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Gepubliceerd in: Quality of Life Research 7/2020

17-02-2020

Psychometric characteristics of the WHOQOL-SRPB Scale in a population of stroke survivors and caregivers

Auteurs: Gianluca Pucciarelli, Kristofer Årestedt, Silvio Simeone, Tatiana Bolgeo, Rosaria Alvaro, Ercole Vellone

Gepubliceerd in: Quality of Life Research | Uitgave 7/2020

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Abstract

Purpose

Studies have shown that spirituality plays an important role in enhancing the quality of life of stroke survivors and their caregivers. Spirituality has been associated with positive patient and caregiver outcomes, so a valid, reliable measure of spirituality is important. It has not been tested with stroke survivors and their caregivers, so the aim of this study was to evaluate the validity and reliability of the World Health Organization Quality of Life Spiritual Religious and Personal Belief (WHOQOL-SRPB) scale for stroke survivors and their caregivers.

Methods

In this cross-sectional study, 414 stroke survivors at 10 rehabilitation hospitals and 244 caregivers completed the WHOQOL-SRPB. The WHOQOL-SRPB’s factorial structure was assessed with confirmatory factor analysis (CFA), criterion-related validity was evaluated with the WHOQOL-BREF, and internal consistency reliability was assessed with Cronbach’s α and ordinal α.

Results

The CFA results supported the hypothesized eight-factor structure. The stroke survivor and the caregiver versions of the model both had excellent fit indices. The factor loadings for the final models were strong: 0.78–0.98 for stroke survivors and caregivers (p < 0.001). The criterion-related validity for the WHOQOL-SRPB showed weak to moderate correlations with all the WHOQOL-BREF dimensions. Both ordinal α and Cronbach’s α had values more than 0.70.

Conclusions

The WHOQOL-SRPB scale is a valid, reliable instrument for measuring spirituality in stroke survivors and caregivers. Given the importance of spirituality for stroke survivors and caregivers, the WHOQOL-SRPB scale is recommended as an important tool for clinical practice and research.
Literatuur
1.
go back to reference King, M. B., & Koenig, H. G. (2009). Conceptualising spirituality for medical research and health service provision. BMC Health Services Research,9, 116.PubMedPubMedCentral King, M. B., & Koenig, H. G. (2009). Conceptualising spirituality for medical research and health service provision. BMC Health Services Research,9, 116.PubMedPubMedCentral
2.
go back to reference Taylor, E. J. (2008). What is spiritual care in nursing? Findings from an exercise in content validity. Holistic Nursing Practice,22(3), 154–159.PubMed Taylor, E. J. (2008). What is spiritual care in nursing? Findings from an exercise in content validity. Holistic Nursing Practice,22(3), 154–159.PubMed
3.
go back to reference Pesut, B., Fowler, M., Reimer-Kirkham, S., Taylor, E. J., & Sawatzky, R. (2009). Particularizing spirituality in points of tension: Enriching the discourse. Nursing Inquiry,16(4), 337–346.PubMed Pesut, B., Fowler, M., Reimer-Kirkham, S., Taylor, E. J., & Sawatzky, R. (2009). Particularizing spirituality in points of tension: Enriching the discourse. Nursing Inquiry,16(4), 337–346.PubMed
4.
go back to reference Sessanna, L., Finnell, D., & Jezewski, M. A. (2007). Spirituality in nursing and health-related literature: A concept analysis. Journal of Holistic Nursing, 25(4), 252–262; discussion 263–254. Sessanna, L., Finnell, D., & Jezewski, M. A. (2007). Spirituality in nursing and health-related literature: A concept analysis. Journal of Holistic Nursing, 25(4), 252–262; discussion 263–254.
5.
go back to reference Memaryan, N., Rassouli, M., & Mehrabi, M. (2016). Spirituality concept by health professionals in Iran: A qualitative study. Evidence Based Complementary and Alternative Medicine,2016, 8913870.PubMedPubMedCentral Memaryan, N., Rassouli, M., & Mehrabi, M. (2016). Spirituality concept by health professionals in Iran: A qualitative study. Evidence Based Complementary and Alternative Medicine,2016, 8913870.PubMedPubMedCentral
6.
go back to reference Tanyi, R. A. (2002). Towards clarification of the meaning of spirituality. Journal of Advanced Nursing,39(5), 500–509.PubMed Tanyi, R. A. (2002). Towards clarification of the meaning of spirituality. Journal of Advanced Nursing,39(5), 500–509.PubMed
7.
go back to reference Omu, O., & Reynolds, F. (2014). Religious faith and self-efficacy among stroke patients in Kuwait: Health professionals’ views. Disability and Rehabilitation,36(18), 1529–1535.PubMed Omu, O., & Reynolds, F. (2014). Religious faith and self-efficacy among stroke patients in Kuwait: Health professionals’ views. Disability and Rehabilitation,36(18), 1529–1535.PubMed
8.
go back to reference Skolarus, L. E., Lisabeth, L. D., Sanchez, B. N., Smith, M. A., Garcia, N. M., Risser, J. M., et al. (2012). The prevalence of spirituality, optimism, depression, and fatalism in a bi-ethnic stroke population. Journal of Religion and Health,51(4), 1293–1305.PubMedPubMedCentral Skolarus, L. E., Lisabeth, L. D., Sanchez, B. N., Smith, M. A., Garcia, N. M., Risser, J. M., et al. (2012). The prevalence of spirituality, optimism, depression, and fatalism in a bi-ethnic stroke population. Journal of Religion and Health,51(4), 1293–1305.PubMedPubMedCentral
9.
go back to reference Torabi Chafjiri, R., Navabi, N., Shamsalinia, A., & Ghaffari, F. (2017). The relationship between the spiritual attitude of the family caregivers of older patients with stroke and their burden. Clinical Interventions in Aging,12, 453–458.PubMedPubMedCentral Torabi Chafjiri, R., Navabi, N., Shamsalinia, A., & Ghaffari, F. (2017). The relationship between the spiritual attitude of the family caregivers of older patients with stroke and their burden. Clinical Interventions in Aging,12, 453–458.PubMedPubMedCentral
10.
go back to reference Giaquinto, S., Sarno, S., Dall’Armi, V., & Spiridigliozzi, C. (2010). Religious and spiritual beliefs in stroke rehabilitation. Clinical and Experimental Hypertension,32(6), 329–334.PubMed Giaquinto, S., Sarno, S., Dall’Armi, V., & Spiridigliozzi, C. (2010). Religious and spiritual beliefs in stroke rehabilitation. Clinical and Experimental Hypertension,32(6), 329–334.PubMed
11.
go back to reference Morgenstern, L. B., Sanchez, B. N., Skolarus, L. E., Garcia, N., Risser, J. M., Wing, J. J., et al. (2011). Fatalism, optimism, spirituality, depressive symptoms, and stroke outcome: A population-based analysis. Stroke,42(12), 3518–3523.…PubMedPubMedCentral Morgenstern, L. B., Sanchez, B. N., Skolarus, L. E., Garcia, N., Risser, J. M., Wing, J. J., et al. (2011). Fatalism, optimism, spirituality, depressive symptoms, and stroke outcome: A population-based analysis. Stroke,42(12), 3518–3523.…PubMedPubMedCentral
12.
go back to reference Koenig, H. G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry,2012, 278730.PubMedPubMedCentral Koenig, H. G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry,2012, 278730.PubMedPubMedCentral
13.
go back to reference Bussing, A., Baumann, K., Hvidt, N. C., Koenig, H. G., Puchalski, C. M., & Swinton, J. (2014). Spirituality and health. Evidence Based Complementary and Alternative Medicine,2014, 682817.PubMedPubMedCentral Bussing, A., Baumann, K., Hvidt, N. C., Koenig, H. G., Puchalski, C. M., & Swinton, J. (2014). Spirituality and health. Evidence Based Complementary and Alternative Medicine,2014, 682817.PubMedPubMedCentral
14.
go back to reference Gholamzadeh, S., Hamid, T. A., Basri, H., Sharif, F., & Ibrahim, R. (2014). Religious coping and psychological well-being among Iranian stroke caregivers. Iranian Journal of Nursing and Midwifery Research,19(5), 478–484.PubMedPubMedCentral Gholamzadeh, S., Hamid, T. A., Basri, H., Sharif, F., & Ibrahim, R. (2014). Religious coping and psychological well-being among Iranian stroke caregivers. Iranian Journal of Nursing and Midwifery Research,19(5), 478–484.PubMedPubMedCentral
15.
go back to reference Pierce, L. L., Steiner, V., Havens, H., & Tormoehlen, K. (2008). Spirituality expressed by caregivers of stroke survivors. Western Journal of Nursing Research,30(5), 606–619.PubMedPubMedCentral Pierce, L. L., Steiner, V., Havens, H., & Tormoehlen, K. (2008). Spirituality expressed by caregivers of stroke survivors. Western Journal of Nursing Research,30(5), 606–619.PubMedPubMedCentral
16.
go back to reference Skevington, S. M., Gunson, K. S., & O’Connell K. A. (2013). Introducing the WHOQOL-SRPB BREF: Developing a short-form instrument for assessing spiritual, religious and personal beliefs within quality of life. Quality of Life Research,22(5), 1073–1083.PubMed Skevington, S. M., Gunson, K. S., & O’Connell K. A. (2013). Introducing the WHOQOL-SRPB BREF: Developing a short-form instrument for assessing spiritual, religious and personal beliefs within quality of life. Quality of Life Research,22(5), 1073–1083.PubMed
17.
go back to reference Whoqol, SRPB Group. (2006). A cross-cultural study of spirituality, religion, and personal beliefs as components of quality of life. Social Science and Medicine,62(6), 1486–1497. Whoqol, SRPB Group. (2006). A cross-cultural study of spirituality, religion, and personal beliefs as components of quality of life. Social Science and Medicine,62(6), 1486–1497.
18.
go back to reference Fleck, M. P., & Skevington, S. (2007). Explaining the meaning of the WHOQOL-SRPB. Archives of Clinical Psychiatry,34(1), 67–69. Fleck, M. P., & Skevington, S. (2007). Explaining the meaning of the WHOQOL-SRPB. Archives of Clinical Psychiatry,34(1), 67–69.
19.
go back to reference Krageloh, C. U., Billington, D. R., Henning, M. A., & Chai, P. P. (2015). Spiritual quality of life and spiritual coping: Evidence for a two-factor structure of the WHOQOL spirituality, religiousness, and personal beliefs module. Health and Quality of Life Outcomes,13, 26.PubMedPubMedCentral Krageloh, C. U., Billington, D. R., Henning, M. A., & Chai, P. P. (2015). Spiritual quality of life and spiritual coping: Evidence for a two-factor structure of the WHOQOL spirituality, religiousness, and personal beliefs module. Health and Quality of Life Outcomes,13, 26.PubMedPubMedCentral
20.
go back to reference Mandhouj, O., Etter, J. F., Courvoisier, D., & Aubin, H. J. (2012). French-language version of the World Health Organization quality of life spirituality, religiousness and personal beliefs instrument. Health and Quality of Life Outcomes,10, 39.PubMedPubMedCentral Mandhouj, O., Etter, J. F., Courvoisier, D., & Aubin, H. J. (2012). French-language version of the World Health Organization quality of life spirituality, religiousness and personal beliefs instrument. Health and Quality of Life Outcomes,10, 39.PubMedPubMedCentral
21.
go back to reference Panzini, R. G., Maganha, C., Rocha, N. S., Bandeira, D. R., & Fleck, M. P. (2011). Brazilian validation of the Quality of Life Instrument/spirituality, religion and personal beliefs. Revista de Saúde Pública,45(1), 153–165.PubMed Panzini, R. G., Maganha, C., Rocha, N. S., Bandeira, D. R., & Fleck, M. P. (2011). Brazilian validation of the Quality of Life Instrument/spirituality, religion and personal beliefs. Revista de Saúde Pública,45(1), 153–165.PubMed
22.
go back to reference De Girolamo, G., Becchi, A., Coppa, F. S., De Leo, D., Neri, G., Rucci, P., et al. (2001). Whoqol e salute e qualità della vita. Torino: Centro Scientifico Editore. De Girolamo, G., Becchi, A., Coppa, F. S., De Leo, D., Neri, G., Rucci, P., et al. (2001). Whoqol e salute e qualità della vita. Torino: Centro Scientifico Editore.
23.
go back to reference The_WHOQOL_Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychological Medicine,28(3), 551–558. The_WHOQOL_Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychological Medicine,28(3), 551–558.
24.
go back to reference Savini, S., Buck, H. G., Dickson, V. V., Simeone, S., Pucciarelli, G., Fida, R., et al. (2015). Quality of life in stroke survivor–caregiver dyads: A new conceptual framework and longitudinal study protocol. Journal of Advanced Nursing,71(3), 676–687.…PubMed Savini, S., Buck, H. G., Dickson, V. V., Simeone, S., Pucciarelli, G., Fida, R., et al. (2015). Quality of life in stroke survivor–caregiver dyads: A new conceptual framework and longitudinal study protocol. Journal of Advanced Nursing,71(3), 676–687.…PubMed
25.
go back to reference Hobart, J., & Cano, S. (2009). Improving the evaluation of therapeutic interventions in multiple sclerosis: The role of new psychometric methods. Health Technology Assessment, 13(12), iii, ix–x, 1–177. Hobart, J., & Cano, S. (2009). Improving the evaluation of therapeutic interventions in multiple sclerosis: The role of new psychometric methods. Health Technology Assessment, 13(12), iii, ix–x, 1–177.
26.
go back to reference Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). New York: Guilford Press. Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). New York: Guilford Press.
27.
go back to reference Hagell, P., Alvariza, A., Westergren, A., & Arestedt, K. (2017). Assessment of burden among family caregivers of people with Parkinson’s disease using the Zarit Burden Interview. Journal of Pain and Symptom Management,53(2), 272–278.PubMed Hagell, P., Alvariza, A., Westergren, A., & Arestedt, K. (2017). Assessment of burden among family caregivers of people with Parkinson’s disease using the Zarit Burden Interview. Journal of Pain and Symptom Management,53(2), 272–278.PubMed
28.
go back to reference Gadermann, A. M., Guhn, M., & Zumbo, B. D. (2012). Estimating ordinal reliability for Likert-type and ordinal item response data: A conceptual, empirical, and practical guide. Practical Assessment, Research and Evaluation,17(3), 1–13. Gadermann, A. M., Guhn, M., & Zumbo, B. D. (2012). Estimating ordinal reliability for Likert-type and ordinal item response data: A conceptual, empirical, and practical guide. Practical Assessment, Research and Evaluation,17(3), 1–13.
29.
go back to reference Affan, M., Mahajan, A., Modi, S., Schultz, L., Katramados, A., Mayer, S. A., et al. (2019). Atrial fibrillation, not atrial cardiopathy, is associated with stroke: A single center retrospective study. Journal of Neurological Science,402, 69–73. Affan, M., Mahajan, A., Modi, S., Schultz, L., Katramados, A., Mayer, S. A., et al. (2019). Atrial fibrillation, not atrial cardiopathy, is associated with stroke: A single center retrospective study. Journal of Neurological Science,402, 69–73.
30.
go back to reference Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). Dyadic data analysis. New York: Guilford Press. Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). Dyadic data analysis. New York: Guilford Press.
31.
go back to reference Alferes, V. R., & Kenny, D. A. (2009). SPSS programs for the measurement of nonindependence in standard dyadic designs. Behavior Research Methods,41(1), 47–54.PubMed Alferes, V. R., & Kenny, D. A. (2009). SPSS programs for the measurement of nonindependence in standard dyadic designs. Behavior Research Methods,41(1), 47–54.PubMed
32.
go back to reference Hatch, R. L., Burg, M. A., Naberhaus, D. S., & Hellmich, L. K. (1998). The Spiritual Involvement and Beliefs Scale. Development and testing of a new instrument. Journal of Family Practice,46(6), 476–486.PubMed Hatch, R. L., Burg, M. A., Naberhaus, D. S., & Hellmich, L. K. (1998). The Spiritual Involvement and Beliefs Scale. Development and testing of a new instrument. Journal of Family Practice,46(6), 476–486.PubMed
33.
go back to reference Daaleman, T. P., Frey, B. B., Wallace, D., & Studenski, S. A. (2002). Spirituality Index of Well-Being Scale: Development and testing of a new measure. Journal of Family Practice,51(11), 952.PubMed Daaleman, T. P., Frey, B. B., Wallace, D., & Studenski, S. A. (2002). Spirituality Index of Well-Being Scale: Development and testing of a new measure. Journal of Family Practice,51(11), 952.PubMed
34.
go back to reference Bryson, K. (2015). Guidelines for conducting a spiritual assessment. Palliative and Supportive Care,13(1), 91–98.PubMed Bryson, K. (2015). Guidelines for conducting a spiritual assessment. Palliative and Supportive Care,13(1), 91–98.PubMed
35.
go back to reference Rieg, L. S., Mason, C. H., & Preston, K. (2006). Spiritual care: Practical guidelines for rehabilitation nurses. Rehabilitation Nursing,31(6), 249–256.PubMed Rieg, L. S., Mason, C. H., & Preston, K. (2006). Spiritual care: Practical guidelines for rehabilitation nurses. Rehabilitation Nursing,31(6), 249–256.PubMed
36.
go back to reference Sajadi, M., Niazi, N., Khosravi, S., Yaghobi, A., Rezaei, M., & Koenig, H. G. (2018). Effect of spiritual counseling on spiritual well-being in Iranian women with cancer: A randomized clinical trial. Complementary Therapies in Clinical Practice,30, 79–84.PubMed Sajadi, M., Niazi, N., Khosravi, S., Yaghobi, A., Rezaei, M., & Koenig, H. G. (2018). Effect of spiritual counseling on spiritual well-being in Iranian women with cancer: A randomized clinical trial. Complementary Therapies in Clinical Practice,30, 79–84.PubMed
37.
go back to reference Sankhe, A., Dalal, K., Save, D., & Sarve, P. (2017). Evaluation of the effect of Spiritual care on patients with generalized anxiety and depression: A randomized controlled study. Psychology, Health and Medicine,22(10), 1186–1191.PubMed Sankhe, A., Dalal, K., Save, D., & Sarve, P. (2017). Evaluation of the effect of Spiritual care on patients with generalized anxiety and depression: A randomized controlled study. Psychology, Health and Medicine,22(10), 1186–1191.PubMed
38.
go back to reference Carneiro, E. M., Barbosa, L. P., Marson, J. M., Terra, J. A. J., Martins, C. J., Modesto, D., et al. (2017). Effectiveness of Spiritist “passe” (Spiritual healing) for anxiety levels, depression, pain, muscle tension, well-being, and physiological parameters in cardiovascular inpatients: A randomized controlled trial. Complementary Therapies in Medicine,30, 73–78.…PubMed Carneiro, E. M., Barbosa, L. P., Marson, J. M., Terra, J. A. J., Martins, C. J., Modesto, D., et al. (2017). Effectiveness of Spiritist “passe” (Spiritual healing) for anxiety levels, depression, pain, muscle tension, well-being, and physiological parameters in cardiovascular inpatients: A randomized controlled trial. Complementary Therapies in Medicine,30, 73–78.…PubMed
39.
go back to reference Ledermann, T., & Kenny, D. A. (2017). Analyzing dyadic data with multilevel modeling versus structural equation modeling: A tale of two methods. Journal of Family Psychology,31(4), 442–452.PubMed Ledermann, T., & Kenny, D. A. (2017). Analyzing dyadic data with multilevel modeling versus structural equation modeling: A tale of two methods. Journal of Family Psychology,31(4), 442–452.PubMed
40.
go back to reference Kenny, D. A., & Judd, C. M. (1986). Consequences of violating the independence assumption in analysis of variance. Psychological Bulletin,99(3), 422–431. Kenny, D. A., & Judd, C. M. (1986). Consequences of violating the independence assumption in analysis of variance. Psychological Bulletin,99(3), 422–431.
Metagegevens
Titel
Psychometric characteristics of the WHOQOL-SRPB Scale in a population of stroke survivors and caregivers
Auteurs
Gianluca Pucciarelli
Kristofer Årestedt
Silvio Simeone
Tatiana Bolgeo
Rosaria Alvaro
Ercole Vellone
Publicatiedatum
17-02-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 7/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02446-0

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