Snop-Perkowska Dorota, Świtalski Jakub, Fedorowski Jarosław J, Augustynowicz Anna
School of Public Health, Centre of Postgraduate Medical Education of Warsaw, 01-826, Warsaw, Poland.
National Tuberculosis and Lung Diseases Research Institute, 01-138, Warsaw, Poland.
Sci Rep. 2025 Mar 18;15(1):9264. doi: 10.1038/s41598-025-94184-x.
Measuring the quality of life in patients with cystic fibrosis is an important element of the patient care process. Many tools have been created for this measurement among adults. One of them is the Cystic Fibrosis Questionnaire-Revised 14+ (CFQ-R 14+). Its measurement properties have not been comprehensively assessed in the population of Polish adults. The aim of the study is to verify the construct validity, including structural and criterion validity, as well as internal consistency, of the Polish version of the CFQ-R 14+ in the population of adults with cystic fibrosis. We conducted a cross-sectional survey among adults with cystic fibrosis. After preparing the database, we performed a confirmatory factor analysis (CFA) followed by exploratory factor analysis (EFA) using the parallel analysis method principal axis factoring with Oblimin rotation. Intercorrelations of questionnaire factors and the occurrence of relationships among items for the general scale results was checked. We also presented basic descriptive statistics (mean, median, standard deviation, skewness, kurtosis, minimum and maximum values). The analyses included responses from 220 adult patients. CFA results did not show adequate goodness of fit (χ(1025) = 2112.35, p < 0.001; CFI = 0.831; TLI = 0.814; RMSEA = 0.069; SRMR = 0.074). After EFA, 6 factors were extracted, considering 40 out of 50 questions of the CFQ-R 14+. CFQ-R 14+ may be useful in assessing the quality of life of Polish adult patients with cystic fibrosis. Our analysis demonstrates that the optimal factor structure of the tool in this population includes 6 scales.
测量囊性纤维化患者的生活质量是患者护理过程中的一个重要环节。针对成年人的这一测量,已经开发了许多工具。其中之一是《囊性纤维化问卷修订版14+》(CFQ-R 14+)。其测量特性在波兰成年人群体中尚未得到全面评估。本研究的目的是验证CFQ-R 14+波兰语版本在成年囊性纤维化患者群体中的结构效度,包括结构效度和效标效度,以及内部一致性。我们对成年囊性纤维化患者进行了横断面调查。在准备好数据库后,我们进行了验证性因子分析(CFA),随后使用平行分析方法主轴因子分析和斜交旋转进行探索性因子分析(EFA)。检查了问卷各因子的相互关系以及总体量表结果中各项目之间关系的出现情况。我们还给出了基本描述性统计量(均值、中位数、标准差、偏度、峰度、最小值和最大值)。分析纳入了220名成年患者的回答。CFA结果显示拟合优度不足(χ(1025) = 2112.35,p < 0.001;CFI = 0.831;TLI = 0.814;RMSEA = 0.069;SRMR = 0.074)。经过EFA,提取了6个因子,考虑了CFQ-R 14+的50个问题中的40个。CFQ-R 14+可能有助于评估波兰成年囊性纤维化患者的生活质量。我们的分析表明,该工具在这一群体中的最佳因子结构包括6个量表。