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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 (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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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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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