Validation of the Indonesian version of multiple sclerosis quality of life-54 (MSQOL-54 INA) questionnaire
Open accessAbstract
BACKGROUND: Quality of life assessment of patients with multiple sclerosis (MS) is not routinely performed in Indonesia due to the unavailability of the validated Indonesian version of a specific instrument. The objective of this study was to transculturally adapt and validate the Indonesian version of the MSQOL-54 (MSQOL-54 INA) questionnaire. METHODS: The transcultural adaptation was conducted by performing a standardized forward-backward method. Psychometric analysis was performed by assessing the reliability (Cronbach α), internal validation (item internal consistency and item discriminant validity), and external validation by measuring the correlation with a clinical factor such as EDSS and other demographic factors. RESULTS: Reliability test with Cronbach α showed good internal consistency (> 0.7) at each component, except for health perception (0.665) and social function (0.433). Construct validity using computation of correlation coefficient showed internal consistency in accordance with the original MSQOL-54 standard dimension, except for energy and role limitation due to emotional problems components. External validation with EDSS showed negative correlation on almost all components, except for sexual function, but both composite scores were statistically significant. CONCLUSION: MSQOL-54 INA questionnaire has good internal reliability and is proven to be valid and well-accepted by Indonesian MS patients. Therefore, it can be used by Indonesian clinicians for more comprehensive MS management.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The Cronbach alpha coefficients for the instrument surpass 0.60, the threshold for accepted reliability.
“The Cronbach alpha coefficients for the instrument surpass 0.60, which is the threshold for accepted reliability (Estiasari et al., 2019).”
From Cultural and individual characteristics in adopting computer-supported collaborative learning during covid-19 outbreak: Willingness or obligatory to accept technology? (2021) · cites this paper as Estiasari et al., 2019
The Methods (Psychometric analysis) define acceptable internal reliability as Cronbach α ≥0.7, not 0.60. Results Table 3 also reports a social-function coefficient of 0.43, so not all coefficients surpass 0.60. (LLM, conf=0.91)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
A health-related quality of life measure for multiple sclerosis
Vickrey, B. G., Hays, R. D., Harooni, R., Myers, L. W., & Ellison, G. W. (1995) · Quality of Life Research · doi:10.1007/bf02260859 · Cited by 1,132 · see citing works
Acquadro, C., Conway, K., Hareendran, A., & Aaronson, N. (2008) · Value in Health · doi:10.1111/j.1524-4733.2007.00292.x · Cited by 715 · see citing works
The impact of disease characteristics on multiple sclerosis patients’ quality of life
Rezapour, A., Almasian Kia, A., Goodarzi, S., Hasoumi, M., Nouraei Motlagh, S., & Vahedi, S. (2017) · Epidemiology and Health · doi:10.4178/epih.e2017008 · Cited by 80 · see citing works
Flagged first, then by citations
Research works printed but not linked: 24
- [1]Popescu BFG Lucchinetti CF Pathology of demyelinating diseases Annu Rev Pathol: Mechanisms Dis 2012 7 1 185 217 10.1146/annurev-pathol-011811-132443 22313379 · DOI
- [2]Browne P Chandraratna D Angood C Tremlett H Baker C Taylor BV Atlas of multiple sclerosis 2013: a growing global problem with widespread inequity Neurology. 2014 83 11 1022 1024 10.1212/WNL.0000000000000768 25200713 PMC4162299 · DOI · Paper page
- [3]Göksel Karatepe A Kaya T Günaydn R Demirhan A Çe P Gedizlioğlu M Quality of life in patients with multiple sclerosis: the impact of depression, fatigue, and disability Int J Rehabil Res 2011 34 4 290 298 10.1097/MRR.0b013e32834ad479 21946317 · DOI
- [5]Miller A Dishon S Health-related quality of life in multiple sclerosis: the impact of disability, gender and employment status Qual Life Res 2006 15 2 259 271 10.1007/s11136-005-0891-6 16468081 · DOI
- [6]Klevan G Jacobsen CO Aarseth JH Myhr K-M Nyland H Glad S Health related quality of life in patients recently diagnosed with multiple sclerosis Acta Neurol Scand 2014 129 1 21 26 10.1111/ane.12142 23772958 · DOI
- [7]Baumstarck K, Boyer L, Boucekine M, Michel P, Pelletier J, Auquier P. Measuring the Quality of Life in Patients with Multiple Sclerosis in Clinical Practice: A Necessary Challenge. Mult Scler Int [Internet]. 2013 [cited 2019 Mar 24];2013. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3603557/. PMC3603557 23533758
- [8]Whoqol Group Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment Psychological Medicine 1998 28 3 551 558 10.1017/S0033291798006667 9626712 · DOI · Paper page
- [9]Benito-León J Manuel Morales J Rivera-Navarro J Mitchell AJ A review about the impact of multiple sclerosis on health-related quality of life Disabil Rehabil 2003 25 23 1291 1303 10.1080/09638280310001608591 14617435 · DOI
- [10]Hopman WM Harrison MB Coo H Friedberg E Buchanan M VanDenKerkhof EG Associations between chronic disease, age and physical and mental health status Chronic Dis Can 2009 29 2 10 19527569
- [11]Hancinova V Simor L Analyses of measuring tools comparing the quality of life in patients with multiple sclerosis Clin Soc Work Health Interv 2016 7 1 64 72 10.22359/cswhi_7_1_07 · DOI
- [12]Hadgkiss EJ Jelinek GA Weiland TJ Rumbold G Mackinlay CA Gutbrod S Health-related quality of life outcomes at 1 and 5 years after a residential retreat promoting lifestyle modification for people with multiple sclerosis Neurol Sci 2013 34 2 187 195 10.1007/s10072-012-0982-4 22367222 PMC3562546 · DOI
- [13]Drulovic J Bursac LO Milojkovic D Tepavcevic DK Gazibara T Pekmezovic T MSQoL-54 predicts change in fatigue after inpatient rehabilitation for people with multiple sclerosis Disabil Rehabil 2013 35 5 362 366 10.3109/09638288.2012.704122 22897503 · DOI
- [15]Solari A Filippini G Mendozzi L Ghezzi A Cifani S Barbieri E Validation of Italian multiple sclerosis quality of life 54 questionnaire J Neurol Neurosurg Psychiatry 1999 67 2 158 162 10.1136/jnnp.67.2.158 10406981 PMC1736469 · DOI
- [16]Idiman E Uzunel F Ozakbas S Yozbatiran N Oguz M Callioglu B Cross-cultural adaptation and validation of multiple sclerosis quality of life questionnaire (MSQOL-54) in a Turkish multiple sclerosis sample J Neurol Sci 2006 240 1–2 77 80 10.1016/j.jns.2005.09.009 16277993 · DOI
- [17]Acquadro C Lafortune L Mear I Quality of life in multiple sclerosis: translation in French Canadian of the MSQoL-54 Health Qual Life Outcomes 2003 1 70 10.1186/1477-7525-1-70 14636427 PMC317365 · DOI
- [18]Catic T Culig J Suljic E Masic A Gojak R Validation of the disease-specific questionnaire MSQoL-54 in Bosnia and Herzegovina multiple sclerosis patients sample Med Arch 2017 71 2 103 106 10.5455/medarh.2017.71.103-106 28790539 PMC5511536 · DOI
- [19]Pekmezovic T Kisic Tepavcevic D Kostic J Drulovic J Validation and cross-cultural adaptation of the disease-specific questionnaire MSQOL-54 in Serbian multiple sclerosis patients sample Qual Life Res 2007 16 8 1383 1387 10.1007/s11136-007-9234-0 17616834 · DOI
- [20]Stern B Hojs Fabjan T Rener-Sitar K Zaletel-Kragelj L Validation of the Slovenian version of multiple sclerosis quality of life (MSQOL-54) instrument Zdr Varst 2017 56 4 260 267 29062401 PMC5639816
- [21]Novitasari L Perwitasari DA Khoirunisa S Validity of short form 36 (SF-36) Indonesian version on rheumatoid arthritis patients Jurnal Kedokteran dan Kesehatan Indonesia 2016 7 3 80 86 10.20885/JKKI.Vol7.Iss3.art2 · DOI
- [22]Beaton DE Bombardier C Guillemin F Ferraz MB Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures Spine 2000 25 24 3186 3191 10.1097/00007632-200012150-00014 11124735 · DOI · Paper page
- [24]Schmitt TA Current methodological considerations in exploratory and confirmatory factor analysis J Psychoeduc Assess 2011 29 4 304 321 10.1177/0734282911406653 · DOI
- [25]Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983;33(11):1444–1444. 6685237
- [26]Rudick RA Miller DM Health-related quality of life in multiple sclerosis: current evidence, measurement and effects of disease severity and treatment CNS Drugs 2008 22 10 827 839 10.2165/00023210-200822100-00004 18788835 · DOI
- [27]Ghaem H Haghighi AB Jafari P Nikseresht AR Validity and reliability of the Persian version of the multiple sclerosis quality of life questionnaire Neurol India 2007 55 4 369 10.4103/0028-3886.33316 18040110 · DOI
Cited by
Sorted by citations
Fatimah, F., Rajiani, S. I., & Abbas, E. W. (2021) · Management Science Letters · doi:10.5267/j.msl.2020.9.032 · Cited by 36 · see citing works
- Authors
- Estiasari, R., Melani, S., Kusumawardhani, A. A. A. A., Pangeran, D., Fajrina, Y., Maharani, K., & Imran, D.
- Affiliations
- University of Indonesia (ID)
- Corresponding author
- Estiasari, Riwanti
- Venue
- Health and Quality of Life Outcomes
- Published
- 2019-07-12
- Volume
- 17
- Issue
- 1
- Pages
- 120-120
- ISSN
- 1477-7525 (ISSN-L)
- PMC
- PMC6626390
- OpenAlex
- W2960015808
- Cited by
- 8
- References
- 3
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2
- FWCI
- 0.55
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Health and Quality of Life Outcomes (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Universitas Indonesia (PITTA/694/FK/2018)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Education › Health Education and Validation
- Keywords
- multiple sclerosis, quality of life, MSQOL-54, Indonesian translation, cross-cultural adaptation, psychometric validation, reliability statistics, construct validity, Expanded Disability Status Scale, sexual function, patient-reported outcomes
- MeSH terms
- Adult, Female, Humans, Indonesia, Male, Middle Aged, Multiple Sclerosis, Quality of Life, Surveys and Questionnaires, Translations, Reproducibility of Results
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review