TY - JOUR
T1 - Health-related quality of life after stroke: reliability and validity of the Duke Health Profile for use in Vietnam
AU - Tran, Pham Lan
AU - Blizzard, Leigh
AU - Srikanth, Velandai
AU - Hanh, Vo T X
AU - Lien, Nguyen T K
AU - Thang, Nguyen H
AU - Gall, Seana L
PY - 2015
Y1 - 2015
N2 - Introduction Health-related quality of life (HRQoL) is commonly used to assess outcomes after stroke. The Duke
Health Profile (DHP) has been translated and culturally
adapted for use in Vietnam, but its reliability and validity
for use with stroke patients in Vietnam or elsewhere have
not been assessed.
Methods: First-ever stroke patients (n = 108) who were
admitted to 115 People?s Hospital between February and
September 2012 and survived for 3 months after stroke had
HRQoL assessed using the DHP and a comparison instrument (EQ-5D). Caregivers of 94 patients completed these questionnaires as a proxy. After 1 week, these questionnaires were re-administered to patients and proxies.
Results: The mean differences between test and retest assessments of HRQoL by patients were small and not clinically meaningful and were not consistently associated with sex, age, type of stroke or severity of impairment or disability. Direct assessments by the patient were on average
greater than those obtained from the proxy. The ICCs ranged from 0.60 to 0.86 (patient test?retest) and from 0.55 to 0.98 (patient-proxy agreement). The ICCs were greatest for physical functioning components (patient test-retest 0.63-0.86, patient-proxy 0.69-0.98). The correlations between the DHP dimensions and EQ-5D were generally stronger when they
measured similar constructs (r = 0.53-0.66) and were lower for less related constructs (r = 0.11-0.43).
Conclusion: The DHP has moderate reliability and validity for use with stroke patients in Vietnam even when information is obtained from proxy respondents.
AB - Introduction Health-related quality of life (HRQoL) is commonly used to assess outcomes after stroke. The Duke
Health Profile (DHP) has been translated and culturally
adapted for use in Vietnam, but its reliability and validity
for use with stroke patients in Vietnam or elsewhere have
not been assessed.
Methods: First-ever stroke patients (n = 108) who were
admitted to 115 People?s Hospital between February and
September 2012 and survived for 3 months after stroke had
HRQoL assessed using the DHP and a comparison instrument (EQ-5D). Caregivers of 94 patients completed these questionnaires as a proxy. After 1 week, these questionnaires were re-administered to patients and proxies.
Results: The mean differences between test and retest assessments of HRQoL by patients were small and not clinically meaningful and were not consistently associated with sex, age, type of stroke or severity of impairment or disability. Direct assessments by the patient were on average
greater than those obtained from the proxy. The ICCs ranged from 0.60 to 0.86 (patient test?retest) and from 0.55 to 0.98 (patient-proxy agreement). The ICCs were greatest for physical functioning components (patient test-retest 0.63-0.86, patient-proxy 0.69-0.98). The correlations between the DHP dimensions and EQ-5D were generally stronger when they
measured similar constructs (r = 0.53-0.66) and were lower for less related constructs (r = 0.11-0.43).
Conclusion: The DHP has moderate reliability and validity for use with stroke patients in Vietnam even when information is obtained from proxy respondents.
UR - http://link.springer.com/article/10.1007/s11136-015-1016-5
U2 - 10.1007/s11136-015-1016-5
DO - 10.1007/s11136-015-1016-5
M3 - Article
VL - 24
SP - 2807
EP - 2814
JO - Quality of Life Research
JF - Quality of Life Research
SN - 0962-9343
IS - 11
ER -