Psychometric Properties of the German Version of the Pulmonary-Specific Quality-of-Life Scale in Lung Transplant Patients

Nöhre, Mariel; Albayrak, Özgür; Brederecke, Jan; Claes, Laurence; Smits, Dirk; Tudorache, I.; Zwaan, Martina de

doi:10.3389/fpsyt.2019.00374

Cited by 5 publications

(5 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The subgroup of 143 patients also completed the Pulmonaryspecific Quality-of-Life Scale (PQLS), a self-report questionnaire assessing quality of life specifically in patients with end-stage lung diseases (25,37). The scale consists of 25 items which are rated on a five-point-Likert-scale ranging from 1 ("not at all") to 5 ("most of the time").…”

Section: Psychological Outcomesmentioning

confidence: 99%

The Transplant Evaluation Rating Scale Predicts Clinical Outcomes 1 Year After Lung Transplantation: A Prospective Longitudinal Study

et al. 2021

Self Cite

View full text Add to dashboard Cite

Objectives: It has been recommended that all candidates for lung transplantation undergo pre-transplant psychosocial evaluation for risk assessment. However, psychosocial issues are only important if they correlate with outcomes after transplantation.Methods: In this prospective study patients who were referred for lung transplantation from 2016 to 2018 (n = 352) at Hannover Medical School were evaluated using the Transplant Evaluation Rating Scale (TERS). Clinical outcomes included listing, and post-transplant outcomes including mortality, medical aspects such as lung allograft dysfunction, hospitalizations, and renal function, behavioral aspects such as BMI and adherence, and mental issues such as levels of depression, anxiety, and quality of life. TERS scores were divided into tertiles and, in addition, the impact of the two subscale scores—“defiance” and “emotional sensitivity”—was investigated.Results: Of the patients who were transplanted (n = 271) and were still alive (n = 251), 240 had already reached their 1-year assessment at the end of 2020 and were evaluated 1 year after the operation. A subgroup of 143 received an extended mental assessment. BMI, adherence scores, levels of anxiety, depression, and quality of life 1 year post-transplantation differed significantly between TERS tertiles with higher TERS scores predicting less favorable outcomes. The TERS subscale “defiance” was predictive of BMI and adherence whereas the TERS subscale “emotional sensitivity” was predictive of symptoms of anxiety and depression, and quality of life 1 year after transplantation. Patients in the lowest TERS tertile were more likely to having been listed and—as a trend—to having survived the first year after transplantationConclusions: Our findings show that psychosocial factors as measured by TERS score are predictors of behavioral and mental outcomes 1 year after lung transplantation. The TERS allows us to focus on psychosocial risk factors that can be treated or minimized before or after transplantation.

show abstract

Section: Psychological Outcomesmentioning

confidence: 99%

The Transplant Evaluation Rating Scale Predicts Clinical Outcomes 1 Year After Lung Transplantation: A Prospective Longitudinal Study

et al. 2021

Self Cite

View full text Add to dashboard Cite

show abstract

“…The Pulmonary-Specific Quality-of-Life Scale (PQLS) is a selfreport questionnaire assessing HRQoL specifically in patients prior to and after lung transplantation (22)(23)(24). Each of the 25 items is rated on a five-point-Likert-scale ranging from 1 ("not at all") to 5 ("most of the time").…”

Section: Pulmonary-specific Quality-of-life Scale 1 Year After Transplantmentioning

confidence: 99%

“…The scale comprises three subscales ("task interference," "psychological," and "physical"), which focus on different aspects of HRQoL. For this study, the German version was used (24). Cronbach's a was 0.805 for the subscale "task interference," 0.829 for the subscale "psychological," 0.881 for the subscale "physical," and 0.866 for the total score.…”

Section: Pulmonary-specific Quality-of-life Scale 1 Year After Transplantmentioning

confidence: 99%

Factor Analyses and Validity of the Transplant Evaluation Rating Scale (TERS) in a Large Sample of Lung Transplant Candidates

et al. 2020

Self Cite

View full text Add to dashboard Cite

Objective: It is well known that the occurrence of mental disorders is more common in lung transplant candidates compared to the general population. After transplantation mental disorders may negatively affect quality of life, adherence to immunosuppressive medication, as well as overall survival. Therefore, the identification of patients at risk is of utmost importance and in Germany pre-transplant psychosocial evaluation of the patients is required. To ensure high quality and comparability of these assessments, the use of psychometrically sound instruments is recommended. We applied the Transplant Evaluation Rating Scale (TERS), a broadly used expert interview. Two research groups have detected a two-factor structure of the TERS in different transplant samples; however, with slightly different results. The present study investigated which of the models would fit best in our sample of lung transplant patients. Additionally, we assessed convergent and predictive validity of the best fitting model to evaluate its clinical usefulness.Methods: Between 2016 and 2019, 390 lung transplant candidates were evaluated and included in the study. The median age was 53 years and 54% were male. TERS interviews were conducted by trained medical doctors and psychologists. The participants completed questionnaires assessing quality of life and levels of depression and anxiety. Transplant-and disease-specific variables (lung disease, listing date, oxygen use) were taken from the patient charts. Confirmatory factor analysis was used to test the two proposed TERS-models in the present sample. Results:The two-factor structure of the TERS reported by Hoodin and Kalbfleisch fit our sample best, showing good psychometric properties. The factor "emotional sensitivity" was highly correlated with quality of life and measures of psychosocial health while the factor "defiance" correlated with obstructive lung disease and older age but not with

show abstract

“…In addition, a literature has reported HRQoL as an important intervention efficacy outcome for patients [8]. Various instruments have been proposed to precisely measure the HRQoL of individuals [9]. Composed a descriptive system including five dimensions and an EQ-Visual Analogue Scale system focusing on overall health status, European Quality of Life Five Dimension (EQ-5D) instrument was one of the most applicable measurements to assess HRQoL [10].…”

Section: Introductionmentioning

confidence: 99%

The influencing factors of health-related quality of life among rural hypertensive individuals: a cross-sectional study

Sang

Kang

Liao

et al. 2021

Health Qual Life Outcomes

View full text Add to dashboard Cite

Background Previous reports regarding health-related quality of life (HRQoL) of hypertensive individuals commonly concentrated on urban population. This study focused on rural population and aimed to explore the influencing factors of HRQoL. Methods Date were derived from Henan Rural Cohort study. The HRQoL of participants were assessed via European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) instrument. Tobit regression model and generalized linear model were employed to explore the influencing factors of HRQoL. Another binary logistic regression was utilized to examine the robustness of our results. Results Among 23,485 rural population, 8128 participants were identified with hypertension. The mean (SD) utility index and VAS score of non-hypertension group were 0.96 (0.09) and 79.66 (14.20), respectively, while in hypertension group were 0.94 (0.14) and 75.88 (15.50), respectively. Pain/discomfort was the most common self-reported problem (23.05%) for patients. Aging and suffering with other diseases were negatively associated with HRQoL among rural patients, while high socioeconomic status and healthy lifestyles corresponded with high HRQoL. Conclusions Hypertension did push considerable pressures on patients’ HRQoL. Maintaining healthy lifestyles and improving the socioeconomic status of patients were advisable ways to reduce this burden. Trial registration The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). http://www.chictr.org.cn/showproj.aspx?proj=11375

show abstract

Psychometric Properties of the German Version of the Pulmonary-Specific Quality-of-Life Scale in Lung Transplant Patients

Cited by 5 publications

References 25 publications

The Transplant Evaluation Rating Scale Predicts Clinical Outcomes 1 Year After Lung Transplantation: A Prospective Longitudinal Study

The Transplant Evaluation Rating Scale Predicts Clinical Outcomes 1 Year After Lung Transplantation: A Prospective Longitudinal Study

Factor Analyses and Validity of the Transplant Evaluation Rating Scale (TERS) in a Large Sample of Lung Transplant Candidates

The influencing factors of health-related quality of life among rural hypertensive individuals: a cross-sectional study

Contact Info

Product

Resources

About