Journal
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
Volume 85, Issue 11, Pages 1890-1895Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.apmr.2004.02.032
Keywords
quality of life; rehabilitation; spinal cord injuries; validity of results
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Objective: To examine the distribution of the scores, internal consistency, structure, and discriminant validity of the abbreviated version of the World Health Organization Quality of Life (WHOQOL-BREF) assessment in persons with traumatic spinal cord injury (SCI). Design: Validation study using multitrait analysis and known-groups methods. Setting: Community and hospital. Participants: Persons with SCI (N=111) and non-SCI respondents (N = 169). Interventions: Not applicable. Main Outcome Measure: The WHOQOL-BREF assessment. Results: The frequency distribution of the 4 domains of the WHOQOL-BREF assessment was nearly symmetric and showed no floor or ceiling effects. All domains showed good internal consistency (Cronbach a range,.74-.78), with the exception of the social relationships domain (a=.54). The 4-domain structure of the WHOQOL-BREF assessment was confirmed using multitrait analysis. The discriminant validity of the WHOQOL-BREF assessment in persons with SCI was satisfactory. Conclusions: The WHOQOL-BREF assessment is suitable for measuring QOL as perceived by a person with SCI.
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