The hypertension scale of the system of Quality of Life Instruments for Chronic Diseases, QLICD-HY: A development and validation study

Wan, Chonghua; Runsheng, Jiang; Tu, Xin; Tang, Wan; Pan, Jiahua; Yang, Ruixue; Li, Xiaomei; Yang, Zuozhang; Zhang, Xiaoqing

doi:10.1016/j.ijnurstu.2011.10.010

Cited by 26 publications

(34 citation statements)

References 25 publications

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“…CHAL and MINICHAL). However, these questionnaires were not developed from the patients' perspective; thus, they potentially also lack content validity [30][31][32][33].…”

Section: Introductionmentioning

confidence: 99%

Development of an item pool for a questionnaire on the psychosocial consequences of hypertension labelling

Gyuricza

d’Oliveira

Machado

et al. 2019

J Patient Rep Outcomes

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Background: Hypertension is the most prevalent risk factor for cardiovascular disease globally. Roughly one-third of the adult population has hypertension. However, most people diagnosed with hypertension do not benefit from blood pressure control with pharmacologic interventions: they are overdiagnosed and overtreated and might experience negative psychosocial consequences of being labelled. These consequences are relevant outcomes that need to be assessed and validly measured to identify all benefits and harms related to interventions designed to prevent cardiovascular disease. Objectives: To develop a pool of items with high content validity for a draft version of a condition-specific questionnaire to measure the psychosocial consequences of being labelled with mild hypertension. Methods: We selected relevant items from existing Consequences of Screening (COS) questionnaires. These items belonged to two groups: COS core items and potential condition-specific items. All items were originally in Danish and were translated into Brazilian Portuguese using the dual-panel method. Individual and group interviews were conducted with people with mild hypertension and low risk for cardiovascular disease, and were designed to test the translated items for face and content validity and were also used to generate new relevant items. Structured individual interviews were conducted to categorise all the items into domains. Results: The Brazilian Portuguese dual-panel translation of both groups of items was found to be relevant for adults diagnosed with hypertension. We generated 52 new items to achieve high content validity. The result was a set of 132 items divided into 22 domains in 2 parts. Part I was directed at the general population, whereas part II was directed only at people diagnosed with hypertension and it consisted of 38 items in 8 domains. Twelve items remained as single items. High content validity was achieved with the pool of 132 items divided into 22 domains in 2 parts. Discussion: High content validity was achieved for a condition-specific questionnaire measuring the psychosocial consequences of being labelled with mild hypertension. This instrument encompassed 132 items divided into 22 domains in 2 parts. Thereby, a draft of the Consequneces of Hypertension questionnaire (COH) was developed. The psychometric properties of this questionnaire will be discussed in a diferent paper.

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“…CHAL and MINICHAL). However, these questionnaires were not developed from the patients' perspective; thus, they potentially also lack content validity [30][31][32][33].…”

Section: Introductionmentioning

confidence: 99%

Development of an item pool for a questionnaire on the psychosocial consequences of hypertension labelling

Gyuricza

d’Oliveira

Machado

et al. 2019

J Patient Rep Outcomes

View full text Add to dashboard Cite

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“…In respond to this need, we have developed a system of Quality of Life Instruments for Chronic Diseases (QLICD, V1.0) by combining a general QOL module and disease-specific modules under the guides of classical test theory (CTT) and Generalizability Theory (GT), Item Response Theory (IRT) [ 23 , 24 ]. The general module, called QLICD-GM, can be used with all types of chronic disease patients, while the specific module addresses the lack of specificity in the general module by capturing the unique aspects of QOL pertaining to the specific disease [ 23 , 24 ]. For example, the Hypertension instrument QLICD-HY is constructed by combining QLICD-GM with the specific module for Hypertension [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

Development and validation of the coronary heart disease scale under the system of quality of life instruments for chronic diseases QLICD-CHD: combinations of classical test theory and Generalizability theory

Wan

He-zhan

Fan

et al. 2014

Health Qual Life Outcomes

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BackgroundQuality of life (QOL) for patients with coronary heart disease (CHD) is now concerned worldwide with the specific instruments being seldom and no one developed by the modular approach.ObjectivesThis paper is aimed to develop the CHD scale of the system of Quality of Life Instruments for Chronic Diseases (QLICD-CHD) by the modular approach and validate it by both classical test theory and Generalizability Theory.MethodsThe QLICD-CHD was developed based on programmed decision procedures with multiple nominal and focus group discussions, in-depth interview, pre-testing and quantitative statistical procedures. 146 inpatients with CHD were used to provide the data measuring QOL three times before and after treatments. The psychometric properties of the scale were evaluated with respect to validity, reliability and responsiveness employing correlation analysis, factor analyses, multi-trait scaling analysis, t-tests and also G studies and D studies of Genralizability Theory analysis.ResultsMulti-trait scaling analysis, correlation and factor analyses confirmed good construct validity and criterion-related validity when using SF-36 as a criterion. The internal consistency α and test-retest reliability coefficients (Pearson r and Intra-class correlations ICC) for the overall instrument and all domains were higher than 0.70 and 0.80 respectively; The overall and all domains except for social domain had statistically significant changes after treatments with moderate effect size SRM (standardized response mea) ranging from 0.32 to 0.67. G-coefficients and index of dependability (Ф coefficients) confirmed the reliability of the scale further with more exact variance components.ConclusionsThe QLICD-CHD has good validity, reliability, and moderate responsiveness and some highlights, and can be used as the quality of life instrument for patients with CHD. However, in order to obtain better reliability, the numbers of items for social domain should be increased or the items’ quality, not quantity, should be improved.

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“…Medication and health lifestyle adherence were measured using the Chronic Diseases (QLICD-HY; Wan et al, 2012). This is a valid, reliable, and practical tool that includes 47 items assessing four domains of quality of life: physical, psychological, social, and hypertension specific.…”

Section: Outcome Measuresmentioning

confidence: 99%

A transitional care intervention for hypertension control for older people with diabetes: A cluster randomized controlled trial

Xiao

Ullah

et al. 2020

Journal of Advanced Nursing

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Aims: To evaluate the effect of a nurse-coordinated hospital-initiated transitional care programme on hypertension control for older people with diabetes in China. Design: A cluster randomized controlled trial. Methods: A total of 10 wards (clusters) of four acute care hospitals participated in the trial. They were randomly assigned to the intervention group or the control group. A total of 270 participants (135 in each group) were recruited from these wards. Data were collected between June 2016-June 2017. Participants in the intervention group received a 6-month hospital to home transitional care programme coordinated by discharge nurses and community nurses. The programme comprised self-management education, lifestyle changes, individualized medication treatment, structured telephone support, and primary care visits. Outcomes were measured at baseline, and 3 months and 6 months from the baseline. Results: The mean age was 70.9 (SD 5.8) years and 55% of participants were men. The intervention group demonstrated a statistically significant decrease in mean systolic blood pressure of 10.7 mmHg and mean diastolic blood pressure of 4.1 mmHg compared with the control group. The findings also demonstrated significant improvements in HbA1c, hypertension knowledge, diabetes knowledge, treatment adherence, quality of life, hospital readmission, and emergency department visits in the intervention group compared with the control group. However, no significant differences in adverse events were observed between the two groups. Conclusions: A hospital-initiated and nurse-coordinated transitional care intervention improves hypertension control and reduces hospital readmissions for older people with diabetes. Impact: Lack hospital to home transitional care for hospitalized older people with hypertension and diabetes can result in high readmission rates and emergency department visits. A hospital-initiated and nurse-coordinated transitional care intervention built on collaboration between acute care hospitals and community health centres results in improved hypertension control and reduced readmissions for older people with diabetes and other chronic conditions. An integrated and well-coordinated care services between acute care hospitals and community health centres can strengthen | 2697 TU eT al. 1 | INTRODUC TI ON Globally, hypertension affects up to 83% of older people living with type 2 diabetes (Griffith et al., 2019). The presence of diabetes makes it more difficult to control hypertension (de Boer et al., 2017; Bushnik, Hennessy, McAlister, & Manuel, 2018). Older people with coexistence of these conditions have 3.67 times higher odds of developing frailty (Lee et al., 2017) and frailty affects older people' self-care capabilities by which they are more vulnerable to poor treatment outcomes, side effects, and complications (American Diabetes Association, 2019; Kirkman et al., 2012). Studies reveal that uncontrolled hypertension and associated complications are the main risk factor that leads to hospital readmission of o...

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The hypertension scale of the system of Quality of Life Instruments for Chronic Diseases, QLICD-HY: A development and validation study

Cited by 26 publications

References 25 publications

Development of an item pool for a questionnaire on the psychosocial consequences of hypertension labelling

Development of an item pool for a questionnaire on the psychosocial consequences of hypertension labelling

Development and validation of the coronary heart disease scale under the system of quality of life instruments for chronic diseases QLICD-CHD: combinations of classical test theory and Generalizability theory

A transitional care intervention for hypertension control for older people with diabetes: A cluster randomized controlled trial

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