A cross-cultural validation of patient-reported outcomes measures: a study of breast cancers survivors

Qual Life Res. 2013 Mar;22(2):295-308. doi: 10.1007/s11136-012-0140-8. Epub 2012 Feb 26.

Abstract

Purpose: Psychometric inadequacy interferes with the assessment of patient-reported health outcomes. This study examined the psychometric properties of several standardized measures in health research.

Methods: Participants completed health outcomes measures including the FACT-G, SF-36, MOS Social Support Survey, and CES-D. Psychometric properties examined include reliability, and construct and concurrent validity.

Results: 320 BCS including 88 African-, 95 English-proficient Latina-, and 137 Limited English-proficient Latina-Americans participated. The findings demonstrate acceptable reliability (α > 0.70) and consistent factor structures for most measures with the variance ranging from 56 to 84%. The FACT-G physical well-being and SF-36 role limitations subscales had the best fitting structures. Concurrent validity showed the FACT-G subscales correlated with their appropriate counterparts.

Conclusions: Despite being commonly used instruments in HRQOL (e.g., FACT-G, SF-36) and QOL (e.g., CES-D, MOS) research, few studies reported the psychometric properties of these and when applied cross-culturally. However, evaluating the psychometric properties of measures in health outcomes research should be done routinely.

MeSH terms

  • Adult
  • Aged
  • Breast Neoplasms / psychology*
  • California
  • Cross-Cultural Comparison
  • Culture
  • Ethnicity / psychology
  • Ethnicity / statistics & numerical data
  • Female
  • Health Status
  • Health Surveys
  • Humans
  • Middle Aged
  • Outcome Assessment, Health Care*
  • Psychiatric Status Rating Scales
  • Psychometrics / instrumentation*
  • Quality of Life*
  • Reproducibility of Results
  • Social Support
  • Socioeconomic Factors
  • Surveys and Questionnaires*
  • Survivors / psychology*