Adequacy of the WHOQoL-BREF to Assess the Quality of Life of Victims of Armed Conflicts

There is a deterioration in the quality of life (QoL) of survivor victims of warlike conflicts. Because there is a need to guaran-tee the effectiveness of assessment tools for these populations, we studied the adequacy of the World Health OrganizationQuality of Life Questionnaire (WHOQoL-BREF) to as...

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Autores:
Morales Valiente, Claudia
Mok, Liu
Wong, Alina
Manzanero Puebla, Antonio Lucas
Guarch Rubio, Marta
Simancas Fernández, Marlen Raquel
Celedón Rivero, José Carlos
Salas Picón, Wilson Miguel
Tipo de recurso:
Article of investigation
Fecha de publicación:
2023
Institución:
Universidad Cooperativa de Colombia
Repositorio:
Repositorio UCC
Idioma:
eng
OAI Identifier:
oai:repository.ucc.edu.co:20.500.12494/54229
Acceso en línea:
https://hdl.handle.net/20.500.12494/54229
https://doi.org/10.1177/10731911231201145
Palabra clave:
Quality of life
WHOQoL-BREF
Victims
Factorial analysis
Bifactor model
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closedAccess
License
http://creativecommons.org/publicdomain/zero/1.0/
id COOPER2_a3176dd9b63ed6c4bf2498325643795d
oai_identifier_str oai:repository.ucc.edu.co:20.500.12494/54229
network_acronym_str COOPER2
network_name_str Repositorio UCC
repository_id_str
dc.title.eng.fl_str_mv Adequacy of the WHOQoL-BREF to Assess the Quality of Life of Victims of Armed Conflicts
title Adequacy of the WHOQoL-BREF to Assess the Quality of Life of Victims of Armed Conflicts
spellingShingle Adequacy of the WHOQoL-BREF to Assess the Quality of Life of Victims of Armed Conflicts
Quality of life
WHOQoL-BREF
Victims
Factorial analysis
Bifactor model
title_short Adequacy of the WHOQoL-BREF to Assess the Quality of Life of Victims of Armed Conflicts
title_full Adequacy of the WHOQoL-BREF to Assess the Quality of Life of Victims of Armed Conflicts
title_fullStr Adequacy of the WHOQoL-BREF to Assess the Quality of Life of Victims of Armed Conflicts
title_full_unstemmed Adequacy of the WHOQoL-BREF to Assess the Quality of Life of Victims of Armed Conflicts
title_sort Adequacy of the WHOQoL-BREF to Assess the Quality of Life of Victims of Armed Conflicts
dc.creator.fl_str_mv Morales Valiente, Claudia
Mok, Liu
Wong, Alina
Manzanero Puebla, Antonio Lucas
Guarch Rubio, Marta
Simancas Fernández, Marlen Raquel
Celedón Rivero, José Carlos
Salas Picón, Wilson Miguel
dc.contributor.author.none.fl_str_mv Morales Valiente, Claudia
Mok, Liu
Wong, Alina
Manzanero Puebla, Antonio Lucas
Guarch Rubio, Marta
Simancas Fernández, Marlen Raquel
Celedón Rivero, José Carlos
Salas Picón, Wilson Miguel
dc.subject.proposal.eng.fl_str_mv Quality of life
WHOQoL-BREF
Victims
Factorial analysis
Bifactor model
topic Quality of life
WHOQoL-BREF
Victims
Factorial analysis
Bifactor model
description There is a deterioration in the quality of life (QoL) of survivor victims of warlike conflicts. Because there is a need to guaran-tee the effectiveness of assessment tools for these populations, we studied the adequacy of the World Health OrganizationQuality of Life Questionnaire (WHOQoL-BREF) to assess the QoL of 1,136 surviving victims of the armed conflict inColombia. Although this questionnaire has yielded promising results, questions remain about its psychometric suitability forspecific populations. We used model modification at the item level, comparisons of models with different factor structures,and dimensionality analysis to address the psychometric problems encountered. Dimensionality analysis using a bifactormodel suggests that WHOQoL-BREF total scores might be a more appropriate way of reporting results when model fit ade-quacy is not reached. Conclusions are offered on the psychometric properties of the WHOQoL-BREF, the evaluation ofspecial populations, and possible strategies to address future questionnaire modifications.
publishDate 2023
dc.date.issued.none.fl_str_mv 2023
dc.date.accessioned.none.fl_str_mv 2024-02-06T21:15:49Z
dc.date.available.none.fl_str_mv 2024-02-06T21:15:49Z
dc.type.none.fl_str_mv Artículos Científicos
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dc.identifier.citation.none.fl_str_mv Morales-Valiente, C., Mok, L., Wong, A., Manzanero, A. L., Guarch-Rubio, M., Simancas, M., Celedón-Rivero, J. C., & Salas-Picón, W. M. (2023). Adequacy of the WHOQoL-BREF to Assess the Quality of Life of Victims of Armed Conflicts. Assessment, 10731911231201144. https://doi.org/10.1177/10731911231201145
dc.identifier.issn.none.fl_str_mv 10731911
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12494/54229
dc.identifier.doi.none.fl_str_mv https://doi.org/10.1177/10731911231201145
dc.identifier.eissn.none.fl_str_mv 15523489
identifier_str_mv Morales-Valiente, C., Mok, L., Wong, A., Manzanero, A. L., Guarch-Rubio, M., Simancas, M., Celedón-Rivero, J. C., & Salas-Picón, W. M. (2023). Adequacy of the WHOQoL-BREF to Assess the Quality of Life of Victims of Armed Conflicts. Assessment, 10731911231201144. https://doi.org/10.1177/10731911231201145
10731911
15523489
url https://hdl.handle.net/20.500.12494/54229
https://doi.org/10.1177/10731911231201145
dc.language.iso.none.fl_str_mv eng
language eng
dc.relation.citationendpage.none.fl_str_mv 13
dc.relation.citationvolume.none.fl_str_mv 2023
dc.relation.ispartofjournal.none.fl_str_mv Assessment
dc.relation.references.none.fl_str_mv Alavi M., Visentin D. C., Thapa D. K., Hunt G. E., Watson R., Cleary M. (2020). Chi-square for model fit in confirmatory factor analysis. Journal of Advanced Nursing, 76(9), 2209–2211. https://doi.org/10.1111/jan.1439
Benitez-Borrego S., Guàrdia-Olmos J., Urzúa-Morales A. (2014). Factorial structural analysis of the Spanish version of WHOQOL-BREF: An exploratory structural equation model study. Quality of Life Research, 23(8), 2205–2212. https://doi.org/10.1007/s11136-014-0663-2
Bentler P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107(2), 238–246. https://doi.org/10.1037/0033-2909.107.2.238
Bentler P. M. (1992). On the fit of models to covariances and methodology to the Bulletin. Psychological Bulletin, 112(3), 400–404. https://doi.org/10.1037/0033-2909.112.3.400
Bollen K. A. (1989). A new incremental fit index for general structural equation models. Sociological Methods & Research, 17(3), 303–316. https://doi.org/10.1177/0049124189017003004
Bollen K. A., Bauldry S. (2011). Three Cs in measurement models: Causal indicators, composite indicators, and covariates. Psychological Methods, 16(3), 265–284. https://doi.org/10.1037/a0024448
Chen F. F., West S., Sousa K. (2006). A comparison of bifactor and second-order models of quality of life. Multivariate Behavioral Research, 41(2), 189–225. https://doi.org/10.1207/s15327906mbr4102_5
Dueber D. M. (2017). Bifactor indices calculator. University of Kentucky Libraries. https://doi.org/10.13023/EDP.TOOL.01
Fayers P. M., Machin D. (2001). Quality of life: Assessment, analysis and interpretation [Reprint]. Wiley.
Gagliardi J., Brettschneider C., König H.-H. (2021). Health-related quality of life of refugees: A systematic review of studies using the WHOQOL-BREF instrument in general and clinical refugee populations in the community setting. Conflict and Health, 15(1), 44. https://doi.org/10.1186/s13031-021-00378-1
Guaracha-Basáñez G. A., Contreras-Yáñez I., Hernández-Molina G., Estrada-González V. A., Pacheco-Santiago L. D., Valverde-Hernández S. S., Galindo-Donaire J. R., Peláez-Ballestas I., Pascual-Ramos V. (2022). Quality of life of patients with rheumatic diseases during the COVID-19 pandemic: The biopsychosocial path. PLOS ONE, 17(1), e0262756. https://doi.org/10.1371/journal.pone.0262756
Hammer J. H., Heath P. J., Vogel D. L. (2018). Fate of the total score: Dimensionality of the Conformity to Masculine Norms Inventory-46 (CMNI-46). Psychology of Men & Masculinity, 19(4), 645–651. https://doi.org/10.1037/men0000147
Hancock G. R., Mueller R. O. (2001). Rethinking construct reliability within latent variable systems. In Cudeck R., du Toit S., Soerbom D. (Eds.), Structural equation modeling: Present and future—A Festschrift in honor of Karl Joreskog (pp. 195–216). Scientific Software International.
Hargreaves S. M., Nakano E. Y., Han H., Raposo A., Ariza-Montes A., Vega-Muñoz A., Zandonadi R. P. (2021). Quality of life of Brazilian vegetarians measured by the WHOQOL-BREF: Influence of type of diet, motivation and sociodemographic data. Nutrients, 13(8), 2648. https://doi.org/10.3390/nu13082648
Hewitt-Ramírez N., Juárez F., Parada-Baños A. J., Nuñez-Estupiñán X., Quintero-Barrera L. (2020). Efficacy of a primary care mental health program for victims of the armed conflict in Colombia. Peace and Conflict: Journal of Peace Psychology, 26(1), 62–77. https://doi.org/10.1037/pac0000436
Hu L., Bentler P. M. (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 3(4), 424–453. https://doi.org/10.1037/1082-989X.3.4.424
Hu L., Bentler P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
Jackson D. L., Gillaspy J. A., Purc-Stephenson R. (2009). Reporting practices in confirmatory factor analysis: An overview and some recommendations. Psychological Methods, 14(1), 6–23. https://doi.org/10.1037/a0014694
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López Huerta J. A., González Romo R. A., Tejada Tayabas J. M. (2017). Propiedades psicométricas de la versión en español de la escala de calidad de vida WHOQoL BREF en una muestra Mexicana [Psychometric properties of the Spanish version of the WHOQoL BREF quality of life scale in a Mexican sample]. Revista Iberoamericana de Diagnóstico y Evaluación—e Avaliação Psicológica, 44(2), 105–115. https://doi.org/10.21865/RIDEP44.2.09
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Universidad Cooperativa de Colombia, Facultad de Ciencias Sociales, Psicología, Montería
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Universidad Cooperativa de Colombia, Facultad de Ciencias Sociales, Psicología, Montería
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spelling Morales Valiente, ClaudiaMok, LiuWong, AlinaManzanero Puebla, Antonio LucasGuarch Rubio, MartaSimancas Fernández, Marlen Raquel Celedón Rivero, José Carlos Salas Picón, Wilson Miguel 2024-02-06T21:15:49Z2024-02-06T21:15:49Z2023Morales-Valiente, C., Mok, L., Wong, A., Manzanero, A. L., Guarch-Rubio, M., Simancas, M., Celedón-Rivero, J. C., & Salas-Picón, W. M. (2023). Adequacy of the WHOQoL-BREF to Assess the Quality of Life of Victims of Armed Conflicts. Assessment, 10731911231201144. https://doi.org/10.1177/1073191123120114510731911https://hdl.handle.net/20.500.12494/54229https://doi.org/10.1177/1073191123120114515523489There is a deterioration in the quality of life (QoL) of survivor victims of warlike conflicts. Because there is a need to guaran-tee the effectiveness of assessment tools for these populations, we studied the adequacy of the World Health OrganizationQuality of Life Questionnaire (WHOQoL-BREF) to assess the QoL of 1,136 surviving victims of the armed conflict inColombia. Although this questionnaire has yielded promising results, questions remain about its psychometric suitability forspecific populations. We used model modification at the item level, comparisons of models with different factor structures,and dimensionality analysis to address the psychometric problems encountered. Dimensionality analysis using a bifactormodel suggests that WHOQoL-BREF total scores might be a more appropriate way of reporting results when model fit ade-quacy is not reached. Conclusions are offered on the psychometric properties of the WHOQoL-BREF, the evaluation ofspecial populations, and possible strategies to address future questionnaire modifications.13 p.engCanadaUniversidad Cooperativa de Colombia, Facultad de Ciencias Sociales, Psicología, Monteríahttp://creativecommons.org/publicdomain/zero/1.0/info:eu-repo/semantics/closedAccessCC0 1.0 Universalhttp://purl.org/coar/access_right/c_14cbhttps://journals.sagepub.com/doi/full/10.1177/10731911231201145?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.orgAdequacy of the WHOQoL-BREF to Assess the Quality of Life of Victims of Armed ConflictsArtículos Científicosinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersion132023AssessmentAlavi M., Visentin D. C., Thapa D. K., Hunt G. E., Watson R., Cleary M. (2020). Chi-square for model fit in confirmatory factor analysis. Journal of Advanced Nursing, 76(9), 2209–2211. https://doi.org/10.1111/jan.1439Benitez-Borrego S., Guàrdia-Olmos J., Urzúa-Morales A. (2014). Factorial structural analysis of the Spanish version of WHOQOL-BREF: An exploratory structural equation model study. Quality of Life Research, 23(8), 2205–2212. https://doi.org/10.1007/s11136-014-0663-2Bentler P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107(2), 238–246. https://doi.org/10.1037/0033-2909.107.2.238Bentler P. M. (1992). On the fit of models to covariances and methodology to the Bulletin. Psychological Bulletin, 112(3), 400–404. https://doi.org/10.1037/0033-2909.112.3.400Bollen K. A. (1989). A new incremental fit index for general structural equation models. Sociological Methods & Research, 17(3), 303–316. https://doi.org/10.1177/0049124189017003004Bollen K. A., Bauldry S. (2011). Three Cs in measurement models: Causal indicators, composite indicators, and covariates. Psychological Methods, 16(3), 265–284. https://doi.org/10.1037/a0024448Chen F. F., West S., Sousa K. (2006). A comparison of bifactor and second-order models of quality of life. Multivariate Behavioral Research, 41(2), 189–225. https://doi.org/10.1207/s15327906mbr4102_5Dueber D. M. (2017). Bifactor indices calculator. University of Kentucky Libraries. https://doi.org/10.13023/EDP.TOOL.01Fayers P. M., Machin D. (2001). Quality of life: Assessment, analysis and interpretation [Reprint]. Wiley.Gagliardi J., Brettschneider C., König H.-H. (2021). Health-related quality of life of refugees: A systematic review of studies using the WHOQOL-BREF instrument in general and clinical refugee populations in the community setting. Conflict and Health, 15(1), 44. https://doi.org/10.1186/s13031-021-00378-1Guaracha-Basáñez G. A., Contreras-Yáñez I., Hernández-Molina G., Estrada-González V. A., Pacheco-Santiago L. D., Valverde-Hernández S. S., Galindo-Donaire J. R., Peláez-Ballestas I., Pascual-Ramos V. (2022). Quality of life of patients with rheumatic diseases during the COVID-19 pandemic: The biopsychosocial path. PLOS ONE, 17(1), e0262756. https://doi.org/10.1371/journal.pone.0262756Hammer J. H., Heath P. J., Vogel D. L. (2018). Fate of the total score: Dimensionality of the Conformity to Masculine Norms Inventory-46 (CMNI-46). Psychology of Men & Masculinity, 19(4), 645–651. https://doi.org/10.1037/men0000147Hancock G. R., Mueller R. O. (2001). Rethinking construct reliability within latent variable systems. In Cudeck R., du Toit S., Soerbom D. (Eds.), Structural equation modeling: Present and future—A Festschrift in honor of Karl Joreskog (pp. 195–216). Scientific Software International.Hargreaves S. M., Nakano E. Y., Han H., Raposo A., Ariza-Montes A., Vega-Muñoz A., Zandonadi R. P. (2021). Quality of life of Brazilian vegetarians measured by the WHOQOL-BREF: Influence of type of diet, motivation and sociodemographic data. Nutrients, 13(8), 2648. https://doi.org/10.3390/nu13082648Hewitt-Ramírez N., Juárez F., Parada-Baños A. J., Nuñez-Estupiñán X., Quintero-Barrera L. (2020). Efficacy of a primary care mental health program for victims of the armed conflict in Colombia. Peace and Conflict: Journal of Peace Psychology, 26(1), 62–77. https://doi.org/10.1037/pac0000436Hu L., Bentler P. M. (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 3(4), 424–453. https://doi.org/10.1037/1082-989X.3.4.424Hu L., Bentler P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118Jackson D. L., Gillaspy J. A., Purc-Stephenson R. (2009). Reporting practices in confirmatory factor analysis: An overview and some recommendations. Psychological Methods, 14(1), 6–23. https://doi.org/10.1037/a0014694Kline T. (2005). Psychological testing: A practical approach to design and evaluation. Sage.Lee S.-Y., Song X.-Y., Skevington S., Hao Y.-T. (2005). Application of structural equation models to quality of life. Structural Equation Modeling: A Multidisciplinary Journal, 12(3), 435–453. https://doi.org/10.1207/s15328007sem1203_5López Huerta J. A., González Romo R. A., Tejada Tayabas J. M. (2017). Propiedades psicométricas de la versión en español de la escala de calidad de vida WHOQoL BREF en una muestra Mexicana [Psychometric properties of the Spanish version of the WHOQoL BREF quality of life scale in a Mexican sample]. Revista Iberoamericana de Diagnóstico y Evaluación—e Avaliação Psicológica, 44(2), 105–115. https://doi.org/10.21865/RIDEP44.2.09Lucas-Carrasco R. (2012). 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Multivariate Behavioral Research, 40(1), 115–148. https://doi.org/10.1207/s15327906mbr4001_5Quality of lifeWHOQoL-BREFVictimsFactorial analysisBifactor modelPublicationLICENSElicense.txtlicense.txttext/plain; charset=utf-84334https://repository.ucc.edu.co/bitstreams/6f6793df-9815-4ddb-8218-59b2bd456b97/download3bce4f7ab09dfc588f126e1e36e98a45MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8701https://repository.ucc.edu.co/bitstreams/5e60ae02-df2c-4338-a4a2-f0282e922916/download42fd4ad1e89814f5e4a476b409eb708cMD52ORIGINAL20.500.12494/54229oai:repository.ucc.edu.co:20.500.12494/542292024-08-10 09:34:56.028http://creativecommons.org/publicdomain/zero/1.0/CC0 1.0 Universalmetadata.onlyhttps://repository.ucc.edu.coRepositorio Institucional Universidad Cooperativa de 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