Schel S H H, Bouman Y H A, Vorstenbosch E C W, Bulten B H
Forensic Psychiatric Hospital Pompefoundation, Division Diagnostics Research and Education, PO Box 31435, 6503 CK, Nijmegen, The Netherlands.
Transfore Forensic Mental Health, Department of Research, Deventer, The Netherlands.
Qual Life Res. 2017 May;26(5):1153-1161. doi: 10.1007/s11136-016-1461-9. Epub 2016 Nov 22.
Aim of this study was to develop a brief version of the Forensic inpatient Quality of Life questionnaire (FQL).
Data from a longitudinal study of quality of life (QoL) among long-term forensic psychiatric care (LFPC) patients (N = 130) were used. Per domain, the FQL item that correlated most highly with the mean domain score and Overall QoL was selected. Internal consistency was investigated by calculating Cronbach's alpha. Construct validity was examined by investigating the relationship with the WHOQOL-Bref and EssenCES.
The original division into 15 QoL domains was retained, while the number of items per domain was reduced to one or two. The amount of subjective items was shortened from 114 items to 19 items. Reliability analysis demonstrated good internal consistency (Cronbach's α = .79). Content validity was assured because the FQL-SV is based on the items of the original FQL that was derived from LFPC patient's and staff's opinions. Construct validity was demonstrated.
This study has shown that the FQL-SV is a psychometrically valid abbreviation of the FQL and can therefore be used to monitor or assess QoL in forensic psychiatric care. However, when certain domains should be targeted in treatment, the FQL (full version) can assist both the patient and the clinician to get a more complete view of the individualized targets they should be aiming at in order to improve QoL.
本研究旨在开发法医住院患者生活质量问卷（Forensic inpatient Quality of Life questionnaire，FQL）的简短版本。
使用了一项针对长期法医精神科护理（long-term forensic psychiatric care，LFPC）患者（N = 130）生活质量（quality of life，QoL）的纵向研究数据。在每个领域中，选择与该领域平均得分和总体生活质量相关性最高的FQL项目。通过计算克朗巴哈系数（Cronbach's alpha）来研究内部一致性。通过调查与世界卫生组织生活质量简表（WHOQOL-Bref）和埃森临床症状量表（EssenCES）的关系来检验结构效度。
保留了最初分为15个生活质量领域的划分，同时每个领域的项目数量减少到一两个。主观项目的数量从114项减少到19项。可靠性分析表明内部一致性良好（克朗巴哈系数α = 0.79）。由于FQL-SV基于最初从LFPC患者和工作人员意见中得出的FQL项目，因此确保了内容效度。证明了结构效度。
本研究表明，FQL-SV是FQL在心理测量学上有效的缩写形式，因此可用于监测或评估法医精神科护理中的生活质量。然而，当某些领域应作为治疗目标时，FQL（完整版）可以帮助患者和临床医生更全面地了解他们为改善生活质量应针对的个性化目标。
