Service de Néphrologie, CHU Aristide Le Dantec, Université Cheikh Anta Diop, Dakar, Sénégal.
Université de Lorraine, APEMAC, Nancy, France.
BMC Nephrol. 2024 Feb 9;25(1):50. doi: 10.1186/s12882-024-03482-5.
If any benefit is to be derived from the use of the health-related quality of life (HRQoL) questionnaires in chronic kidney disease (CKD) patients, they should be validated and culturally adapted to the target population. We aimed to critically appraise the psychometric properties of HRQoL questionnaires used in African populations with CKD.
Web of Science, Embase, PubMed and PsycINFO databases were searched. Psychometric validation studies of HRQoL questionnaires reporting at least one psychometric property of the COSMIN checklist in CKD African population, published up to October 16, 2023 were included and independently assessed for methodological quality and level of measurement properties by using the COSMIN methodology.
From 1163 articles, 5 full-text were included. Only the Kidney Disease Quality-of-Life questionnaire was translated and cross-culturally adapted for studies of patients with CKD. Internal consistency was of doubtful quality in 4 studies and very good in 1. Its measurement was sufficient in 1 study and insufficient in 4. Test-retest reliability was of doubtful quality in 4 studies. Its measurement was sufficient in 3 studies and insufficient in 1. Structural validity was of inadequate quality in 1 study and very good quality in 1. Its measurement was sufficient in both. Construct validity was of inadequate quality in all studies. Their measurement was insufficient in 4 studies and sufficient in 1.
This review highlighted that only one HRQoL questionnaire used in studies of African populations with CKD underwent a small number of cultural adaptations and psychometric validations, generally of poor methodological quality. HRQoL validation studies in African CKD populations are needed to better take advantage of the benefits in patient care, population health management, and research.
如果要从使用健康相关生活质量（HRQoL）问卷中获益，那么这些问卷必须经过验证，并针对目标人群进行文化调适。我们旨在批判性地评估用于非洲慢性肾脏病（CKD）患者的 HRQoL 问卷的心理测量学特性。
我们在 Web of Science、Embase、PubMed 和 PsycINFO 数据库中进行了检索。纳入了报告了 COSMIN 清单中至少一项心理测量学特性的用于非洲 CKD 人群的 HRQoL 问卷的心理测量学验证研究，并使用 COSMIN 方法对其方法学质量和测量特性水平进行了独立评估。
从 1163 篇文章中，有 5 篇全文被纳入。只有肾脏病生活质量问卷经过翻译和跨文化调适，用于 CKD 患者的研究。在 4 项研究中，内部一致性的质量为可疑，在 1 项研究中为非常好。在 1 项研究中，其测量为充分，在 4 项研究中为不足。在 4 项研究中，重测信度的质量为可疑，在 3 项研究中为充分，在 1 项研究中为不足。结构效度的质量在 1 项研究中为不充分，在 1 项研究中为非常好。在这两项研究中，其测量均为充分。在所有研究中，构念效度的质量为不充分。在 4 项研究中，其测量为不足，在 1 项研究中为充分。
本综述强调，仅有一种用于评估非洲 CKD 人群的 HRQoL 问卷进行了少量的文化调适和心理测量学验证，其方法学质量通常较差。需要在非洲 CKD 人群中进行 HRQoL 验证研究，以更好地利用其在患者护理、人群健康管理和研究中的益处。
