Validity and Reliability of The Persian Version of Uterine Fibroid Symptom and Health-Related Quality of Life Questionnaire: A Psychometric Study.

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY International Journal of Fertility & Sterility Pub Date : 2023-11-07 DOI:10.22074/ijfs.2023.1988864.1431

Hanieh Najafiarab, Amirreza Keyvanfar, Farima Rahimi Mansour, Hamidreza Didar, S Haghayegh Hooshmand Chayijan, S Hahrzad Rajaei Firouzabadi, Maryam Sadat Hosseini, Zahra Bakhtiyari, Farah Farzaneh

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Abstract

Background: Women with uterine fibroids (UFs) experience many clinical manifestations that affect their quality of life (QOL). The Uterine Fibroid Symptom and Health-related Quality of Life (UFS-QOL) questionnaire is an English instrument specifically designed to assess fibroid-related symptoms and their impact on QOL. This study aims to investigate the reliability and validity of the Persian version of the UFS-QOL questionnaire in Iranian women with UF.

Materials and methods: In this psychometric study, women with UFs who presented to Imam Hossein Hospital (Tehran, Iran) between August 2022 and January 2023 were enrolled in this study. A forward-backward approach was applied to translate the UFS-QOL questionnaire into Persian. The reliability of the UFS-QOL questionnaire was assessed by internal consistency and test-retest correlation. Confirmatory factor analysis (CFA) was used to assess convergent validity between items and subscales of the UFS-QOL questionnaire. Pearson's correlation coefficient was used to assess convergence validity between subscales of the UFS-QOL and the World Health Organization Quality of Life Brief Version 26 questionnaire (WHOQOL-BREF-26).

Results: Overall, we assessed 226 women with UFs. All subscales of the UFS-QOL questionnaire had acceptable internal consistency (Cronbach's alpha>0.7). Test-retest analysis indicated significant positive correlations between two measurements of all subscales of the UFS-QOL questionnaire: symptom severity (P<0.001), concern (P<0.001), activities (P<0.001), energy/mood (P<0.001), control (P<0.001), self-consciousness (P=0.002), and sexual function (P<0.001). The Kaiser-Meyer-Olkin (KMO) measure value was 0.920, and the result of Bartlett's test of sphericity was significant (P<0.001). CFA identified six factors for the health-related QOL (HRQL) questionnaire, which explained 73.827% of the total variation. Most subscales of the UFS-QOL questionnaire correlated with domains of the WHOQOL-BREF-26 questionnaire (P<0.05).

Conclusion: The Persian version of the UFS-QOL questionnaire is a valid and reliable instrument to evaluate UFrelated symptoms and QOL among Iranian women.

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波斯语版子宫肌瘤症状与健康相关生活质量问卷的效度和信度:一项心理测量学研究。

背景:子宫肌瘤(UFs)患者有许多影响其生活质量的临床表现。子宫肌瘤症状和健康相关生活质量(UFS-QOL)问卷是一种专门用于评估子宫肌瘤相关症状及其对生活质量的影响的英文工具。本研究旨在探讨波斯语版UFS-QOL问卷在伊朗UF女性中的信度和效度。材料和方法:在这项心理测量研究中，于2022年8月至2023年1月期间在伊朗德黑兰伊玛目侯赛因医院就诊的患有UFs的妇女被纳入本研究。采用正向-反向方法将UFS-QOL问卷翻译成波斯语。采用内部一致性和重测相关性评价UFS-QOL问卷的信度。采用验证性因子分析(CFA)评估UFS-QOL问卷各条目与子量表之间的收敛效度。采用Pearson相关系数评价UFS-QOL各分量表与世界卫生组织生活质量简要问卷(WHOQOL-BREF-26)的收敛效度。结果:总的来说，我们评估了226名患有UFs的女性。UFS-QOL问卷各分量表具有可接受的内部一致性(Cronbach’s alpha>0.7)。重测分析显示，UFS-QOL问卷所有亚量表的两个测量值与症状严重程度之间存在显著的正相关。结论:波斯语版UFS-QOL问卷是评估伊朗妇女UFS-QOL相关症状和生活质量的有效和可靠的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Fertility & Sterility 医学-妇产科学

CiteScore

4.20

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： International Journal of Fertility & Sterility is a quarterly English publication of Royan Institute . The aim of the journal is to disseminate information through publishing the most recent scientific research studies on Fertility and Sterility and other related topics. Int J Fertil Steril has been certified by Ministry of Culture and Islamic Guidance in 2007 and was accredited as a scientific and research journal by HBI (Health and Biomedical Information) Journal Accreditation Commission in 2008. Int J Fertil Steril is an Open Access journal.