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Is a single-item visual analogue scale as valid, reliable and responsive as multi-item scales in measuring quality of life?
Abstract
Purpose To compare the validity, reliability and responsiveness of a single, global quality of life question to multi-item scales. Method Data were obtained from 83 consecutive patients with oesophageal adenocarcinoma undergoing either transhiatal or transthoracic oesophagectomy. Quality of life was measured at baseline, 5 weeks, 3 and 12 months post-operatively with a single-item Visual Analogue Scale (VAS) ranging from 0 to 100, the multi-item Medical Outcomes Study Short Form-20 (MOS SF-20) and Rotterdam Symptom Check-List (RSCL). Convergent and discriminant validity, test-retest reliability and both distribution-based and anchor-based responsiveness were evaluated. Major findings At baseline and at 5 weeks, the VAS showed high correlations with the MOS SF-20 health perceptions scale (r = 0.70 and 0.72) and moderate to high correlations with all other subscales of the MOS SF-20 and RSCL (r = 0.29-0.70). The test-retest reliability intra-class correlation for the VAS was 0.87. At 5 weeks post-operatively, the distribution-based responsiveness was moderate for the VAS (standardised response mean: -0.47; effect size: -0.56), high for the physical subscales of the MOS SF-20 and RSCL (-1.08 to -1.51) and low for the psychological subscales (0.11 to -0.25). Five weeks post-operatively, anchor-based responsiveness was highest for the VAS (r = 0.54). Conclusion The VAS is an instrument with good validity, excellent reliability, moderate distribution-based responsiveness and good a…
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Previous psychometric assessment of the VAS QoL with chronic disease populations has shown good reliability, validity and responsiveness.
“Previous psychometric assessment of the VAS QoL with chronic disease populations has shown good reliability, validity and responsiveness (de Boer et al., 2004).”
From A pilot case series of a brief acceptance and commitment therapy (ACT)-based guided self-help intervention for improving quality of life and mood in muscle disorders (2017) · cites this paper as de Boer et al., 2004
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Self-citationHealth Literacy in Kidney Disease: Associations with Quality of Life and Adherence
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Metadata
- Authors
- de Boer, A. G. E. M., van Lanschot, J. J. B., Stalmeier, P. F. M., van Sandick, J. W., Hulscher, J. B. F., de Haes, J. C. J. M., & Sprangers, M. A. G.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Radboud University Nijmegen (NL)
- ORCID
- Venue
- Quality of Life Research
- Published
- 2004-03
- Volume
- 13
- Issue
- 2
- Pages
- 311-320
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- OpenAlex
- W2147145155
- Cited by
- 743
- References
- 36
- Citations by year
- 2026: 23 · 2025: 37 · 2024: 30 · 2023: 38 · 2022: 61 · 2021: 38 · 2020: 44 · 2019: 33 · 2018: 25 · 2017: 42 · 2016: 46 · 2015: 45 · 2014: 46 · 2013: 45 · 2012: 29
- FWCI
- 39.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Quality of Life Research (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Surgery › Esophageal Cancer Research and Treatment
- Keywords
- global quality of life, esophageal adenocarcinoma, esophagectomy, Rotterdam Symptom Checklist, responsiveness, test-retest reliability, convergent validity, postoperative quality of life
- MeSH terms
- Adenocarcinoma, Adult, Aged, Esophageal Neoplasms, Follow-Up Studies, Humans, Middle Aged, Netherlands, Pain Measurement, Quality of Life, Esophagectomy, Sickness Impact Profile
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