Research Article
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Psychometric Properties of the Chronic Liver Disease Questionnaire in Patients with Chronic Liver Disease

Year 2023, Volume: 7 Issue: 2, 671 - 683, 31.05.2023
https://doi.org/10.30621/jbachs.1170430

Abstract

Purpose: Chronic liver disease (CLD) is a major public health problem worldwide and it leads to increase in morbidity and mortality. This study aimed to evaluate the psychometric properties of Chronic Liver Disease Questionnaire (CLDQ) in Turkish patients with Chronic liver disease (CLD).
Material and Methods: The study was conducted in the methodological research design. Using a convenience sampling method 235 patients with CLD in a university hospital, located in southern Turkey. The instrument’s psychometric properties were examined to determine factor analysis, criterion-related validity, internal consistency, interrater reliability.
Results: The patients average age was 55.48±12.02 years. Viral hepatitis was the most common etiology of CLD (53.6%). The total sample had a mean CLDQ score of 4.73±1.12.
The factor analysis revealed that the scale consists of six sub-dimensions. No item was removed from the original scale. Cronbach's alpha coefficient was found as 0.95.
Conclusion: Valid and reliable measurement tools are needed to evaluate health related quality of life (HRQoL) in patients with liver disease. Chronic Liver Disease Questionnaire is a valid and reliable measurement instrument.

Supporting Institution

This study was supported by funding from Akdeniz University Teaching Staff Training Program.

References

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  • 2. Asrani SK, Devarbhavi H, Eaton J, Kamath PS. Burden of liver diseases in the world. Journal of Hepatology. 2019; 70(1): 151-171.
  • 3. Sepanlou SG, Safiri S, Bisignano C. et al. The global, regional, and national burden of cirrhosis by cause in 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet Gastroenterology & Hepatology. 2020; 5(3): 245-266.
  • 4. Stepanova M, De Avila L, Afendy M. et al Direct and indirect economic burden of chronic liver disease in the United States. Clin Gastroenterol Hepatol. 2016; 15(5): 759-766.
  • 5. Souza NPD, Villar LM, Garbin AJÍ. et al. Assessment of health-related quality of life and related factors in patients with chronic liver disease. Brazilian Journal of Infectious Diseases. 2015; 19(6): 590-595.
  • 6. Fabrellas N, Carol M, Torrabadella F, de Prada G. Nursing care of patients with chronic liver diseases: Time for action. Journal of Advanced Nursing. 2018; 74(3): 498-500.
  • 7. Peng JK, Hepgul N, Higginson IJ, Gao W. Symptom prevalence and quality of life of patients with end-stage liver disease: a systematic review and meta-analysis. Palliative Medicine. 2019; 33(1): 24-36.
  • 8. Younossi ZM. Chronic liver disease and health-related quality of life. Gastroenterology. 2001; 120(1): 305-307.
  • 9. Orr JG, Homer T, Ternent L. et al. Health related quality of life in people with advanced chronic liver disease. Journal of Hepatology. 2014; 61(5): 1158-1165.
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  • 14. Ferrer M, Córdoba J, Garin O, Olivé G, Flavià M, Vargas V, Alonsa J. Validity of the Spanish version of the Chronic Liver Disease Questionnaire (CLDQ) as a standard outcome for quality of life assessment. Liver Transplantation. 2006; 12(1): 95-104.
  • 15. Mahmoudi H, Jafari P, Alizadeh-Naini M, Gholami S, Malek-Hosseini SA, Ghaffaripour S. Validity and reliability of Persian version of Chronic Liver Disease Questionnaire (CLDQ). Quality of Life Research. 2012; 21(8): 1479-1485.
  • 16. Mucci S, de Albuquerque Citero V, Gonzalez, A.M, et al. Validation of the Brazilian version of Chronic Liver Disease Questionnaire. Qual Life Res. 2013; 22: 167–172.
  • 17. Ranawaka CK, Miththinda JKND, Senanayake SM. et al. Validation of the Sinhala version of the Chronic Liver Disease Questionnaire (CLDQ) for assessment of health related quality of life among Sri Lankan cirrhotics. Ceylon Medical Journal. 2013; 58(4): 156-162.
  • 18. Ray I, Dutta D, Basu P. De BK. Quality of life assessment of patients with chronic liver disease in eastern India using a Bengali translation chronic liver disease questionnaire. Indian Journal of Gastroenterology. 2010; 29(5): 187-195.
  • 19. Schulz KH, Kroencke S, Ewers H, Schulz H, Younossi Z. The factorial structure of the Chronic Liver Disease Questionnaire (CLDQ). Quality of Life Research. 2008; 17(4): 575-584.
  • 20. Pappa E, Hatzi F, Papadopoulos AA, Niakas D. Psychometrics of the Greek chronic liver disease questionnaire for measuring HRQL. Gastroenterology Research and Practice, 2015.
  • 21. Tanaka A, Kikuchi, K, Miura, R. et al. Validation of the Japanese version of the Chronic Liver Disease Questionnaire for the assessment of health‐related quality of life in patients with chronic viral hepatitis. Hepatology Research. 2016; 46: 45-50.
  • 22. Younossi ZM, Stepanova M, Henry L. Performance and validation of Chronic Liver Disease Questionnaire-Hepatitis C Version (CLDQ-HCV) in clinical trials of patients with chronic hepatitis C. Value in Health, 2016; 19(5): 544-551.
  • 23. Chawla KS, Talwalkar JA, Keach JC, Malinchoc M, Lindor KD, Jorgensen R. Reliability and validity of the Chronic Liver Disease Questionnaire (CLDQ) in adults with non-alcoholic steatohepatitis (NASH). BMJ Open Gastroenterology. 2016; 3(1): e000069.
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  • 26. Van Der Plas SM, Hansen BE, De Boer J.B. et al. The Liver Disease Symptom Index 2.0; validation of a disease-specific questionnaire. Quality of Life Research. 2004; 13(8): 1469-1481.
  • 27. Eraydin A, Akarsu M, Hakim GD, Keskinoğlu P, Ellidokuz H. The validity and reliability of “The liver disease symptom index 2.0” for Turkish society. Turk J Gastroenterol; 2014; 25: 531-538.
  • 28. Jiang C, Zou M, Chen M, Jiang Y, Chang P, Cui Y, Jiang L. Reliability and validity of the Mandarin version of the Continuity Assessment Record and Evaluation for older people who are transferred between hospitals and nursing homes in China. Health & Social Care in the Community. 2020; 28: 1180-1189.
  • 29. Sipahi B, Yurtkoru ES, Cinko M. (2008). Data Analysis with SPSS in Social Sciences. Beta Publishing Distribution, Istanbul.
  • 30. Kwo PY. Shortness of breath in the patient with chronic liver disease. Clinics in Liver Disease. 2012; 16(2): 321-329.
  • 31. Wittmer VL, Lima RT, Maia MC, Duarte H, Paro FM. Respiratory and symptomatic impact of ascites relief by paracentesis in patients with hepatic cirrhosis. Arquivos de gastroenterologia, (AHEAD). 2020.
  • 32. Baskale H, Turan T. Bedtime rituals and routines of turkish children and perceptions of their mothers. Journal of Turkish Sleep Medicine. 2017; 4: 22-29.
  • 33. Nurko S, Di Lorenzo,C. Functional abdominal pain: time to get together and move forward. Journal of Pediatric Gastroenterology and Nutrition. 2008; 47(5),: 679-680.
  • 34. Ozkok F, Sunnetcioglu A, Sunnetcioglu S, Karakas E. Turkish culinary culture in the socialization process. Journal of Travel and Hotel Management. 2017; 14(3):110-120.
  • 35. Turkish Cultural Foundation, 2020. Eating Habits of the Turks and Their Associated Behaviors. Retrieved from: http://www.turkish-cuisine.org/culinary-culture-202/eating-habits-of-the-turks-199.html?PagingIndex=5 Accessed:29.10.2020
Year 2023, Volume: 7 Issue: 2, 671 - 683, 31.05.2023
https://doi.org/10.30621/jbachs.1170430

Abstract

References

  • 1. Marcellin P, Kutala BK. Liver diseases: A major, neglected global public health problem requiring urgent actions and large‐scale screening. Liver International. 2018; 38: 2-6.
  • 2. Asrani SK, Devarbhavi H, Eaton J, Kamath PS. Burden of liver diseases in the world. Journal of Hepatology. 2019; 70(1): 151-171.
  • 3. Sepanlou SG, Safiri S, Bisignano C. et al. The global, regional, and national burden of cirrhosis by cause in 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet Gastroenterology & Hepatology. 2020; 5(3): 245-266.
  • 4. Stepanova M, De Avila L, Afendy M. et al Direct and indirect economic burden of chronic liver disease in the United States. Clin Gastroenterol Hepatol. 2016; 15(5): 759-766.
  • 5. Souza NPD, Villar LM, Garbin AJÍ. et al. Assessment of health-related quality of life and related factors in patients with chronic liver disease. Brazilian Journal of Infectious Diseases. 2015; 19(6): 590-595.
  • 6. Fabrellas N, Carol M, Torrabadella F, de Prada G. Nursing care of patients with chronic liver diseases: Time for action. Journal of Advanced Nursing. 2018; 74(3): 498-500.
  • 7. Peng JK, Hepgul N, Higginson IJ, Gao W. Symptom prevalence and quality of life of patients with end-stage liver disease: a systematic review and meta-analysis. Palliative Medicine. 2019; 33(1): 24-36.
  • 8. Younossi ZM. Chronic liver disease and health-related quality of life. Gastroenterology. 2001; 120(1): 305-307.
  • 9. Orr JG, Homer T, Ternent L. et al. Health related quality of life in people with advanced chronic liver disease. Journal of Hepatology. 2014; 61(5): 1158-1165.
  • 10. Šumskienė J, Kupčinskas L, Šumskas L. Health-related quality of life measurement in chronic liver disease patients. Medicina. 2015; 51(4): 201-208.
  • 11. Younossi ZM, Guyatt G, Kiwi M, Boparai N, King D. Development of a disease specific questionnaire to measure health related quality of life in patients with chronic liver disease. Gut. 1999; 45(2): 295-300.
  • 12. Abdo AA, Sanai FM. 2015. Quality of life and symptom management. In: Lee, S.S & Moreau, R (Eds), Cirrhosis a Practial Guide to Management. (pp.301-309). UK: Wiley Blackwell.
  • 13. Benito de Vale M, Josefsson A, Lindkvist B, Kalaitzakis E. Validation of the Swedish version of the Chronic Liver Disease Questionnaire. Scandinavian Journal of Gastroenterology. 2012; 47(5),: 614-615.
  • 14. Ferrer M, Córdoba J, Garin O, Olivé G, Flavià M, Vargas V, Alonsa J. Validity of the Spanish version of the Chronic Liver Disease Questionnaire (CLDQ) as a standard outcome for quality of life assessment. Liver Transplantation. 2006; 12(1): 95-104.
  • 15. Mahmoudi H, Jafari P, Alizadeh-Naini M, Gholami S, Malek-Hosseini SA, Ghaffaripour S. Validity and reliability of Persian version of Chronic Liver Disease Questionnaire (CLDQ). Quality of Life Research. 2012; 21(8): 1479-1485.
  • 16. Mucci S, de Albuquerque Citero V, Gonzalez, A.M, et al. Validation of the Brazilian version of Chronic Liver Disease Questionnaire. Qual Life Res. 2013; 22: 167–172.
  • 17. Ranawaka CK, Miththinda JKND, Senanayake SM. et al. Validation of the Sinhala version of the Chronic Liver Disease Questionnaire (CLDQ) for assessment of health related quality of life among Sri Lankan cirrhotics. Ceylon Medical Journal. 2013; 58(4): 156-162.
  • 18. Ray I, Dutta D, Basu P. De BK. Quality of life assessment of patients with chronic liver disease in eastern India using a Bengali translation chronic liver disease questionnaire. Indian Journal of Gastroenterology. 2010; 29(5): 187-195.
  • 19. Schulz KH, Kroencke S, Ewers H, Schulz H, Younossi Z. The factorial structure of the Chronic Liver Disease Questionnaire (CLDQ). Quality of Life Research. 2008; 17(4): 575-584.
  • 20. Pappa E, Hatzi F, Papadopoulos AA, Niakas D. Psychometrics of the Greek chronic liver disease questionnaire for measuring HRQL. Gastroenterology Research and Practice, 2015.
  • 21. Tanaka A, Kikuchi, K, Miura, R. et al. Validation of the Japanese version of the Chronic Liver Disease Questionnaire for the assessment of health‐related quality of life in patients with chronic viral hepatitis. Hepatology Research. 2016; 46: 45-50.
  • 22. Younossi ZM, Stepanova M, Henry L. Performance and validation of Chronic Liver Disease Questionnaire-Hepatitis C Version (CLDQ-HCV) in clinical trials of patients with chronic hepatitis C. Value in Health, 2016; 19(5): 544-551.
  • 23. Chawla KS, Talwalkar JA, Keach JC, Malinchoc M, Lindor KD, Jorgensen R. Reliability and validity of the Chronic Liver Disease Questionnaire (CLDQ) in adults with non-alcoholic steatohepatitis (NASH). BMJ Open Gastroenterology. 2016; 3(1): e000069.
  • 24. International Test Commission (2017). The ITC Guidelines for Translating and Adapting Tests. International Test Commission, Hemel Hempstead, United Kingdom. www.InTestCom.org
  • 25. Tabachnick BG, Fidell LS. (2015). Using Multivariate Statistics. Çok değişkenli istatistiklerin kullanımı (Baloğlu, M., Çev.). Ankara: Nobel Yayın Dağıtım.
  • 26. Van Der Plas SM, Hansen BE, De Boer J.B. et al. The Liver Disease Symptom Index 2.0; validation of a disease-specific questionnaire. Quality of Life Research. 2004; 13(8): 1469-1481.
  • 27. Eraydin A, Akarsu M, Hakim GD, Keskinoğlu P, Ellidokuz H. The validity and reliability of “The liver disease symptom index 2.0” for Turkish society. Turk J Gastroenterol; 2014; 25: 531-538.
  • 28. Jiang C, Zou M, Chen M, Jiang Y, Chang P, Cui Y, Jiang L. Reliability and validity of the Mandarin version of the Continuity Assessment Record and Evaluation for older people who are transferred between hospitals and nursing homes in China. Health & Social Care in the Community. 2020; 28: 1180-1189.
  • 29. Sipahi B, Yurtkoru ES, Cinko M. (2008). Data Analysis with SPSS in Social Sciences. Beta Publishing Distribution, Istanbul.
  • 30. Kwo PY. Shortness of breath in the patient with chronic liver disease. Clinics in Liver Disease. 2012; 16(2): 321-329.
  • 31. Wittmer VL, Lima RT, Maia MC, Duarte H, Paro FM. Respiratory and symptomatic impact of ascites relief by paracentesis in patients with hepatic cirrhosis. Arquivos de gastroenterologia, (AHEAD). 2020.
  • 32. Baskale H, Turan T. Bedtime rituals and routines of turkish children and perceptions of their mothers. Journal of Turkish Sleep Medicine. 2017; 4: 22-29.
  • 33. Nurko S, Di Lorenzo,C. Functional abdominal pain: time to get together and move forward. Journal of Pediatric Gastroenterology and Nutrition. 2008; 47(5),: 679-680.
  • 34. Ozkok F, Sunnetcioglu A, Sunnetcioglu S, Karakas E. Turkish culinary culture in the socialization process. Journal of Travel and Hotel Management. 2017; 14(3):110-120.
  • 35. Turkish Cultural Foundation, 2020. Eating Habits of the Turks and Their Associated Behaviors. Retrieved from: http://www.turkish-cuisine.org/culinary-culture-202/eating-habits-of-the-turks-199.html?PagingIndex=5 Accessed:29.10.2020
There are 35 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Ferya Çelik 0000-0002-2473-192X

Hicran Bektaş 0000-0002-3356-3120

Publication Date May 31, 2023
Submission Date September 3, 2022
Published in Issue Year 2023 Volume: 7 Issue: 2

Cite

APA Çelik, F., & Bektaş, H. (2023). Psychometric Properties of the Chronic Liver Disease Questionnaire in Patients with Chronic Liver Disease. Journal of Basic and Clinical Health Sciences, 7(2), 671-683. https://doi.org/10.30621/jbachs.1170430
AMA Çelik F, Bektaş H. Psychometric Properties of the Chronic Liver Disease Questionnaire in Patients with Chronic Liver Disease. JBACHS. May 2023;7(2):671-683. doi:10.30621/jbachs.1170430
Chicago Çelik, Ferya, and Hicran Bektaş. “Psychometric Properties of the Chronic Liver Disease Questionnaire in Patients With Chronic Liver Disease”. Journal of Basic and Clinical Health Sciences 7, no. 2 (May 2023): 671-83. https://doi.org/10.30621/jbachs.1170430.
EndNote Çelik F, Bektaş H (May 1, 2023) Psychometric Properties of the Chronic Liver Disease Questionnaire in Patients with Chronic Liver Disease. Journal of Basic and Clinical Health Sciences 7 2 671–683.
IEEE F. Çelik and H. Bektaş, “Psychometric Properties of the Chronic Liver Disease Questionnaire in Patients with Chronic Liver Disease”, JBACHS, vol. 7, no. 2, pp. 671–683, 2023, doi: 10.30621/jbachs.1170430.
ISNAD Çelik, Ferya - Bektaş, Hicran. “Psychometric Properties of the Chronic Liver Disease Questionnaire in Patients With Chronic Liver Disease”. Journal of Basic and Clinical Health Sciences 7/2 (May 2023), 671-683. https://doi.org/10.30621/jbachs.1170430.
JAMA Çelik F, Bektaş H. Psychometric Properties of the Chronic Liver Disease Questionnaire in Patients with Chronic Liver Disease. JBACHS. 2023;7:671–683.
MLA Çelik, Ferya and Hicran Bektaş. “Psychometric Properties of the Chronic Liver Disease Questionnaire in Patients With Chronic Liver Disease”. Journal of Basic and Clinical Health Sciences, vol. 7, no. 2, 2023, pp. 671-83, doi:10.30621/jbachs.1170430.
Vancouver Çelik F, Bektaş H. Psychometric Properties of the Chronic Liver Disease Questionnaire in Patients with Chronic Liver Disease. JBACHS. 2023;7(2):671-83.