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Original Article
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.
DOI: https://doi.org/10.4040/jkan.2007.37.3.324
Published online: April 30, 2007

1Graduate School of Public Health, Ajou University, Korea.

ehlee@ajou.ac.kr

Copyright © 2007 Korean Society of Nursing Science

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  • 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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