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Research Paper
Internal Structure of the Health-Related Quality of Life Instrument with 8-Items in a Nationally Representative Population
Lee, Eun-Hyun
J Korean Acad Nurs 2023;53(3):359-369.   Published online June 30, 2023
DOI: https://doi.org/10.4040/jkan.23007
AbstractAbstract PDF
Purpose
This study evaluated the internal structure (structural validity, internal consistency, and measurement invariance) of the Health-Related Quality of Life Instrument with Eight Items (HINT-8), developed to measure Korean people’s health-related quality of life.
Methods
A secondary analysis was conducted using data from the Korea National Health and Nutrition Examination Survey, involving 6,167 adults aged over 18 years. The structural validity of the HINT-8 was assessed using exploratory graph analysis and confirmatory factor analysis. Internal consistency and measurement invariance were analyzed using McDonald’s omega (ω) and multigroup confirmatory factor analysis, respectively.
Results
The HINT-8 had a single dimension and good internal consistency (ω = .804). The one-dimension HINT-8 ex-hibited matric invariance but not scalar invariance across sociodemographic groups (sex, age, education, and marital status). Further, it exhibited scalar or partial scalar invariance across medical condition groups (hypertension, diabetes, depressive symptoms, and cancer).
Conclusion
The study finds that the HINT-8 demonstrated satisfactory structural validity and internal consistency, indicating its suitability for practice and research. However, the HINT-8 scores cannot be compared across different groups regarding sex, age, education, and marital status, as the interpretation varies within each sociodemographic category. Conversely, interpretation of the HINT-8 is consistent for individuals with and without hypertension, diabetes, depressive symptom, and cancer.

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    Myoungjin Kwon, Sun Ae Kim, Youngshin Song
    INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2025;[Epub]     CrossRef
  • A Network Analysis of Quality of Life Among Older Adults With Arthritis
    Dahee Wi, Chang G. Park, Jiae Lee, Eunjin Kim, Yoonjung Kim
    International Journal of Older People Nursing.2025;[Epub]     CrossRef
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  • Comparison of the health behavior and nutrition status of young-old women according to the vitality in their quality of life: based on the 2019, 2021 Korea National Health and Nutrition Examination Survey
    Jiyoung Jeong, Yoon Jung Yang
    Journal of Nutrition and Health.2023; 56(5): 496.     CrossRef
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Original Articles
A Study on Health-related Quality of Life, Smoking Knowledge, Smoking Attitude, and Smoking Cessation Intention in Male Smokers
Myoung Sook Kim
Journal of Korean Academy of Nursing 2005;35(2):344-352.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.2.344
AbstractAbstract PDF
Purpose

This study was conducted to examine the relationship among health-related quality of life, smoking knowledge, smoking attitude, and smoking cessation intention in male smokers.

Method

The subjects were 259 male smokers in J city. The data was collected using structured questionnaires from Nov. to Dec. of 2003. The data was analyzed by the SPSS (ver.10.0)computer program, and it included descriptive statistics, t-test, ANOVA, the Pearson correlation coefficient, and Stepwise Multiple Regression.

Result

The smoking cessation intention had a significant positive correlation among health-related quality of life (r=.159), smoking knowledge (r=.161), and smoking attitude (r=.127). These variables account for 26.8% of smoking cessation intention.

Conclusion

These results suggested that the smoking cessation program to enhance the health-related quality of life, smoking knowledge, and smoking cessation intention and to increase a negative influence on smoking attitude need to be developed. Therefore, these findings give useful information for constructing a smoking cessation program in male smokers.

Citations

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  • Differences in Oral Health and Generalized Anxiety Disorder According to Secondhand Smoke Exposure in Public Places
    Yu-Rin Kim, Kyeung-Ae Jang
    Behavioral Sciences.2023; 13(6): 455.     CrossRef
  • Tobacco Related Knowledge Is Associated with Heaviness of Smoking Index (HSI) and Intention to Quit among Korean Smokers: Findings from 2016 ITC Korea Survey
    Yoon-Jung Choi, Hong Gwan Seo, Yeol Kim, Eun young Kim, Geoffrey T Fong, Mi Yan, Pete Driezen
    Journal of the Korean Society for Research on Nicotine and Tobacco.2018; 9(S1): S31.     CrossRef
  • A Study on the Factors Related to Smoking and Smoking Conditions among College Students in Some Area
    Kyeong-Ah Kim
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 465.     CrossRef
  • Factors Associated with Intention to Quit Smoking in Community-dwelling Male Adult Smokers
    Hye-Ran Ahn
    Journal of Korean Academy of Community Health Nursing.2015; 26(4): 364.     CrossRef
  • Factors Influencing Intention to Quit Smoking in Stroke Patients: Based on the Theory of Planned Behavior
    Jin-hyun Bae, Eun Su Do, Young Soo Seo
    Journal of Korean Gerontological Nursing.2014; 16(1): 49.     CrossRef
  • Pathway Analysis on the Influence of Health Promoting Behavior(HPB) and Depression Cognitive Scale(DCS) on Smoking Cessation Thoughts and Intention to Quit Smoking of College Students who Smoke
    Hee-Jeong Kim, Se-Jin Ju, Gyeong-Suk Kim, Mi-Ok Kim, Yu Mi, Jeong-Hyeon Choi
    Journal of the Korea Academia-Industrial cooperation Society.2013; 14(4): 1830.     CrossRef
  • Relationship of Knowledge, Attitude, Correct Metered Dose Inhaler Use, and Self-management Compliance among Patients with COPD
    Min-Hee An, Ja-Yun Choi
    Korean Journal of Adult Nursing.2012; 24(2): 160.     CrossRef
  • Factors Affecting Preparation Stage to Quit Smoking in Men
    Jeong-Woon Yeon, Hyeongsu Kim, Kunsei Lee, Sounghoon Chang, Heejung Choi, Eunmi Ham, Jun Pyo Myong
    Journal of Korean Academy of Nursing.2012; 42(3): 377.     CrossRef
  • Influencing Factors on Health Related Quality of Life in Middle Age
    Hae-Kyung Chang
    Korean Journal of Adult Nursing.2012; 24(4): 339.     CrossRef
  • Survey on Adolescents' Knowledge and Attitudes as related to Temptation toward Cigarette Smoking
    Hye Young Ahn, Joohyun Lee
    Journal of Korean Academy of Child Health Nursing.2009; 15(4): 367.     CrossRef
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Computerized Measurement for Asthma-Specific Quality of Life: Comparison with a Conventional Paper-and-Pencil Questionnaire
Eun-Hyun Lee
J Korean Acad Nurs 2009;39(6):781-787.   Published online December 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.6.781
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate a computerized touch-screen version of the asthma-specific quality-of-life (cA-QOL) questionnaire against the conventional paper-and-pencil version (pA-QOL) for equivalence, time for completion, user preference, and ease of use.

Methods

A total of 261 patients were recruited. A randomized cross-over design was used. Patients in group A completed the cA-QOL first while waiting to see a physician, and completed the pA-QOL version after seeing the physician. Patients allocated in group B completed these questionnaires in the reverse order. The patients were asked questions about user preference and ease of use of the cA-QOL. The time taken to complete both versions of the questionnaire was measured.

Results

Weighted kappa coefficients of all items showed almost perfect agreement. The time required to complete the pA-QOL is faster than the time for cA-QOL. The patients who preferred the cA-QOL were 37.5%, while those who preferred the pA-QOL were 29.9%. Most patients reported that the cA-QOL was "easy" or "very easy" to complete.

Conclusion

The cA-QOL is the computerized equivalent of the pA-QOL. The findings herein demonstrate that the cA-QOL can be helpful to nurses in busy practices for assessing, collecting, and evaluating their patients' health related quality of life.

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    Martin Hassler Hallstedt, Ata Ghaderi
    Educational Assessment.2018; 23(3): 195.     CrossRef
  • Equivalence of electronic and paper administration of patient-reported outcome measures: a systematic review and meta-analysis of studies conducted between 2007 and 2013
    Willie Muehlhausen, Helen Doll, Nuz Quadri, Bethany Fordham, Paul O’Donohoe, Nijda Dogar, Diane J. Wild
    Health and Quality of Life Outcomes.2015;[Epub]     CrossRef
  • Equivalence of electronic and paper-based patient-reported outcome measures
    Niloufar Campbell, Faraz Ali, Andrew Y. Finlay, Sam S. Salek
    Quality of Life Research.2015; 24(8): 1949.     CrossRef
  • Measurement equivalence of touch‐screen computerized and paper‐based diabetes‐specific quality‐of‐life questionnaires
    Eun‐Hyun Lee, Young Whee Lee, Kwan‐Woo Lee, Dae Jung Kim, Yong‐Seong Kim, Moon‐Suk Nam
    International Journal of Nursing Practice.2014; 20(4): 382.     CrossRef
  • Development and Application of a Web-based Expert System using Artificial Intelligence for Management of Mental Health by Korean Emigrants
    Jeongyee Bae
    Journal of Korean Academy of Nursing.2013; 43(2): 203.     CrossRef
  • Clinical evaluation of the computerized Chronic Urticaria-Specific Quality of Life questionnaire in Korean patients with chronic urticaria
    Y.-M. Ye, J.-W. Park, S.-H. Kim, J.-H. Choi, G.-Y. Hur, H.-Y. Lee, E.-H. Lee, H.-S. Park
    Clinical and Experimental Dermatology.2012; 37(7): 722.     CrossRef
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Development and Psychometric Evaluation of a Quality of Life Scale for Korean Patients with Cancer (C-QOL)
Eun Hyun Lee
Journal of Korean Academy of Nursing 2007;37(3):324-333.   Published online April 30, 2007
DOI: https://doi.org/10.4040/jkan.2007.37.3.324
AbstractAbstract PDF
Purpose

The purpose of this study was to develop and evaluate a quality of life scale for Korean patients with cancer (C-QOL).

Methods

The C-QOL was developed and validated as follows; item generation, pilot study, and psychometric tests. A total of 337 patients diagnosed with stomach, liver, lung, colon, breast, or cervix cancer were recruited. The patients were asked to complete the preliminary questionnaire comprising the content-validated items, the SF-36, and the ECOG performance status. The obtained data was analyzed using descriptive statistics, factor analysis, multidimensional scaling (MDS), multitrait/multi-item matrix, ANOVA, t-test, and Cronbach's alpha.

Results

Preliminarily twenty-six items were generated through content validity and a pilot study. Factor analysis and MDS extracted a total of 21 items with a 5-point Likert-type scale (C-QOL). The C-QOL included five subscales: physical status (6 items), emotional status (6 items), social function (3 items), concern status (2 items), and coping function (4 items). The C-QOL established content validity, construct validity, item convergent and discriminant validity, known-groups validity, reliability, and sensitivity.

Conclusion

The Newly developed C-QOL is an easily applicable instrument which established psychometric properties and reflected Korean culture. It is recommended for further study to examine the responsiveness of the C-QOL using a longitudinal research design.

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