在中国超重和肥胖人群中评估体重对生活质量的影响(IWQOL-Lite)工具的测量特性。

IF 3.2 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Health and Quality of Life Outcomes Pub Date : 2024-11-05 DOI:10.1186/s12955-024-02313-3
Xinran Liu, Tianqi Hong, Chang Luo, Shitong Xie, Jing Wu
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引用次数: 0

摘要

目的:评估体重对生活质量的影响(IWQOL-Lite)工具在中国超重和肥胖人群中的测量特性:方法:根据年龄、性别、居住地和体重指数(BMI)对中国超重和肥胖人群进行分层抽样。通过在线调查收集社会人口学特征、自我报告的 EQ-5D-5 L 和 IWQOL-Lite 回答。使用类内相关系数(ICC)对总样本中的一个子组进行了重测可靠性评估。结构效度通过确证因子分析(CFA)进行评估。收敛效度和已知组效度分别采用斯皮尔曼等级相关性和效应大小进行检验:本研究共纳入 1000 名受访者(48% 为女性;平均年龄:51.7 岁;平均体重指数:27.4)。IWQOL-Lite 的上限效应和下限效应分别为 5.4% 和 0.67%。在分组(N = 150)中,IWQOL-Lite 两项测试的 ICC 为 0.992。CFA结果表明,五因素模型具有可接受的结构效度(GFI = 0.894,CFI = 0.960,TLI = 0.957,RMSEA = 0.054,SRMR = 0.033)。斯皮尔曼秩相关(范围:0.413-0.611)表明其收敛效度令人满意。IWQOL-Lite总分和不同维度的效应大小值适中:结论:IWQOL-Lite 在测量中国超重和肥胖人群的 HRQoL 方面具有令人满意的效度和信度。结论:IWQOL-Lite 在测量中国超重和肥胖人群的 HRQoL 方面具有令人满意的有效性和可靠性,但还需要进一步的研究来确认其敏感性和反应性。
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Evaluation of measurement properties of the Impact of Weight on Quality of Life-Lite (IWQOL-Lite) instrument among Chinese overweight and obese populations.

Purpose: To evaluate measurement properties of the Impact of Weight on Quality of Life-Lite (IWQOL-Lite) instrument among Chinese overweight and obese populations.

Methods: A representative sample of Chinese overweight and obese populations was recruited stratified by age, sex, residence and body mass index (BMI). Social-demographic characteristics, self-reported EQ-5D-5 L and IWQOL-Lite responses were collected through the online survey. Test-retest reliability was assessed using intraclass correlation coefficient (ICC) among a subgroup of the total sample. Structural validity was evaluated by confirmatory factor analysis (CFA). Convergent validity and known-group validity were examined using Spearman's rank correlation and effect sizes, respectively.

Results: A total of 1000 respondents (48% female; mean age: 51.7 years; mean BMI: 27.4) were included in this study. Ceiling and floor effects of the IWQOL-Lite were 5.4% and 0.67%, respectively. The ICC between the two tests was 0.992 for IWQOL-Lite among the subgroup (N = 150). The results of the CFA suggested that the five-factor model had an acceptable structural validity (GFI = 0.894, CFI = 0.960, TLI = 0.957, RMSEA = 0.054 and SRMR = 0.033). The Spearman's rank correlation (range: 0.413-0.611) indicated a satisfactory convergent validity. The effect sizes values of IWQOL-Lite total score and different dimensions were moderate.

Conclusions: The IWQOL-Lite has been demonstrated to have satisfactory validity and reliability in measuring the HRQoL of Chinese overweight and obese populations. Further research is needed to confirm the sensitivity and responsiveness.

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来源期刊
CiteScore
7.30
自引率
2.80%
发文量
154
审稿时长
3-8 weeks
期刊介绍: Health and Quality of Life Outcomes is an open access, peer-reviewed, journal offering high quality articles, rapid publication and wide diffusion in the public domain. Health and Quality of Life Outcomes considers original manuscripts on the Health-Related Quality of Life (HRQOL) assessment for evaluation of medical and psychosocial interventions. It also considers approaches and studies on psychometric properties of HRQOL and patient reported outcome measures, including cultural validation of instruments if they provide information about the impact of interventions. The journal publishes study protocols and reviews summarising the present state of knowledge concerning a particular aspect of HRQOL and patient reported outcome measures. Reviews should generally follow systematic review methodology. Comments on articles and letters to the editor are welcome.
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