Health-related quality of life in adults with HIV/AIDS: Comparison of MOSSF-36, WHOQOL-BREF and WHOQOL-HIV-BREF, Medellin, Colombia, 2009
Article Sidebar
Main Article Content
Introduction: In Colombia, there are few studies that have evaluated the health-related quality of life (HRQOL) of individuals infected with HIV/AIDS through MOSSF-36, WHOQOL-BREF or WHOQOL-HIV-BREF and no studies have been reported comparing some of its psychometric properties.
Objective: To describe the HRQOL and to analyze the psychometric properties of two generic and one specific instruments to measure HRQOL in a group of people living with HIV/AIDS in Medellin, Colombia, 2009.
Methodology: Cross-sectional study in a nonrandom sample of 187 subjects with HIV/AIDS. The MOSSF-36, WHOQOL-BREF, and WHOQOL-HIV-BREF were applied. The description was made with proportions and summary measures; reliability was assessed with Cronbach's alpha, Pearson's correlation coefficients were used for internal consistency and discriminant validity, and the convergent/divergent validity of the concepts of HRQOL with the correlation among the domains of the instruments.
Results: Higher HRQOL scores were observed in Physical Function, Environment, Level of Independence and Spirituality. The MOSS-36 showed an excellent level of reliability, internal consistency and discriminant validity in its eight domains; the WHOQOL-BREF presented excellent psychometric properties in Physical Health, Environment and Social Relations, and good properties in Psychological Health; whereas, the WHOQOL-HIV-BREF had excellent psychometric properties in Social Relations, Environment, Spirituality and Independence and good properties in Physical and Psychological Health. There were correlations above 0.4 among domains of different instruments, which show the convergence of the measurement of HRQOL with the instruments applied.
Conclusion: The MOSSF-36 showed a perfect profile of psychometric characteristics, the WHOQOL-BREF and WHOQOL-HIV-BREF were an acceptable level and the constructs of the three instruments converge, indicating good development of tools for studying HRQOL in HIV/AIDS infected individuals in Colombia.
- HIV
- AIDS
- Quality of life
- Health
- Evaluation
- Psychometrics
Programa Conjunto de las Naciones Unidas sobre el VIH/Sida(ONUSIDA) y Organización Mundial de la Salud (OMS).Situación de la epidemia de sida. Suiza: ONUSIDA; 2010.2.UNGASS. Seguimiento de la Declaración de compromisosobre el VIH/SIDA. Informe nacional. Bogotá: Ministerio dela Protección Social; 2010.3.Ministerio de la Protección Social, ONUSIDA. Plan nacionalde respuesta ante el VIH y el Sida, Colombia 2008-2011.Bogotá: Ministerio de la Protección Social; 2008.4.Palella FJ, Delaney KM, Moorman AC, Loveless MO, FuhrerJ, Satten GA, et al. Declining morbidity and mortality amongpatients with advanced human immunodeficiency virusinfection. N Engl J Med. 1998; 338: 853-60.5.Morandi EC, Junior IF, Lopes F. Quality of life of peopleliving with HIV/AIDS in São Paulo, Brazil. Rev Saude Publi-ca. 2007; 74: 647-53.6.Grupo de la OMS sobre la calidad de vida. Qué calidad devida. Foro Mundial de la Salud. Rev Inter Desar Sanit. 1996;17: 385-7.7.Schwartzmann L. Calidad de vida relacionada con la salud:aspectos conceptuales. Cien Enferm. 2003; 9: 9-21.8.Organización Mundial de la Salud. Los instrumentos decalidad de vida de la Organización Mundial de la Salud.Manual del usuario. La Plata: Fundación Fundonar; 1998.9.Darja M, Sersic G, Vuletic N. Psychometric evaluation andeslatlishing norms of Croatian SF-36 Healtch Surwey:Framework for subjective health research. Croat Med J. 2006;47: 95-102.10. García HI, Lugo Agudelo LH. Adaptación cultural y fiabili-dad del cuestionario de calidad de vida en salud SF-36 eninstituciones de salud de Medellín (Colombia). Medellín:Universidad de Antioquia; 2002.11. Coons S, Rao S, Keininger D, Hays R. A comparative reviewof generic quality of life instruments. Pharmacoeconomics.2000; 17: 13-35.12. Badia X, Salamero M, Alonso J. La medida de la salud. Guíasde escalas de medición en español. 3a ed. Barcelona: Funda-ción Lilly; 2002.13. Programme on Mental Health, World Health Organization.WHOQOL-BREF Introduction, administration, scoring andgeneric version of the assessment. Switzerland: WHO; 1996.14. Mental health: evidence and research, Department of mentalhealth and substance dependence World Health Organization.WHOQOL-HIV. Instrument, users manual, scoring and codingfor the WHOQOL-HIV instruments. Switzerland: World HealthOrganization; 2002.15. O’Connell K, Saxena S, Skevington S. WHOQOL-HIV Qualityof Life assessment among people living with HIV and AIDS:results from the field test. AIDS Care. 2004; 16: 882-9.16. Hsiung P, Fang C, Chang Y, Chen M, Wang J. Comparison ofWHOQOLBREF and SF-36 in patients with HIV infection.Qual Life Res. 2005; 14: 141-50.17. Meng YJ, Li NX, Liu CJ, Chen JH, Song YC, Qian ZS. Qualityof life and hostile mentality trend of patients with HIV/AIDSin China. Public Health. 2008; 122: 404-11.18. Zimpel RR, Fleck MP. Quality of life in HIV-positiveBrazilians: application and validation of the WHOQOL-HIV,Brazilian version. AIDS Care. 2007; 19: 923-30.19. Davis EA, Pathak DS. Psychometric evaluation of four HIVdisease-specific QOL instruments. Ann Pharmacother. 2001;35: 546-52.20. Shahrriar J. Delate T, Hays RD, Coons SJ. Commentary onusing the SF-36 or MOS-HIV in studies of persons with HIVdisease. Health Qual Life Outcomes. 2003; 1: 25.
Downloads
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use