An international quality of life instrument to assess wellbeing in adults who are HIV-Positive: a short form of the WHOQOL-HIV (31 items)

Kathryn Anne O’Connell, Suzanne Skevington

Research output: Contribution to journalArticle

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Abstract

Few cross-cultural measures are available to assess quality of life (QoL) in HIV/AIDS. A short form of the WHOQOL-HIV—the WHOQOL-HIV BREF—was developed and tested. Survey data from 1,923 HIV-positive adults (selected for age, gender and disease stage) were collected in 8 culturally diverse centres. The ‘best’ HIV-specific item was extracted from five HIV facets of the WHOQOL-HIV long form using information about item correlations with QoL, health and domains, item discriminant validity and centre problems. The five identified items were then integrated with the WHOQOL-BREF to complete the 31 item WHOQOL-HIV BREF. This short form shows good internal consistency reliability and discriminant validity for ‘known’ disease stages. Confirmatory Factor Analysis showed an overall good fit for a six domains model (Comparative Fit Index = 0.97), supporting scoring. Quality of life in different cultures is reported. A value of the WHOQOL-HIV short form is in monitoring QoL in multi-national clinical trials, and in clinical practice.
Original languageEnglish
Pages (from-to)452-460
Number of pages9
JournalAIDS and Behavior
Volume16
Issue number2
DOIs
Publication statusPublished - Feb 2012

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