Chinese Version of VEINES-QOL/Sym Questionnaire in Chinese Patients with Deep Venous Thrombosis: Cultural Adaptation and Psychometric Properties

Fengling Li; Yali Wang; Xuemei Wei; Shizheng Du; Shenglian Duan; Guolu Jiang; Lijun Cui; Fang Tang; Liping Wei; Mengjiao Yang; Rong Chen

doi:10.18282/l-e.v10i8.3047

Fengling Li Department of Obstetrics, Affiliated Hospital of North Sichuan Medical College;School of Nursing, North Sichuan Medical College
Yali Wang Department of Cardiothoracic Surgery, Affiliated Hospital of North Sichuan Medical College
Xuemei Wei Department of Nursing, Affiliated Hospital of North Sichuan Medical College
Shizheng Du School of Nursing, Nanjing University of Chinese Medicine
Shenglian Duan Operating Suite, Norwest Private Hospital
Guolu Jiang Department of Respiratory Medicine, Affiliated Hospital of North Sichuan Medical College
Lijun Cui Department of Nursing, Affiliated Hospital of North Sichuan Medical College
Fang Tang Department of Nursing, Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital
Liping Wei School of Nursing, North Sichuan Medical College
Mengjiao Yang School of Nursing, North Sichuan Medical College
Rong Chen School of Nursing, North Sichuan Medical College

DOI: https://doi.org/10.18282/l-e.v10i8.3047

Keywords: VEINES-QOL/Sym, Deep venous thrombosis, Quality of life, SF-36, Questionnaire, Validity, Reliability

Abstract

Purpose:To verify the psychometrical properties of the Chinese-version VEnous INsufficiency Epidemiological and Economic Study-Quality of Life/Symptoms (VEINES-QOL/Sym) questionnaire, in Chinese patients with deep venous thrombosis.Methods:The English-version VEINES-QOL/Sym questionnaire was translated into Chinese by forward-translation, back-translation and cultural adjustment, and approved by the original authors. It was administered to patients with deep venous thrombosis of the two local hospitals in Nanchong from Jul 2017 to Jan 2018. The internal consistency reliability and construct validity of the Chinese version of VEINES-QOL/Sym questionnaire were evaluated. Main outcome measures were as follows: Reliability was tested using Cronbach’s alpha coefficient, internal consistency reliability, retest reliability, split-half reliability . Validity was verified by structure validity, content validity and criterion-related validity.Results:In pilot study, a total of 132 participates completed the questionnaire. In validity sample, a total of 335 participates completed the questionnaire. The Chinese-version VEINES-QOL/Sym questionnaire has 25 items. And it had good internal consistency and stability (Cronbach’s α coefficients ranging from 0.877-0.930, split-half coefficients ranging from 0.792-0.913 and retest coefficients ranging from 0.891-0.987). The Chinese-version VEINES-QOL/Sym summary score had good criterion-related validity in the PCS (physical component summary) and MCS (mental component summary) of Chinese-version SF-36 (0.801 and 0.792). Four factors emerged from exploratory factor analysis, which named symptoms (Q1a-i, Q6), physical functioning (Q2, Q3a-d), role-physical (Q4a-d, Q5) and mental health (Q7a-e) respectively. ConclusionsThis questionnaire was shown to be reliable and valid in the Chinese language. We propose that the Chinese-version VEINES-QOL/Sym is a useful tool for local use.

References

[1] Mazzolai L, Aboyans V, Ageno W, et al. Diagnosis and management of acute deep vein thrombosis: a joint consensus document from the European Society of Cardiology working groups of aorta and peripheral vascular diseases and pulmonary circulation and right ventricular function. European Heart Journal. 2018. 39: 4208–4218.

[2] Kahn SR, Lamping DL, Ducruet T, et al. VEINES-QOL/Sym questionnaire was a reliable and valid disease-specific quality of life measure for deep venous thrombosis. J Clin Epidemiol. 2006. 59(10): 1049-56.

[3] Enden T, Garratt AM, Kløw NE, et al. Assessing burden of illness following acute deep vein thrombosis: data quality, reliability and validity of the Norwegian version of VEINES-QOL/Sym, a disease-specific questionnaire. Scand J Caring Sci. 2009; 23(2): 369-74.

[4] Ferrans CE, Zerwic JJ, Wilbur JE, et al. Conceptual model of healthrelated quality of life.Journal of Nursing Scholarship. 2005; 37(4):336-342.

[5] Sun X, Li J, Shi J. Validating the Chinese version of the PEmb-QoL questionnaire: A measure for quality of life assessment after pulmonary embolism. Thromb Res. 2018. 166:86-91.

[6] Sinabulya H, Bergström G, Hagberg J, et al. Cultural adaptation and validation of the Swedish VEINES-QOL/Sym in patients with venous insufficiency. Phlebology. 2017 Jan 1:268355517733406.

[7] Patrick DL, Deyo RA. Generic and disease-specific measures in assessing health status and quality of life. Med Care 1989;27(3 Suppl):S217–32.

[8] Enden T, Garratt AM, Kløw NE, et al. Assessing burden of illness following acute deep vein thrombosis: data quality, reliability and validity of the Norwegian version of VEINES-QOL/Sym, a disease-specific questionnaire. Scand J Caring Sci. 2009; 23(2): 369-74.

[9] Utne KK, Tavoly M, Wik HS, et al. Health-related quality of life after deep vein thrombosis. Springerplus. 2016; 5: 1278.

[10] Abenhaim L, Kurz X. The VEINES study (VEnous INsufficiency Epidemiologic and Economic Study) (an international cohort study on chronic venous disorders of the leg). Angiology. 1997; 48:59–66.

[11] Lamping DL, Schroter S, Kurz X, et al. Evaluation of outcomes in chronic venous disorders of the leg: Development of a scientifically rigorous, patient-reported measure of symptoms and quality of life. Journal of Vascular Surgery 2003;37(2):410-19.

[12] Goudarzian AH, Goudarzian AH, Tajik P, et al. Persian Version of VEINES-QOL /Sym Questionnaire in Iranian Patients With Deep Venous Thrombosis: Cross-Cultural Adaptation and Psychometric Properties. Journal of Nursing Measures.2018 Aug;26(2):E98-E113.

[13] ölçeğinin S, Savcı S, Karahan Z, et al. Akut derin ven trombozu sonrası yaşam kalitesi: VEINES-QOL/Sym ölçeğinin. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2013. 21(3): 659-668.

[14] Velden SK, Biemans AA, Nijsten T, et al. Translation and validation of the Dutch VEINES-QOL/Sym in varicose vein patients. Phlebology. 2014.29(4):227-35.

[15] Gao WJ, Yuan CR, Wang IC, et al. A Chinese Version of the City of Hope Quality of Life-Ostomy Questionnaire: Validity and Reliability Assessment. Cancer Nursing. 2013.36(1): 41-51.

[16] Ware JE, Kosinski M, Keller SD. SF-36 physical and mental health summary scales: A user’s manual. Boston: The Health Institute, New England Medical Center, 1994.

[17] Li L, Wang H, Shen Y. Development and psychometric tests of a Chinese version of the SF-36 Health Survey Scales. Zhonghua Yu Fang Yi Xue Za Zhi 2002;36(2):109-13.