Background: The McGill Quality of Life Questionnaire-Revised (MQoL-R) is the gold standard for assessing QoL in end-of-life, chronic patients; however, an Italian standardization is lacking. Objective: This study aimed at assessing the psychometric properties of the Italian MQoL-R in patients with chronic neurological/oncological conditions. Methods: 177 inpatients with life-threatening, chronic neurological/oncological conditions were consecutively recruited in 8 clinics in Northern/Southern Italy were administered the MQoL-R and the Karnofsky Performance Status (KPS). Factorial structure (Confirmatory Factor Analysis, CFA), reliability (Cronbach's α) and construct validity against the KPS (Pearson's coefficients) were examined. Results: The four-factor model (Physical, Psychological, Existential and Social subscales) was met (comparative fit index =.93; root mean square error of approximation =.07), with all items significantly loading on respective subscales. Internal consistency was good for both the whole scale (Cronbach's α =.83) and subscales (range =.6-.85). The KPS was unrelated to MQoL-R measures, except for the Physical subscale (r =.24). Conclusions: The Italian MQoL-R is a valid and reliable tool to assess QoL in end-of-life, both neoplastic and neurological, chronic inpatients undergoing palliative care, whose adoption is thus encouraged in both clinical practice and research addressed to such populations.

Aiello, E., Pain, D., Radici, A., Filippelli, E., Ruvolo, S., Madonia, F., et al. (2022). The Italian McGill Quality of Life Questionnaire-Revised (MQoL-R): Psychometrics in Neurological and Neoplastic Populations. JOURNAL OF PALLIATIVE CARE [10.1177/08258597221123454].

The Italian McGill Quality of Life Questionnaire-Revised (MQoL-R): Psychometrics in Neurological and Neoplastic Populations

Aiello E. N.
;
2022

Abstract

Background: The McGill Quality of Life Questionnaire-Revised (MQoL-R) is the gold standard for assessing QoL in end-of-life, chronic patients; however, an Italian standardization is lacking. Objective: This study aimed at assessing the psychometric properties of the Italian MQoL-R in patients with chronic neurological/oncological conditions. Methods: 177 inpatients with life-threatening, chronic neurological/oncological conditions were consecutively recruited in 8 clinics in Northern/Southern Italy were administered the MQoL-R and the Karnofsky Performance Status (KPS). Factorial structure (Confirmatory Factor Analysis, CFA), reliability (Cronbach's α) and construct validity against the KPS (Pearson's coefficients) were examined. Results: The four-factor model (Physical, Psychological, Existential and Social subscales) was met (comparative fit index =.93; root mean square error of approximation =.07), with all items significantly loading on respective subscales. Internal consistency was good for both the whole scale (Cronbach's α =.83) and subscales (range =.6-.85). The KPS was unrelated to MQoL-R measures, except for the Physical subscale (r =.24). Conclusions: The Italian MQoL-R is a valid and reliable tool to assess QoL in end-of-life, both neoplastic and neurological, chronic inpatients undergoing palliative care, whose adoption is thus encouraged in both clinical practice and research addressed to such populations.
Articolo in rivista - Articolo scientifico
end of life; palliative care; psychometric; quality of life; reliability; validity;
English
29-ago-2022
2022
none
Aiello, E., Pain, D., Radici, A., Filippelli, E., Ruvolo, S., Madonia, F., et al. (2022). The Italian McGill Quality of Life Questionnaire-Revised (MQoL-R): Psychometrics in Neurological and Neoplastic Populations. JOURNAL OF PALLIATIVE CARE [10.1177/08258597221123454].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/394855
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