Letellier Marie-Eve, Dawes Diana, Mayo Nancy
Faculty of Medicine, School of Physical and Occupational Therapy, McGill University, 3654 Prom Sir William Osler, Montreal, QC, H3G 1Y5, Canada,
Qual Life Res. 2015 Mar;24(3):757-68. doi: 10.1007/s11136-014-0791-8. Epub 2014 Aug 24.
The aims of this study were to estimate the extent to which the content of the EORTC QLQ-C30 and EORTC QLQ-BR23 goes beyond functioning and include global feeling of well-being.
Respectively, 21 and 13 healthcare professionals agreed to link the EORTC QLQ-C30 and EORTC QLQ-BR23 to the ICF. Mappers were asked to independently identify appropriate codes for the corresponding items of the EORTC QLQ-C30 and EORTC QLQ-BR23 following standardized linking rules and methodology. A Delphi technique was used in order to reach consensus. The threshold of agreement was 70 %. Rounds were stopped when the threshold was obtained or when it was clear that no consensus would be reached.
A total of 25 items out of 30 were endorsed for the EORTC QLQ-C30: 8 items were endorsed at the 4-digit level, 15 items at the 3-digit level, and 2 items reach the consensus that the items were not cover within the ICF. Only 2 items out of 23 did not reach consensus in the EORTC QLQ-BR23. Of the 21 items endorsed, 3 items were endorsed at the 5-digit level, 10 items at the 4-digit level, and 8 at the 3-digit level.
This study demonstrates that the content of the EORTC QLQ-C30 goes beyond functioning and includes global feeling of well-being and that the content of the EORTC QLQ-BR23 is related to functioning. Furthermore, linking items to the ICF framework could be an additional method to validate the content of health-related questionnaires.
本研究旨在评估欧洲癌症研究与治疗组织核心问卷（EORTC QLQ-C30）和欧洲癌症研究与治疗组织乳腺癌特异性问卷（EORTC QLQ-BR23）的内容超出功能范畴并涵盖整体幸福感的程度。
分别有21名和13名医疗保健专业人员同意将EORTC QLQ-C30和EORTC QLQ-BR23与国际功能、残疾和健康分类（ICF）相联系。要求映射者按照标准化的链接规则和方法，为EORTC QLQ-C30和EORTC QLQ-BR23的相应条目独立确定合适的编码。采用德尔菲技术以达成共识。共识阈值为70%。当达到阈值或明确无法达成共识时，停止轮次。
EORTC QLQ-C30的30个条目中共有25个获得认可：8个条目在4位数级别获得认可，15个条目在3位数级别获得认可，2个条目达成共识，即这些条目不在ICF范围内。EORTC QLQ-BR23的23个条目中只有2个未达成共识。在获得认可的21个条目中，3个条目在5位数级别获得认可，10个条目在4位数级别获得认可，8个条目在3位数级别获得认可。
本研究表明，EORTC QLQ-C30的内容超出功能范畴并涵盖整体幸福感，且EORTC QLQ-BR23的内容与功能相关。此外，将条目与ICF框架相联系可能是验证健康相关问卷内容的一种额外方法。
