Changes to the subscales of two vision-related quality of life questionnaires are proposed.

Abstract:

BACKGROUND AND OBJECTIVE:Psychometrically sound questionnaires for the assessment of vision-related quality of life (QOL) are scarce. Therefore, the objective was to further validate two vision-related QOL questionnaires in a Dutch population of visually impaired elderly. METHODS:A total of 329 visually impaired older persons referred to low vision services completed the low vision QOL (LVQOL) and Vision-Related Quality of Life Core Measure (VCM1) questionnaires at baseline, after 1-4 weeks (retest), and after 5 months. Confirmatory factor analyses were performed on baseline data. The smallest detectable change (SDC) was assessed, based on the standard error of measurement (SEM). Change scores between the baseline and 5 months follow-up data were related to a general transition question to assess the minimal important change (MIC). Furthermore, the MIC was related to the SDC, to examine whether the MICs were detectable beyond measurement error. RESULTS:The original factor structures could not be confirmed. After omitting items and remodeling, adequate fits were obtained. SDCs comprised at least one quarter of the scale for all scales and subscales on the individual level and exceeded the MICs on every occasion. CONCLUSION:We propose MICs of 5-10 points for the scales and subscales of the LVQOL and VCM1. The questionnaires are not useful in the follow-up of individual patients.

journal_name

J Clin Epidemiol

authors

de Boer MR,de Vet HC,Terwee CB,Moll AC,Völker-Dieben HJ,van Rens GH

doi

10.1016/j.jclinepi.2005.04.007

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

1260-8

issue

12

eissn

0895-4356

issn

1878-5921

pii

S0895-4356(05)00218-0

journal_volume

58

pub_type

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