Comparing higher order models for the EORTC QLQ-C30.

Purpose: To investigate the statistical fit of alternative higher order models for summarizing the health-related quality of life profile generated by the EORTC QLQ-C30 questionnaire.Methods: A 50% random sample was drawn from a dataset of more than 9,000 pre-treatment QLQ-C30 v 3.0 questionnaires c...

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Publicado en:Quality of Life Research Vol. 21; no. 9; pp. 1607 - 1618
Autores principales: Gundy CM, Fayers PM, Groenvold M, Petersen MA, Scott NW, Sprangers MA, Velikova G, Aaronson NK, Gundy, Chad M, Fayers, Peter M, Groenvold, Mogens, Petersen, Morten Aa, Scott, Neil W, Sprangers, Mirjam A G, Velikova, Galina, Aaronson, Neil K
Formato: research Journal Article
Publicado: Springer Nature Nov2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2012
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s11136-011-0082-6
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        atl: Comparing higher order models for the EORTC QLQ-C30.
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          Gundy CM
          Fayers PM
          Groenvold M
          Petersen MA
          Scott NW
          Sprangers MA
          Velikova G
          Aaronson NK
          Gundy, Chad M
          Fayers, Peter M
          Groenvold, Mogens
          Petersen, Morten Aa
          Scott, Neil W
          Sprangers, Mirjam A G
          Velikova, Galina
          Aaronson, Neil K
        affil: Division of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands
      sug:
        subj:
          Mental Disorders Diagnosis
          Psychometrics Methods
          Quality of Life Psychosocial Factors
          Chi Square Test
          Clinical Assessment Tools
          Factor Analysis
          Female
          Human
          Male
          Mental Disorders Rehabilitation
          Mental Health
          Models, Psychological
          Models, Statistical
          Questionnaires
          Reproducibility of Results
          Female
          Male
      ab: Purpose: To investigate the statistical fit of alternative higher order models for summarizing the health-related quality of life profile generated by the EORTC QLQ-C30 questionnaire.Methods: A 50% random sample was drawn from a dataset of more than 9,000 pre-treatment QLQ-C30 v 3.0 questionnaires completed by cancer patients from 48 countries, differing in primary tumor site and disease stage. Building on a "standard" 14-dimensional QLQ-C30 model, confirmatory factor analysis was used to compare 6 higher order models, including a 1-dimensional (1D) model, a 2D "symptom burden and function" model, two 2D "mental/physical" models, and two models with a "formative" (or "causal") formulation of "symptom burden," and "function."Results: All of the models considered had at least an "adequate" fit to the data: the less restricted the model, the better the fit. The RMSEA fit indices for the various models ranged from 0.042 to 0.061, CFI's 0.90-0.96, and TLI's from 0.96 to 0.98. All chi-square tests were significant. One of the Physical/Mental models had fit indices superior to the other models considered.Conclusions: The Physical/Mental health model had the best fit of the higher order models considered, and enjoys empirical and theoretical support in comparable instruments and applications.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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