Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M, Haji-Mahmoodi M
Iranian Centre for Breast Cancer (ICBC), PO Box 13185-1488, Tehran, Iran.
Support Care Cancer. 1999 Nov;7(6):400-6. doi: 10.1007/s005200050300.
The objective of this study was to test the reliability and validity of the Iranian version of the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ-C30). The English-language version of the questionnaire was translated into Persian (Iranian language), and its final form was approved by the EORTC Study Group on Quality of Life before it was used in this study. The questionnaire was administered at two time points to a consecutive sample of 168 newly diagnosed breast cancer patients, and almost all of them (99%) found the questions easy to understand and acceptable. Crohnbach's alpha coefficient for multi-item scales (to test reliability) ranged from 0.48 to 0.95 at baseline and from 0.52 to 0.98 at follow-up administration of the questionnaire. Validity was checked using two methods: inter-scale correlation and known-groups comparison. Almost all inter-scale correlations were statistically significant in the expected direction. Known-groups comparison analysis showed that all functioning and symptom scales discriminated between subgroups of patients differing in clinical status as defined by their performance status and disease stage. In general, the findings of this study indicate that the Iranian version of the EORTC QLQ-C30 is a reliable and valid measure of quality of life in cancer patients and can be used in clinical trials and studies of outcome research in oncology.
本研究的目的是检验欧洲癌症研究与治疗组织(EORTC)生活质量问卷(QLQ-C30)伊朗版本的信度和效度。该问卷的英文版本被翻译成波斯语(伊朗语言),其最终版本在本研究使用之前得到了EORTC生活质量研究小组的批准。该问卷在两个时间点对168例新诊断的乳腺癌患者连续样本进行了施测,几乎所有患者(99%)都认为问题易于理解且可以接受。多项目量表的克朗巴赫α系数(用于检验信度)在基线时范围为0.48至0.95,在问卷随访施测时范围为0.52至0.98。效度使用两种方法进行检验:量表间相关性和已知组比较。几乎所有量表间相关性在预期方向上都具有统计学意义。已知组比较分析表明,所有功能和症状量表都能区分根据其体能状态和疾病分期定义的临床状态不同的患者亚组。总体而言,本研究结果表明,EORTC QLQ-C30的伊朗版本是癌症患者生活质量的可靠且有效的测量工具,可用于肿瘤学的临床试验和结局研究。