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伊朗版孕期生活质量问卷的可行性、可靠性和有效性

Feasibility, Reliability, and Validity of the Iranian Version of the Quality of Life Questionnaire for Pregnancy.

作者信息

Mirghafourvand Mojgan, Mohammad-Alizadeh-Charandabi Sakineh, Asghari Jafarabadi Mohammad, Shiri Fatemeh, Ghanbari-Homayi Solmaz

机构信息

Nursing and Midwifery Faculty, Midwifery Department, Tabriz University of Medical Sciences, Tabriz, IR Iran.

Midwifery Department, Research Center of Social Determinants of Health, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, IR Iran.

出版信息

Iran Red Crescent Med J. 2016 Jun 7;18(9):e35382. doi: 10.5812/ircmj.35382. eCollection 2016 Sep.

Abstract

BACKGROUND

Clinical studies are giving increased importance to quality of life assessments as measures of the relative effectiveness of prevention and treatment programs used during pregnancy and antenatally.

OBJECTIVES

The aim of this study was to validate the Quality of life gravidarum (QOL-GRAV) questionnaire for Iranian women during the pregnant period.

PATIENTS AND METHODS

In this cross-sectional methodological study, content validity following back and forward translation was assessed by a panel of experts. Using the two-stage cluster sampling method, 565 pregnant women referred to health care centers from April to June 2015 in Tabriz, Iran were enrolled in the study. Construct validity by assessing the factor structure, and convergent and discriminant validity were evaluated using scale-item correlations and known group analyses. Internal consistency and test-retest reliability were assessed in a sample of 30 pregnant women by the Cronbach's α coefficient and intra-class correlation coefficient (ICC).

RESULTS

The QOL-GRAV showed good content validity (CVI value = 0.95 and CVR value = 1), internal consistency (α = 0.79), and test-retest reliability (ICC = 0.86). The results of the CFA for two-factor models indicate an acceptable fit of the proposed model (RMSEA; 90% CI = 0.083; 0.068-0.099, CFI = 0.95, GFI = 0.96, and AGFI = 0.92).

CONCLUSIONS

The findings support the validity and reliability of the Iranian version of the QOL-GRAV questionnaire. Therefore, it is recommended to be used for both clinical and research purposes.

摘要

背景

临床研究越来越重视生活质量评估,将其作为孕期和产前预防及治疗方案相对有效性的衡量指标。

目的

本研究旨在验证伊朗女性孕期生活质量问卷(QOL-GRAV)。

患者与方法

在这项横断面方法学研究中,由专家小组评估经前后向翻译后的内容效度。采用两阶段整群抽样方法,纳入了2015年4月至6月期间转诊至伊朗大不里士医疗保健中心的565名孕妇。通过评估因子结构来构建效度,并使用量表项目相关性和已知组分析来评估收敛效度和区分效度。通过Cronbach's α系数和组内相关系数(ICC)对30名孕妇样本进行内部一致性和重测信度评估。

结果

QOL-GRAV显示出良好的内容效度(CVI值 = 0.95,CVR值 = 1)、内部一致性(α = 0.79)和重测信度(ICC = 0.86)。两因素模型的验证性因子分析结果表明所提出的模型拟合度可接受(RMSEA;90% CI = 0.083;0.068 - 0.099,CFI = 0.95,GFI = 0.96,AGFI = 0.92)。

结论

研究结果支持伊朗版QOL-GRAV问卷的效度和信度。因此,建议将其用于临床和研究目的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ace/5253432/1603dd88dada/ircmj-18-09-35382-i001.jpg

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