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Chinese Journal of Integrative Medicine

, Volume 25, Issue 11, pp 831–836 | Cite as

Development of Improved Version of Quality of Life Assessment Instrument for Lung Cancer Patients Based on Traditional Chinese Medicine (QLASTCM-Lu)

  • Ting-ting Wang
  • Li-yun He
  • Ming Zhang
  • Shao-mo Wang
  • Ai-guang Zhao
  • Lei Chu
  • Li-yuan Zhang
  • Sheng-fu You
  • Jie YouEmail author
Original Article
  • 19 Downloads

Abstract

Objective

To develop an improved version of the Quality-of-Life Assessment instrument for Lung Cancer Patients Based on Traditional Chinese Medicine (QLASTCM-Lu) and to evaluate its psychometric property.

Methods

The structured group method and the theory in developing rating scale were employed to revise the preliminary scale. The psychometric property (reliability, validity, and responsiveness) of the established QLASTCM-Lu (modified) were evaluated by quality of life data measured in 100 lung cancer patients. Statistical analyses were made accordingly by way of correlation analysis, factor analysis and paired t-test.

Results

The internal consistency reliability of the overall scale and all domains was from 0.80 to 0.94. Correlation and factor analyses demonstrated that the scale was good in construct validity. The criterion validity was formed with European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire-Lung Cancer (EORTC QLQ-LC43) as the criterion. Statistically significant changes were found apart from such domain as "mental condition" and "social function", with the standardized response means being close to those of QLQ-LC43.

Conclusion

QLASTCM-Lu (modified) could be used to measure the quality of life of lung cancer patients with good reliability, validity and a certain degree of responsiveness.

Keywords

lung cancer quality of life Chinese medicine scale European Organization for Research and Treatment of Cancer 

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Notes

Author Contributions

Wang TT and You J designed the research and coordinated data collection. Wang TT and Chu L collected data, did data analysis and wrote the original text. He LY made the data analysis. Zhang M, Wang SM, Zhao AG, Chu L, Zhang LY and You SF collected the data. You J participated in drafting and editing. All authors read and approved the final manuscript.

Supplementary material

11655_2018_2991_MOESM1_ESM.pdf (207 kb)
Development of Quality Of Life Improved Version Assessment Instrument for Lung Cancer Patients (QLASTCM-Lu) Based on Traditional Chinese Medicine

References

  1. 1.
    Lindsey A, Torre MSPH, Freddie Bray, Rebecca L, Siegel MPH, et al. Global cancer statistics, 2012. CA. Cancer J Clin 2015;65:87–108.CrossRefGoogle Scholar
  2. 2.
    Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 2015;136:E359–E386.CrossRefGoogle Scholar
  3. 3.
    Blandin Knight S, Crosbie PA, Balata H, Chudziak J, Hussell T, Dive C. Progress and prospects of early detection in lung cancer. Open Biology 2017;7(9):1–12.CrossRefGoogle Scholar
  4. 4.
    Coche E. Evaluation of lung tumor response to therapy: current and emerging techniques. Diagnostic and Interventional Imaging (2016). Available at: https://doi.org/10.1016/j.diii.2016.09.001. Google Scholar
  5. 5.
    Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, et al. The functional assessment of cancer therapy scale: Development and validation of the general measure. J Clin Oncol 1993;11:570–579.CrossRefGoogle Scholar
  6. 6.
    Wan CH, Zheng PY, You SF, Hua YQ, Yang Z, Lu JG, et al. Development of general module of quality of life assessment system for cancer patients based on traditional Chinese medicine theory: conceptual framework and item selection. Chin General Pract (Chin) 2012;15(1A):37–40.Google Scholar
  7. 7.
    Aaronson NK, Cull A, Kaasa S, Sprangers M. The EORTC modular approach to quality of life assessment in oncology. Int J Ment Health 1994;23:75–96.CrossRefGoogle Scholar
  8. 8.
    Garland SN, Pelletier G, Lawe A, Biagioni BJ, Easaw J, Eliasziw M, et al. Prospective evaluation of the reliability, validity and minimally important difference of the functional assessment of cancer therapy-gastric (FACT-Ga) qualityof-life instrument. Cancer 2011;117:1302–1312.CrossRefGoogle Scholar
  9. 9.
    Zhang KL, Si WT, Shao HM. The application of traditional Chinese medicine on the tumor chemotherapy adverse reactions. J Emerg Tradit Chin Med (Chin) 2015;24:1212–1214.Google Scholar
  10. 10.
    Cheng HB, Yao ZH, Li L, Shen ZJ, Shen WX. Discussion on academic thought of traditional Chinese medicine about "survival with tumor". Lishizhen Med Mater Med Res (Chin) 2016;27:1436–1437.Google Scholar
  11. 11.
    Wang X, You J. Treating cancer-related fatigue after chemotherapy in lung cancer patients by Yiqi Jianpi Recipe: a clinical study. Chin J Integr Med 2015;35:1069–1073.Google Scholar
  12. 12.
    Wan CH, Luo JH, Yang Z, Meng Q, eds. Measurements and applications of quality of life in patients with cancers. Beijing: Science Press: 2007:32.Google Scholar
  13. 13.
    Wan CH, Zheng PY, Hua YQ, Yang Z, Lu JG, Song Y, et al. Development of general module of quality of life assessment system for cancer based on traditional Chinese medicine: psychometric properties. Chin General Pract (Chin) 2012;15:390–393.Google Scholar
  14. 14.
    Yu CH, Sun YN, He LY, Liu BY. Comparative study of criteria on quality of questionnaire development and psychometric property evaluation. Modern Tradit Chin Med Mater World Sci Technol (Chin) 2015;17:1127–1135.Google Scholar
  15. 15.
    Van der Steeg AFW, De Vries J, Roukema JA. Quality of life and health status in breast carcinoma. Eur J Surg Oncol 2004;30:1051–1057.CrossRefGoogle Scholar
  16. 16.
    Yang Z, Lu JG, You SF, Hua YQ, Wan CH, Zheng PY, et al. Development of the quality of life assessment system for cancer based on traditional Chinese medicine— lung cancer (QLASTCM-Lu). Modern Prev Med (Chin) 2011;38:3636–3639,3645.Google Scholar
  17. 17.
    Yang Z, Lu JG, Hua YQ, You SF, Wan CH, Zheng PY, et al. Development of quality of life assessment instrument for gastric cancer patients (QLASTCM-Ga) based on traditional Chinese medicine. Chin J Public Health (Chin) 2013;29:960–964.Google Scholar
  18. 18.
    Wang CH, YU YL, Tan JF, eds. Introductions on quality of life research—measurements, assessments, improvements. Beijing: Science Press; 2016:3.Google Scholar
  19. 19.
    Kong XL, Xu TH, Hu SY, Liu H, Wang HW, Li ZY, et al. Evaluation of reliability, validity and responsiveness of clinical efficacy scale of traditional Chinese medicine syndromes of infantile anorexia (feeding disorder). J Tradit Chin Med (Chin) 2015,56:753–758.Google Scholar
  20. 20.
    Husted JA, Cook RJ, Farewell VT, Gladman DD. Methods for assessing responsiveness: a critical review and recommendations. J Clin Epidemiol 2000;53:459–468.CrossRefGoogle Scholar
  21. 21.
    Lo BCY, Zhao Y, Ho YC, Au TK. Psychometric properties of the Children’s Response Styles Questionnaire in a Hong Kong Chinese community sample. Health Qual Life Outcomes 2017;15:198.CrossRefGoogle Scholar

Copyright information

© The Chinese Journal of Integrated Traditional and Western Medicine Press and Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Ting-ting Wang
    • 1
  • Li-yun He
    • 2
  • Ming Zhang
    • 3
  • Shao-mo Wang
    • 4
  • Ai-guang Zhao
    • 4
  • Lei Chu
    • 5
  • Li-yuan Zhang
    • 6
  • Sheng-fu You
    • 4
  • Jie You
    • 1
    Email author
  1. 1.Department of Traditional Chinese Medicine, Shanghai Ninth People’s HospitalShanghai Jiao Tong University School of MedicineShanghaiChina
  2. 2.Institute of Basic Research in Clinical MedicineChina Academy of Chinese Medical SciencesBeijingChina
  3. 3.Shanghai Chest HospitalShanghai Jiaotong UniversityShanghaiChina
  4. 4.Longhua HospitalShanghai University of Traditional Chinese MedicineShanghaiChina
  5. 5.Department of Integrated Traditional and Western MedicineTumor Hospital of QingdaoQingdaoChina
  6. 6.Putuo Hospital Affiliated to Shanghai University of Traditional Chinese MedicineShanghaiChina

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