). Quality-of-Life and body image impairments in patients with lymphedema. Lymphology, 39, 193–200. PubMed Jäger, G., Doller, W., & Roth, R. (2006). Quality-of-Life and body image impairments in patients with lymphedema. Lymphology, 39, 193–200. PubMed
25.
go back to reference Chachaj, A., Małyszczak, K., Pyszel, K., Lukas, J., Tarkowski, R., Pudełko, M., et al. (2010). Physical and psychological impairments of women with upper limb lymphedema following breast cancer treatment. Psycho-oncology, 19(3), 299–305. PubMedCrossRef Chachaj, A., Małyszczak, K., Pyszel, K., Lukas, J., Tarkowski, R., Pudełko, M., et al. (2010). Physical and psychological impairments of women with upper limb lymphedema following breast cancer treatment. Psycho-oncology, 19(3), 299–305. PubMedCrossRef
26.
go back to reference Sitzia, J., & Sobrido, L. (1997). Measurement of health-related quality of life of patients receiving conservative treatment for limb lymphoedema using the Nottingham Health Profile. Quality of Life Research, 6, 373–384. PubMedCrossRef Sitzia, J., & Sobrido, L. (1997). Measurement of health-related quality of life of patients receiving conservative treatment for limb lymphoedema using the Nottingham Health Profile. Quality of Life Research, 6, 373–384. PubMedCrossRef
27.
go back to reference Franks, P. J., Moffatt, C. J., Doherty, D. C., Williams, A. F., Jeffs, E., & Mortimer, P. S. (2006). Assessment of health-related quality of life in patients with lymphedema of the lower limb. Wound Repair Regen, 14, 110–118. PubMedCrossRef Franks, P. J., Moffatt, C. J., Doherty, D. C., Williams, A. F., Jeffs, E., & Mortimer, P. S. (2006). Assessment of health-related quality of life in patients with lymphedema of the lower limb. Wound Repair Regen, 14, 110–118. PubMedCrossRef
28.
go back to reference Launois, R., Mègnigbêto, A. C., Pocquet, K., Alliot, F., Campisi, C., Witte, M. H., et al. (2002). A specific quality of life scale in upper limb lymphedema: the ULL-27 questionnaire. Lymphology, 35, 181–187. Launois, R., Mègnigbêto, A. C., Pocquet, K., Alliot, F., Campisi, C., Witte, M. H., et al. (2002). A specific quality of life scale in upper limb lymphedema: the ULL-27 questionnaire. Lymphology, 35, 181–187.
29.
go back to reference Devoogdt, N., Van Kampen, M., Geraerts, I., Coremans, T., & Christiaens, M. R. (2011). Lymphoedema Functioning, Disability and Health questionnaire (Lymph-ICF): reliability and validity. Physical therapy, 91(6), 944–957. PubMedCrossRef Devoogdt, N., Van Kampen, M., Geraerts, I., Coremans, T., & Christiaens, M. R. (2011). Lymphoedema Functioning, Disability and Health questionnaire (Lymph-ICF): reliability and validity. Physical therapy, 91(6), 944–957. PubMedCrossRef
30.
go back to reference Augustin, M., Bross, F., Földi, E., Vanscheidt, W., & Zschocke, I. (2005). Development, validation and clinical use of the FLQA-I, a disease-specific quality of life questionnaire for patients with lymphedema. Vasa, feb, 34(1), 31–35. CrossRef Augustin, M., Bross, F., Földi, E., Vanscheidt, W., & Zschocke, I. (2005). Development, validation and clinical use of the FLQA-I, a disease-specific quality of life questionnaire for patients with lymphedema. Vasa, feb, 34(1), 31–35. CrossRef
31.
go back to reference Keeley, V., Crooks, S., Locke, J., Veigas, D., Riches, K., & Hilliam, R. (2010). A quality of life measure for limb lymphoedema (LYMQOL). Journal of Lymphoedema, 5(1), 26–37. Keeley, V., Crooks, S., Locke, J., Veigas, D., Riches, K., & Hilliam, R. (2010). A quality of life measure for limb lymphoedema (LYMQOL). Journal of Lymphoedema, 5(1), 26–37.
32.
go back to reference Klernäs, P., Kristjanson, L. J., & Johansson, K. (2010). Assessment of quality of life in lymphedema patients: Validity and reliability of the Swedish version of the Lymphoedema quality of life inventory (LQOLI). Lymphology, 43, 135–145. PubMed Klernäs, P., Kristjanson, L. J., & Johansson, K. (2010). Assessment of quality of life in lymphedema patients: Validity and reliability of the Swedish version of the Lymphoedema quality of life inventory (LQOLI). Lymphology, 43, 135–145. PubMed
33.
go back to reference Streiner, D. L., & Norman, G. R. (1998). Health measurement scales a practical guide to their development and use. Oxford: Oxford medical publications. Streiner, D. L., & Norman, G. R. (1998). Health measurement scales a practical guide to their development and use. Oxford: Oxford medical publications.
34.
go back to reference Cheville, A. L., McGarvey, C. L., Petrek, J. A., Russo, S. A., Thiadens, S. R., & Taylor, M. E. (2003). The grading of lymphedema in oncology clinical trials. Seminars in Radiation Oncology, 13(3), 214–225. PubMedCrossRef Cheville, A. L., McGarvey, C. L., Petrek, J. A., Russo, S. A., Thiadens, S. R., & Taylor, M. E. (2003). The grading of lymphedema in oncology clinical trials. Seminars in Radiation Oncology, 13(3), 214–225. PubMedCrossRef
35.
go back to reference Svensson, E. (2012). Different ranking approaches defining association and agreement measures of paired ordinal data.Wileyonlinelibrary.com doi: 10.​1002/​sim.​5382. Accessed 24 April 2013. Svensson, E. (2012). Different ranking approaches defining association and agreement measures of paired ordinal data.Wileyonlinelibrary.com doi: 10.​1002/​sim.​5382. Accessed 24 April 2013.
36.
go back to reference Altman, D. G. (1991). Practical statistics for medical research (1st ed.). London: Chapman & Hall. Altman, D. G. (1991). Practical statistics for medical research (1st ed.). London: Chapman & Hall.
37.
go back to reference Terwee, C. B., Bot, S., de Boer, M. R., van der Windt, D. A., Knol, D. L., Dekker, J., et al. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal Of Clinical Epidemiology, 60(1), 34–42. PubMedCrossRef Terwee, C. B., Bot, S., de Boer, M. R., van der Windt, D. A., Knol, D. L., Dekker, J., et al. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal Of Clinical Epidemiology, 60(1), 34–42. PubMedCrossRef
39.
go back to reference Domholdt, E. (2005). Rehabilitation research (3d ed., p. 358). St. Louis, MI: Elsevier Saunders. Domholdt, E. (2005). Rehabilitation research (3d ed., p. 358). St. Louis, MI: Elsevier Saunders.
Metagegevens
Titel
Lymphedema Quality of Life Inventory (LyQLI)-Development and investigation of validity and reliability
Auteurs
Pia Klernäs
Aina Johnsson
Vibeke Horstmann
Linda J. Kristjanson
Karin Johansson
Publicatiedatum
01-02-2015
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 2/2015
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0783-8

Andere artikelen Uitgave 2/2015

Quality of Life Research 2/2015 Naar de uitgave