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Psychometric assessment of the Persian version of the Ferrans and Powers 3.0 index in hemodialysis patients

  • Nephrology - Original Paper
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Abstract

Background

This study aimed to assess the psychometric properties of the Persian version of the Ferrans and Powers 3.0 quality of life index (dialysis type) in patients receiving hemodialysis (HD) in order to describe their health-related quality of life (HRQOL).

Methods

The sample (n = 150) consisted of adult HD patients receiving HD for at least 6 months from the establishment of the study. A total of 88 men and 62 women, with an average age of 50.47, from Shiraz, southern Iran, were enrolled in this study. The questionnaire was translated into Persian language using back translation and bilingual techniques. Convergent, discriminant, and construct validity of the Ferrans and Powers 3.0 dialysis version was evaluated. To check the internal consistency of the data, Cronbach’s alpha, which indicates the reliability of the data, was used for the entire questionnaire and for the subscales.

Results

The convergent and discriminant validity and success scaling rate for both sexes were 100 %. Cronbach’s alpha was 0.95 overall, which was greater than 0.7 for all the subscales except for the family subscale. Our results suggest that HD patients in southern Iran have higher HRQOL scores when compared with those in other countries. Despite the higher mean HRQOL score for men compared with women, men had significantly higher HRQOL scores only in the health and functioning subscale. There was no significant correlation between HD patients’ HRQOL and educational level.

Conclusion

The Persian version of Ferrans and Powers 3.0 has sufficient reliability and validity for measuring the quality of life of Persian-speaking HD patients. Female HD patients need more support and attention from family and society.

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Abbreviations

HRQOL:

Health-related quality of life

HD:

Hemodialysis

ESRD:

End-stage renal disease

FA:

Family subscale of the HRQOL

HF:

Health and functioning subscale of the HRQOL

PS:

Psychological/spiritual subscale of the HRQOL

SE:

Social and economic subscale of the HRQOL

References

  1. Levinsky NG, Retting RA (1991) The Medicare end-stage renal disease program: a report from the institute of medicine. N Engl J Med 16:1143–1148

    Article  Google Scholar 

  2. Acaray A, Pinar R (2005) Quality of life in Turkish haemodialysis patients. Int Urol Nephrol 37:595–602

    Article  PubMed  Google Scholar 

  3. Parker PK, kutner NG, Bliwise DL, Bailey JL, Rye DB (2003) Nocturnal sleep, day time sleepiness, and quality of life instable on hemodialysis. Health Qual Life Outcomes 21:1–68

    Google Scholar 

  4. Garcia TW, Veiga JP, Motta LD, Moura FJ, Casulari LA (2010) Depressed mood and poor quality of life in male patients with chronic renal failure undergoing hemodialysis. Rev Bras Psiquiatr 32:369–374

    Article  PubMed  Google Scholar 

  5. Fukhhara S, Antonio AA et al (2003) Health-related quality of life among dialysis patients on three continents: the Dialysis Outcomes and Practice Patterns Study. Kidney Int 64:1903–1910

    Article  Google Scholar 

  6. Kusleikaite N, Bumblyte IA, Kuzminskis V, Vaiciuniene R (2010) The association between health-related quality of life and mortality among hemodialysis patients. Medicina (Kaunas) 46:531–537

    Google Scholar 

  7. Aghili M, Heidary Rouchi A, Zamyadi M et al (2008) Dialysis in Iran. IJKD 2:11–15

    Google Scholar 

  8. Mazairac AH, de Wit GA, Penne EL et al (2011) Changes in quality of life over time-Dutch haemodialysis patients and general population compared. Nephrol Dial Transplant 26:1984–1989

    Article  PubMed  Google Scholar 

  9. Wilson IB, Cleary PD (1995) Linking clinical variables with health related quality of life. a conceptual model of patient outcomes. JAMA 273:59–65

    Article  CAS  PubMed  Google Scholar 

  10. Mittal SK, Ahern L, Flaster E et al (2001) Self-assessed physical and mental function of haemodialysis patients. Nephrol Dial Transplant 16:1387–1394

    Article  CAS  PubMed  Google Scholar 

  11. DeOreo PB (1997) Hemodialysis patient-assessed functional health status predicts continued survival, hospitalization and dialysis-attendance compliance. Am J Kid Dis 30:204–212

    Article  CAS  PubMed  Google Scholar 

  12. Ferrans CE, Powers MJ (1993) Quality of life of hemodialysis patients. ANNA 5:575–582

    Google Scholar 

  13. Wasserfallen JB, Halabi G et al (2004) Quality of life on chronic dialysis: comparison between haemodialysis and peritoneal dialysis. Nephrol Dial Transplant 19:1594–1599

    Article  PubMed  Google Scholar 

  14. Rettig RA, Sadler JH, Meyer KB et al (1997) Assessing health and quality of life outcomes in dialysis: a report on an Institute of Medicine workshop. Am J Kid Dis 30:140–155

    Article  CAS  PubMed  Google Scholar 

  15. Ching CS, Man Pun O, Wong KS et al (2000) Quality of life of continues ambulatory peritoneal dialysis (CAPD) patients. HK J Nephrol 2:98–103

    Google Scholar 

  16. Halabi J (2006) Psychometric properties of the Arabic version of Quality of Life Index. J Adv Nurs 55:604–611

    Article  PubMed  Google Scholar 

  17. Tsay SL, Healstead M (2002) Self-care self-efficacy, depression, and quality of life among patients receiving hemodialysis in Taiwan. Int J Nurs Stud 39:245–251

    Article  PubMed  Google Scholar 

  18. Korkut Y (2007) The Reliability and Validity Study of the Turkish version of Ferrans and Powers’ Quality of Life Index for dialysis patients. Arch Neuropsychiatr 44:14–18

    Google Scholar 

  19. Kimmel PL, Peterson RA, Weihs KL et al (1998) Psychosocial factors, behavioral compliance and survival in urban hemodialysis patients. Kidney Int 54:245–254

    Article  CAS  PubMed  Google Scholar 

  20. Finkelstein FO, Finkelstein SH (2000) Depression in chronic dialysis patients: assessment and treatment. Nephrol Dial Transplant 15:1911–1913

    Article  CAS  PubMed  Google Scholar 

  21. Kring DL, Crane PB (2009) Factor affecting quality of life in persons on hemodialysis. Nephrol Nurs J 36:15–24

    PubMed  Google Scholar 

  22. Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 25:3186–3191

    Article  CAS  Google Scholar 

  23. Ferrans CE, Powers MJ (1985) Quality of life index: development and psychometric properties. ANS Adv Nurs Sci 8:15–24

    Article  CAS  PubMed  Google Scholar 

  24. Ferrans CE, Powers MJ (1992) Psychometric assessment of Quality of Life Index. Res Nurs Health 15:29–38

    Article  CAS  PubMed  Google Scholar 

  25. Hagell P, Westergren A (2006) The significance on importance: an evaluation of Ferrans and Power’s quality of life index. Qual Life Res 15:867–876

    Article  PubMed  Google Scholar 

  26. Ferrans CE, Powers MJ (1998) Quality of Life Index: Questionnaires and scoring. http://www.uic.edu/orgs/qli/questionaires/questionnairehome.htm

  27. Fayers P, Machin D (2007) Quality of life: the assessment analysis and interpretation of patient-reported outcomes. Wiley, Chichester

    Book  Google Scholar 

  28. Jafari P, Ghanizadeh A (2011) Health—related quality of Iranian children with attention deficit/hyperactivity disorder. Qual Life Res 20:31–36

    Article  PubMed  Google Scholar 

  29. Jafari P, Forouzandeh E, Bagheri Z et al (2011) Health related quality of life of Iranian children with type 1 diabetes: reliability and validity of Persian version of PedsQL Generic core Scale and Diabetes Module. Health Qual Outcomes 9:104–110

    Article  Google Scholar 

  30. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, de Vet HC (2007) Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 60:34

    Article  PubMed  Google Scholar 

  31. Ferrans CE, Powers MJ, Kasch CR (1987) Satisfaction with health care of hemodialysis patients. Res Nurs Health 10:367–374

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

This work was supported by the Grant Number 89-5299 from Shiraz University of Medical Sciences Research Council. This article was extracted from the Master of Science thesis of Tania Dehesh. We are also thankful to the referees for their invaluable comments.

Conflict of interest

The authors declare that they have no conflict of interests.

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Authors and Affiliations

  1. Department of Biostatistics, Shiraz University of Medical Sciences, Shiraz, Iran

    Tania Dehesh, Najaf Zare & Peyman Jafari

  2. Department of Internal Medicine, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

    Mohammad Mehdi Sagheb

Authors
  1. Tania Dehesh
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  2. Najaf Zare
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  3. Peyman Jafari
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  4. Mohammad Mehdi Sagheb
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Correspondence to Peyman Jafari.

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Dehesh, T., Zare, N., Jafari, P. et al. Psychometric assessment of the Persian version of the Ferrans and Powers 3.0 index in hemodialysis patients. Int Urol Nephrol 46, 1183–1189 (2014). https://doi.org/10.1007/s11255-013-0537-5

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  • DOI: https://doi.org/10.1007/s11255-013-0537-5

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