Sentandreu-Mañó Trinidad, García-Mollá Adrián, Oltra Ferrús Inmaculada, Tomás José M, Salom Terrádez José Ricardo
Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain.
Department of Methodology of Behavioral Sciences, University of Valencia, 46010 Valencia, Spain.
Medicina (Kaunas). 2025 May 12;61(5):878. doi: 10.3390/medicina61050878.
: Strokes significantly impact patients' quality of life (QoL), affecting physical, cognitive, and social functioning. While health-related quality of life (HRQoL) assessments are essential for patient-centered care and clinical decision-making, many existing tools are limited by cultural biases or practical constraints. The COOP/WONCA charts offer a simple, brief, and validated alternative for functional assessment, yet their psychometric properties in stroke survivors remain underexplored. This study aims to evaluate the validity and reliability of the COOP/WONCA charts in assessing HRQoL among Spanish stroke survivors. : Structural validity, reliability, and criterion-related validity were studied for COOP/WONCA charts in a sample of 91 stroke survivors, where 39.6% were women and 60.4% were men. Their ages ranged from 44 to 93 years old (M = 68.84; SD = 9.44). A total of 70% of the strokes had an ischemic origin and 30% were hemorrhagic. To assess dimensionality, three Confirmatory Factor Analyses (CFA) were performed, differentiated by the inclusion of charts. : The CFA corroborate the best fitting of single-factor structure six-charts version (χ (9) = 8.69, = 0.465, RMSEA = 0.000, 90% CI [0.000-0.141], CFI = 0.999, SRMR = 0.048). The results of criterion-related validity indicated significant correlation between dimensions of SF-36 and sociodemographic, clinical and physical variables. Cronbach's alpha was 0.95 for the 9 domains version and 0.93 for the 6 domains version. : These findings support that the COOP/WONCA Spanish version is a reliable and valid scale for assessing health-related quality of life among stroke survivors.
中风对患者的生活质量（QoL）有显著影响，会影响身体、认知和社会功能。虽然与健康相关的生活质量（HRQoL）评估对于以患者为中心的护理和临床决策至关重要，但许多现有工具受到文化偏见或实际限制。COOP/WONCA图表为功能评估提供了一种简单、简短且经过验证的替代方法，然而其在中风幸存者中的心理测量特性仍未得到充分探索。本研究旨在评估COOP/WONCA图表在评估西班牙中风幸存者HRQoL方面的有效性和可靠性。对91名中风幸存者样本中的COOP/WONCA图表进行了结构效度、信度和效标关联效度研究，其中39.6%为女性，60.4%为男性。他们的年龄在44岁至93岁之间（M = 68.84；SD = 9.44）。70%的中风为缺血性，30%为出血性。为评估维度，进行了三次验证性因素分析（CFA），根据图表的纳入情况进行区分。CFA证实单因素结构六图表版本拟合最佳（χ(9)=8.69， = 0.465，RMSEA = 0.000，90%CI[0.000 - 0.141]，CFI = 0.999，SRMR = 0.048）。效标关联效度结果表明，SF - 36维度与社会人口统计学、临床和身体变量之间存在显著相关性。9个领域版本的Cronbach's alpha为0.95，6个领域版本为0.93。这些发现支持COOP/WONCA西班牙语版本是评估中风幸存者健康相关生活质量的可靠且有效的量表。
