Test-retest reliability of the Life Satisfaction Questionnaire (LiSat-11) and association between items in individuals with chronic stroke

Ekstrand, Elisabeth; Lexell, Jan; Brogårdh, Christina

doi:10.2340/16501977-2362

Cited by 24 publications

(30 citation statements)

References 27 publications

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“…However, the systematic and random variations were small and nonsignificant. The results differ somewhat from those of the stroke study, 26 where more items (7 of 11) showed positive systematic disagreements but no significant systematic or random disagreements, except for "Partner relationship" (ie, a small negative change in RP). Thus, some random variation might be expected when using LiSat-11 in these populations.…”

Section: Discussioncontrasting

confidence: 94%

“…This is in line with the previous study in persons with chronic stroke that reported similar Kappa coefficients (0.59-0.97) and high percent agreement (PA ≤ 1 > 89%). 26 In the present study, most items showed negative systematic disagreements, indicating that the participants systematically rated lower scores at T2. However, the systematic and random variations were small and nonsignificant.…”

Section: Discussionsupporting

confidence: 47%

“…In a sample of persons with chronic stroke, the item scores were found to have good to excellent test-retest reliability based on the Kappa coefficients and high percent agreement. 26 That study also evaluated associations between the global and domain specific scores and found that all domain-specific items, except one, were significantly correlated with "Life as a whole." 26 When reliability is evaluated, it is important to include the targeted population in whom the outcome measure is intended to be used.…”

Section: Introductionmentioning

confidence: 99%

“…26 That study also evaluated associations between the global and domain specific scores and found that all domain-specific items, except one, were significantly correlated with "Life as a whole." 26 When reliability is evaluated, it is important to include the targeted population in whom the outcome measure is intended to be used. 27 To the best of our knowledge, no previous study has evaluated the reliability of LiSat-11 in persons with LEoPs.…”

Section: Introductionmentioning

confidence: 99%

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Life Satisfaction in Persons With Late Effects of Polio: A Test‐Retest Reliability Study

Ekstrand

Lexell

Brogårdh

2020

PM&R

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Background: The Life Satisfaction Questionnaire (LiSat-11), including one global item and 10 domain-specific items, is used to evaluate life satisfaction in persons with the late effects of polio (LEoPs). However, there is a lack of knowledge about its psychometric properties. Objective: To evaluate the test-retest reliability of the LiSat-11 and the associations between the global and domain-specific items in persons with LEoPs. Design: A test-retest design, where data were collected by a postal survey. Setting: University Hospital, Outpatient Clinic. Participants: A cross-sectional sample of persons (20 women and 31 men; mean age 72 years) with LEoPs. Main Outcome Measurements: LiSat-11, assessing how satisfied a person is with different aspects of life, such as life as a whole, vocation, economy, leisure, contacts with friends and acquaintances, sexual life, activities of daily living (ADLs), family life, partner relationship, somatic health, and psychological health. Methods: LiSat-11 was administered on two occasions, 2 weeks apart. The test-retest reliability was evaluated by Kappa statistics, the percent agreement (PA), and the Svensson rank-invariant method. The association between the items was evaluated with the Spearman rank correlation coefficient (rho). Results: The Kappa coefficients showed good to excellent agreement (0.64-0.90) and the PA ≤1 point was high (>92%) for all items. No items showed any systematic or random disagreements according to the Svensson method. All domain-specific items correlated significantly with the global item "Life as a whole" (P < .01; rhos 0.41 to 0.75). Conclusions: LiSat-11 is reliable for assessing life satisfaction in persons with LEoPs. The global item "Life as a whole" is useful as an overall measure but cannot fully replace the information obtained from the domain-specific items of LiSat-11.

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Section: Discussioncontrasting

confidence: 94%

Section: Discussionsupporting

confidence: 47%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Life Satisfaction in Persons With Late Effects of Polio: A Test‐Retest Reliability Study

Ekstrand

Lexell

Brogårdh

2020

PM&R

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“…Data on experienced life satisfaction were collected using the Life Satisfaction Checklist (LiSat-11) (9). The questionnaire is commonly used to assess life satisfaction after stroke and has been found to be reliable (17). It is a self-report generic questionnaire that assesses life satisfaction with the global item "Life as a whole" and 10 domain-specific items.…”

Section: Data Collectionmentioning

confidence: 99%

Closeness and life satisfaction after six years for persons with stroke and spouses

Fugl-Meyer

Nilsson²,

Koch³

et al. 2019

J Rehabil Med

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The aim of this study was to explore long-term experiences of satisfaction with life in persons with stroke and spouses. Data were collected 1 and 6 years after stroke; focusing on "Life as a whole" and the domain "Closeness" ("Family life", "Partner relationship", "Sexual life"). A total of 72 persons with stroke (24 singles, 48 married) and 24 spouses participated. Most of the stroke participants were men. All groups (singles/married stroke participants, spouses) experienced changes in satisfaction regarding "Closeness" and most of these perceived as negative. "Sexual life" had the lowest proportion of satisfied participants. After 6 years, 58% of singles, 78% of married stroke participants and 41% of spouses were satisfied with "Life as a whole". In conclusion, for the majority of people with stroke and their spouses, long-term satisfaction with aspects of "Closeness" declines. The results suggest a need to develop, evaluate and implement programmes that support satisfaction with the different aspects of "Closeness". Objective: To explore long-term experiences of satisfaction with life in persons with stroke and spouses. Design: This prospective cohort-study collected data on life satisfaction 1 and 6 years after stroke using the Life Satisfaction Checklist; focusing on "Life as a whole" and the domain "Closeness" ("Family life", "Partner relationship", "Sexual life"). Open-ended questions were added to illustrate changes in daily life. Subjects: A total of 72 stroke participants (24 singles, 48 married) and 24 spouses. Most of the stroke participants were men with a mild stroke. Median age for persons with stroke and spouses was 65 years. Results: All groups (singles/married stroke participants, spouses) experienced changes in satisfaction regarding "Closeness", and most often these changes were perceived as negative. The item "Sexual life" had the lowest proportion of satisfied participants. After 6 years, 58% of singles and 78% of married stroke participants were satisfied with "Life as a whole". The proportion of satisfied spouses was 41%. Conclusion: For the vast majority of people who have had a stroke and their spouses, long-term satisfaction with aspects of "Closeness" decline. The results suggest a need to develop, evaluate and implement programmes that support satisfaction with the different aspects of "Closeness".

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Life satisfaction after stroke and the association with upper extremity disability, sociodemographics, and participation

Ekstrand

Brogårdh

2021

PM&R

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Introduction Remaining disability after stroke can reduce a person's life satisfaction. Because previous studies of life satisfaction show inconsistent results, there is a need for more knowledge regarding perceived life satisfaction after stroke and associated factors. Objective To assess perceived life satisfaction after stroke in relation to Swedish reference values; and the association with upper extremity disability, sociodemographics, and participation. Design Cross‐sectional study. Setting University hospital. Participants Seventy‐five persons (72% male) with mild to moderate disability in a stable phase after stroke. Interventions Not applicable. Main Outcome Measure Life satisfaction was assessed with the Life Satisfaction Questionnaire (LiSat‐11), which includes one global item Life as a whole and 10 domain‐specific items. Global life satisfaction and explanatory factors were evaluated in two multivariate logistic regression models. Results Fifty‐three percent of the participants were satisfied with Life as a whole. Highest satisfaction was found for Family life (78%) and Partner relationship (77%) and lowest satisfaction for Vocational situation (32%), Sexual life (25%), and Physical health (23%). Life as a whole and most domain‐specific items showed a significantly lower proportion of satisfied persons compared to Swedish reference values. In the first regression model with factors of upper extremity disability, manual ability was the strongest explanatory variable for Life as a whole (p value = .032, Nagelkerke R Square 0.117). In the second regression model, participation, social, and working status were the final explanatory variables (p value = .006, Nagelkerke R Square = 0.207). Conclusion Our findings indicate that persons with mild to moderate disability after stroke perceive overall less satisfaction with Life as a whole and domain‐specific items than the general Swedish population. To increase a person's life satisfaction after stroke, rehabilitation interventions should target a variety of aspects including enhancing functioning of upper extremity, reducing participation restrictions, and providing support regarding social and vocational situation.

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Test-retest reliability of the Life Satisfaction Questionnaire (LiSat-11) and association between items in individuals with chronic stroke

Abstract: LiSat-11 is considered reliable and can be recommended for assessing life satisfaction after stroke. The association between items indicates that LiSat-11 measures various aspects that can impact on an individual's life satisfaction.

Cited by 24 publications

References 27 publications

Life Satisfaction in Persons With Late Effects of Polio: A Test‐Retest Reliability Study

Life Satisfaction in Persons With Late Effects of Polio: A Test‐Retest Reliability Study

Closeness and life satisfaction after six years for persons with stroke and spouses

Life satisfaction after stroke and the association with upper extremity disability, sociodemographics, and participation

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