Abstract:
The measurements of quality of life have been increasingly studied and gradually accepted as an important measure of health in many countries of the world since the 1960s. In China, quality of life studies begun in the 1980s. A few general quality of life questionnaires were translated into the Chinese language, such as 100-Item World Health Organization Quality of Life Instrument (WHO-QOL-100) and the 36-Item Medical Outcomes Study Short-Form Health Status Survey (SF-36). However, the sensitivity of the WHO-QOL-100 was not satisfactory for the Chinese population, while the SF-36 focused on measuring health status and does not include all facets of quality of life. Considering the great differences in culture and living habits between eastern and western populations, we carried out a series of studies to develop a general quality of life instrument (Chinese QOL-35), which included 35 items and is well in accordance with the habits of Chinese language, culture, and daily life. This article presents the development and evaluation of the Chinese QOL-35 with its reliability, validity and sensitivity, in comparison with Chinese version of WHO-QOL-100 and SF-36.
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Abbreviations
- Chinese QOL-35 :
- EORTC QLQ-C30 :
-
European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire 30
- IIC :
- ICC :
- QOL :
-
Quality of life
- WHO-QOL-100 :
-
100-Item World Health Organization Quality of Life Instrument
- SF-36 :
-
36-Item Medical Outcome Study Short Form Health Status Survey
References
WHO. (2006). Constitution of the World Health Organization. World Health Organization.
WHOQOL Group. (1993). Qual Life Res. 2(2): 153–159.
WHO. (1993). The development of the WHO quality of life assessment instrument. Geneva.
Fang J. (2000). The Assessment and Application of Quality of Life. Publishing House of Beijing Medical University, Beijing.
Li L, Wang HM, Shen Y. (2003). J Epidemiol Commun Health. 57(4): 259–263.
WHOQOL Group. (1998). Soc Sci Med. 46(12): 1569–1585.
Hopman WM, Towheed T, Anastassiades T, Tenenhouse A, Poliquin S, Berger C, Joseph L, Brown JP, Murray TM, Adachi JD, Hanley DA, Papadimitropoulos E. (2000). CMAJ. 163(3): 265–271.
Ware JE, Shebourne CD. (1992). Med Care. 30(6): 473–483.
Hunt SM, McEwen J. (1980). Soc Health illness. 2(3): 231–246.
Appendix E4: EURoQoL(EQ-5D). (2000). In: Fayers PM and Machin D (eds.) Quality of Life Assessment, Analysis and Interpretation. Wiley, New York, pp. 355–356.
Hunt SM, McEwen J, McKenna SP. (1985). J Roy Coll Pract. 35: 185–188.
Ware J. (2000). Appendix E3: Medical Outcomes Study(SF-36). In: Fayers PM and Machin D (eds.) Quality of Life Assessment, Analysis and Interpretation. Wiley, New York, pp. 352–354.
Asher M, Min Lai S, Burton D, Manna B. (2003). Spine. 28(1): 63–69.
Fayers PM, Aaronson NK, Bjordal K, et al. (2001). On behalf of the European Organisation for Research and Treatment of Cancer and Q.o.L.S. Group (eds.) The EORTC QLQ-C30 Scoring Manual, 3rd edn. EORTC, Brussels.
Fayers PM and Machin D. (2000). Scores and Measurements: Validity, Reliability, Sensitivity. In: Fayers PM and Machin D (eds.) Quality of Life Assessment, Analisis and Interpretation. Wiley, pp. 45–71.
Bonomi AE, Patrick DL, Bushnell DM, Martin M. (2000). J Clin Epidemiol. 53(1): 1–12.
Konig HH, Ulshofer A, Gregor M, von Tirpitz C, Reinshagen M, Adler G, Leidl R. (2002). Eur J Gastroenterol Hepatol. 14(11): 1205–1215.
Questionnaire Development and Scoring. In: Fayers PM, Machin D (eds.) Quality of Life Assessment, Analisis and Interpretation. Wiley, New York, pp. 135–153.
Fayers PM and Machin D. (2000). Multi-Item Scales. In: Fayers PM, Machin D (eds.) Quality of Life Assessment, Analisis and Interpretation. Wiley, New York.
Chen H, Cohen P, Kasen S, et al. (2004). Qual Life Res. 13: 747–759.
Wu Y, Xie G, Li Y, Zhou B, Zhang P, Shi P, Ren F, Ma L. (2005). Chinese J Epidemiol. 26(10): 751–756.
Acknowledgment
We are very grateful to Ms. Naomi Hammond at The George Institute, China for her kind help and assistance in preparation of the manuscript.
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Appendix 1: Chinese Quality of Life 35-Items Questionnaire
Appendix 1: Chinese Quality of Life 35-Items Questionnaire
This questionnaire is used to understand your quality of life and health status in the last month. Please read carefully each question then answer it according to your actual situation and feelings by filling your chosen number in the subsequent blank square.
1. Generally speaking, how about your health status during the last month? | HQ1□ | |
1=very bad; 2=bad; 3=average; 4=good; 5=very good | ||
2. Generally speaking, how about your quality of life during the last month? | HQ2□ | |
1=very bad; 2=bad; 3=average; 4=good; 5=very good | ||
3. Compared to a year ago, how would you rate your quality of life now? | QT□ | |
1=Much worse | 4=somewhat better | |
2=Somewhat worse | 5=much better | |
3=About the same | ||
4. Did you have any difficulties in conducting the following activities during the last month,if so, how much? | ||
Heavy physical activities (running/lifting heavy objects) | 1=completely couldn’t; 2=mostly couldn’t; 3=half and half; 4=mostly could; 5=no problem | IL1□ |
Moderate physical activities(riding bicycle/ doing housework for at least one hour) | 1=completely couldn’t; 2=mostly couldn’t; 3=half and half; 4=mostly could; 5=no problem | IL2□ |
Lift daily necessities (buying vegetables) | 1=completely couldn’t; 2=mostly couldn’t; 3=half and half; 4=mostly could; 5=no problem | IL3□ |
Climbing several flights of stairs | 1=completely couldn’t; 2=mostly couldn’t; 3=half and half; 4=mostly could; 5=no problem | IL4□ |
Climbing one flight of stair | 1=completely couldn’t; 2=mostly couldn’t; 3=half and half; 4=mostly could; 5=no problem | IL5□ |
Bending/kneeling/ stooping | 1=completely couldn’t; 2=mostly couldn’t; 3=half and half; 4=mostly could; 5=no problem | IL6□ |
Walking three miles | 1=completely couldn’t; 2=mostly couldn’t; 3=half and half; 4=mostly could; 5=no problem | IL7□ |
Walking one or two miles | 1=completely couldn’t; 2=mostly couldn’t; 3=half and half; 4=mostly could; 5=no problem | IL8□ |
Walking around house | 1=completely couldn’t; 2=mostly couldn’t; 3=half and half; 4=mostly could; 5=no problem | IL9□ |
Bathing or dressing | 1=completely couldn’t; 2=mostly couldn’t; 3=half and half; 4=mostly could; 5=no problem | IL10□ |
5. Did you have pain or discomfort during the last month? | ||
1=very severe; 2=severe; 3=moderate; 4=mild; 5=very mild; 6=not at all | PF1□ | |
6. Did that pain or discomfort have effect on your normal life during the last month? | PF2□ | |
1=extremely; 2=quite a bit; 3=moderately; 4=a little bit; 5=not at all | ||
7. How about your appetite during the last month? | PF3□ | |
1=very bad; 2=bad; 3=average; 4=good; 5=very good | ||
8. How about your sleep during the last month? | PF4□ | |
1=Extremely difficult; 2=Quite difficult; 3=Moderately difficult; 4=rarely difficult 5= Not difficult at all | ||
9. Did you often feel fatigue/tired during the last month? | PF5□ | |
1=always; 2=often; 3=sometimes; 4=occasionally; 5=not at all | ||
10. Did you need help from medicines or treatment in your daily life during the last month? | IL11□ | |
1=Not at all; 2=Occasionally; 3=Generally; 4=Mostly; 5=Completely | ||
11. Were you satisfied with your own living ability during the last month? | IL12□ | |
1=Very unsatisfied; 2=Unsatisfied; 3=So so; 4=Satisfied; 5=Very satisfied | ||
12. How was your psycholo gical status during the last month? | ||
Having self-confidence | 1=Not at all; 2=A little; 3=Generally; 4=Strongly; 5=Completely | MF1□ |
Having living pleasure | 1=Not at all; 2=Occasionally; 3=Generally; 4=Often; 5=Extremely | MF2□ |
Having nervousness | 1=Always; 2=Often; 3=Sometimes; 4=Occasionally; 5=Not at all | MF3□ |
Having negative feeling (Downhearted/despaired/anxiety/ melancholy) | 1=always; 2=Often; 3=Sometimes; 4=Occasionally; 5=Not at all | MF4□ |
Memory | 1=very bad; 2=bad; 3= average; 4=good; 5=very good | MF5□ |
Attention Span (doing something for at least ten minutes) | 1=Could not at all; 2=Occasionally could; 3=Generally could; 4=Mostly could; 5=Completely could | MF6□ |
13. How did you rate your social connections during the last month? | MF6□ | |
Family | 1=very bad; 2=bad; 3= average; 4=good; 5=very good | SF1□ |
Relative | 1=very bad; 2=bad; 3= average; 4=good; 5=very good | SF2□ |
Colleague/superior/subordinate | 1=very bad; 2=bad; 3= average; 4=good; 5=very good | SF3□ |
14. Could you get help or support from your family members or friends in your life during the last month? | SF4□ | |
1=Could not at all; 2=Occasionally could; 3=Generally could; 4=Mostly could; 5=Completely could | ||
15. Could you provide help or support to you family members or friends in their life during the last month? | SF5□ | |
1=Could not at all; 2=Occasionally could; 3=Generally could; 4=Mostly could; 5=Completely could | ||
16. Were you satisfied with your sex life during the last month? | SF6□ | |
1=Very unsatisfied; 2=Unsatisfied; 3=So so; 4=Satisfied; 5=Very satisfied | ||
17. Did you feel lonely during the last month? | SF7□ | |
1=Always; 2=Often; 3=Sometimes; 4=Occasionally; 5=Not at all | ||
18. How is your financial status at present? | LC1□ | |
1=very bad; 2=bad; 3= average; 4=good; 5=very good | ||
19. How is the condition of your current residence? | LC2□ | |
1=very bad; 2=bad; 3= average; 4=good; 5=very good |
Date: □□□□year □□month □□day
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Wu, Y., Xie, G. (2010). Development and Assessment of Chinese General Quality of Life Instrument. In: Preedy, V.R., Watson, R.R. (eds) Handbook of Disease Burdens and Quality of Life Measures. Springer, New York, NY. https://doi.org/10.1007/978-0-387-78665-0_15
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DOI: https://doi.org/10.1007/978-0-387-78665-0_15
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