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Psychometric analysis of the EORTC QLQ-INFO25 questionnaire in renal transplant patients
Abstract
Rationale, aims and objectives: To analyse the psychometric properties of the information module (QLQ-INFO25) in kidney transplant patients and to assess differences in sociodemographic variables with patients’ perception of the information received.
Methods: Kidney transplant patients were evaluated at one year after transplantation using the EORTIC QLQ-INFO25. Participants completed the information module created for cancer patients (QLQ-INFO25) to assess the information received from the diagnosis of kidney disease through increasing severity to replacement therapy as transplant. Exploratory factor analysis by principal components was conducted in order to assess QLQ-INFO25’s psychometric properties. Differences in QLQ-INFO25 scores depending on patients’ socio-demographic characteristics were compared using student’s t-test and one-way analysis of variance.
Results: The QLQ-INFO25 demonstrated strong psychometric properties form the assessment of the information needs of kidney transplant patients (Conbrach’s α = 0.91). The dimensions were organised into three scales: (i) information about medical tests and treatment; (ii) information about the disease from diagnosis to replacement therapy and (iii) aspects of health-related quality of life in end stage renal disease (ESRD). The majority of the patients (65.3%) were very satisfied with the information received, but women were less satisfied than men (p< 0). Overall, the information received proved helpful for 69.5% of the patients.
Conclusions: Although QLQ-INFO25 showed good psychometric properties in kidney transplant patients, specific instruments to evaluate patients’ perception of information received during different phases of ESRD will be necessary to improve patients’ self-care.
Keywords
References
Schieppati, A. & Remuzzi, G. (2005). Chronic renal disease as a public health problem: Epidemiology, social, and economic implications. Kidney International 68 (98) S7-S10.
World Health Organization. (2014). Global status report on noncommunicable diseases 2014. Geneva, Switzerland.
Busse, R., Blüme, M., Scheller-Kreinsen, D. & Zentner, A. (2010). Tackling chronic disease in Europe. Strategies, interventions and challenges. The European Observatory on Health System and Policies. United Kingdom.
Dwamena, F., Holmes-Rovner, M., Gaulden, C.M., Jorgenson, S., Sadigh, G., Sikorskii, A., Lewin, S., Smith, R.C., Coffey, J., Olomu, A. & Beasley, M. (2012). Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database of Systematic Reviews 12, CD003267.
Van Biesen, W., van der Veer, S.N., Murphey, M., Loblova, O. & Davies, S. (2014). Patients’ perceptions of information and education for renal replacement therapy: An independent survey by the European kidney patients’ federation on information and support on renal replacement therapy. PLoS One 9 (7) e103914.
Street, R.L., Makoul, G., Arora, N.K. & Epstein, R.M. (2009). How does communication heal? Pathways linking clinician-patient communication to health outcomes. Patient Education and Counseling 74, 295-301.
Fadem, S.Z., Walker, D.R., Abbott, G., Friedman, A.L., Goldman, R., Sexton, S., Buettner, K., Robinson, K. & Peters, T.G. (2011). Satisfaction with Renal Replacement Therapy and Education: The American Association of Kidney Patients Survey. Clinical Journal of American Society of Nephrology 6 (3) 605-612.
Husson, O., Thong, M.S.Y., Mols, F., Oerlemans, S., Kapteinm, A.A. & van de Poll-Franse, L.V. (2013). Illness perceptions in cancer survivors: what is the role of information provision? Psycho-Oncology 22, 490-498.
Finkelstein, F.O., Story, K., Firanek, C., Barre, P., Takano, T., Soroka, S., Mujais, S., Rodd, K. & Mendelssohn, D. (2008). Perceived knowledge among patients cared for by nephrologists about chronic kidney disease and end-stage renal disease therapies. Kidney International 74, 1178-1184.
National Research Council. (2008). Health Literacy: A Prescription to End Confusion. Washington DC: The National Academic Press.
Escobedo, W. & Weismuller, P. (2013). Assessing health literacy in renal failure and kidney transplant patients. Progress in Transplantation 23 (1) 47-54.
Green, J.A., Mor, M.K., Shields, M., Palevsky, P.M., Fine, M.J., Arnold, R.M. & Weisbord, S.D. (2011). Prevalence and demographic and clinical associations of health literacy in patients on maintenance hemodialysis. Clinical Journal of the American Society of Nephrology 6 (6) 1354-1360.
Devraj, R., Borrego, M., Vilay, A.M., Gordon, E.J., Pailden, J. & Horowitz, B. (2015). Relationship between Health Literacy and Kidney Function. Nephrology 20, 360-367.
Arraras, J.I., Manterola, A., Hernández, B., Arias de la Vega, F., Martínez, M., Vila, M., Eito, C., Vera, R. & Domínguez, M.A. (2011). The EORTC information questionnaire, EORTC QLQ-INFO25. Validation study for Spanish patients. Clinical & Translational Oncology 13 (6) 401-410.
Arraras, J.I., Greimel, E., Sezer, O., Chie, W.C., Bergenmar, M., Constatini, A., Young, T., Vlasic, K.K. & Velikova, G. (2010). An international validation study of the EORTC QLQ-INFO25 questionnaire: An instrument to assess the information given to cancer patients. European Journal of Cancer 46 (15) 2726-2738.
Gordon, E.J. & Wolf, M.S. (2009). Health literacy skills of kidney transplant recipients. Progress in Transplantation 19 (1) 25-34.
Urstad, K.H., Oyen, O., Andersen, M.H., Moum, T. & Wahl, A.K. (2012). The effect of an educational intervention for renal recipients: a randomized controlled trial. Clinical Transplantation 26, E246-E253.
DOI: http://dx.doi.org/10.5750/ejpch.v4i4.1163
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