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Profile of health‐related quality of life in Nigerian stroke survivors
Author(s) -
Owolabi M. O.,
Ogunniyi A.
Publication year - 2009
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/j.1468-1331.2008.02339.x
Subject(s) - medicine , stroke (engine) , quality of life (healthcare) , physical therapy , modified rankin scale , discriminant validity , reliability (semiconductor) , physical medicine and rehabilitation , internal consistency , psychometrics , clinical psychology , ischemic stroke , mechanical engineering , nursing , ischemia , engineering , power (physics) , physics , quantum mechanics
Background and purpose: No study using a stroke‐specific measure has been previously conducted to determine the profile of health‐related quality of life (HRQOL) in Nigerian stroke patients. Such a study is pre‐requisite to planning of patient‐centered rehabilitative care aimed at maximizing HRQOL improvement. Our objectives were to develop and validate a stroke‐specific HRQOL measure, and determine the profile of HRQOL using it. Methods: The HRQOL in stroke patients (HRQOLISP) questionnaire was developed and administered to 100 stroke patients and a control group of 100 age‐ and gender‐matched healthy adults. The Stroke Levity Score (SLS) and modified Rankin Scale (mRS) were applied to measure stroke severity and disability respectively. Results: The HRQOLISP surpassed the Nunnaly’s criterion for reliability and was able to discriminate between stroke (HRQOLsum = 73.5 ± 9.1) and normal subjects (HRQOLsum = 84.4 ± 6.9, P = 0.002). It differentiated strokes of various severities in the physical dimension (physical, psychological, cognitive and social domains). SLS and mRS correlated only to the domains in the physical dimension. Conclusion: The HRQOLISP demonstrated good content, construct and discriminant validity and internal consistency reliability. Stroke had a multifaceted effect on HRQOL, which was more pronounced in the physical dimension.