English

Bakiono Fidele,Robert Annie,Kirakoya Samadoulougou Fati,Antoine Niamba Pascal,Samadoulougou Sekou,Wendpouire Laurent Guiguimde Patrice,Ouedraogo Laurent

doi:10.5897/jahr2015.0339

Abstract

This study aims to examine psychometric properties of Moore version of World Health Organization's Quality of Life assessment short instrument in HIV patients (WHOQOL HIV-BREF). A study was conducted on 100 persons living with human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS) in Ouagadougou, Burkina Faso. The internal consistency was evaluated using Cronbach's α. For the convergent validity of the Moore version WHOQOL-HIV BREF, the satisfaction with life scale (SWLS) was used as a comparison instrument and cross-product correlations were calculated. The test-retest reliability was assessed using the interclass correlation coefficient. The study showed high internal consistency with Cronbach's α at 0.92 for the whole instrument. According to domains, Cronbach's α found ranged from 0.58 to 0.87, showing acceptable internal consistency for all domains. Domains scores for test-retest reliability, using interclass correlation gave coefficients ranged from 0.40 (spiritual domain) to 0.99 (level of independence domain) with p < 0.001 for all domains except for spirituality domain (p < 0.05). The study showed significant correlation between general facets and quality of life score (p < 0.001), as wheel as WHOQOL HIV-BREF and satisfaction with life scale (p < 0.01) except for spirituality domain. The instrument demonstrated good discriminative properties according to clinical stages of HIV infection with higher scores for asymptomatic HIV patients and lower scores at AIDS stage (p<0.001), except for spirituality domain (p > 0.05). As a demonstrated cross-cultural instrument, the WHOQOL HIV-BREF in its Moore version can be used for quality of life assessment in a routine way or longitudinal studies in Burkina Faso with persons living with HIV/AIDS.   Key words: Quality of life, WHOQOL HIV-BREF, Burkina Faso, moore, psychometrics.

Highlights

Human immunodeficiency virus infection (HIV) remains the pandemic for which Africa pays the heaviest price, with more than two-third of people living with HIV
In Burkina Faso, where the population is estimated at 17,812,961 inhabitants (CIA, 2013), the prevalence of HIV infection among the general population is estimated at 1.1% (INSD and ICF International, 2012), with wide variation across sub-groups
Comparing the WHOQOL-HIV BREF Moore to the satisfaction with life scale (SWLS-5 Moore), this study showed a significant positive correlation when considering the overall score or domain scores, except in spiritual domain

Summary

Introduction

Human immunodeficiency virus infection (HIV) remains the pandemic for which Africa pays the heaviest price, with more than two-third of people living with HIV. Starting treatment early increases the average life expectancy of people living with HIV, and reduces morbidity and mortality rate among infected persons (O'Connell and Skevington, 2012). This increase in the life expectancy has become a subject of tremendous interest, and underlines the need to assess the quality of life of people living with HIV (O'Connell and Skevington, 2012). Instruments are developed in a particular cultural context, usually the Western context, and translated from English to other languages. Some aspects of these instruments are adapted to Western context but cannot be transposed to other contexts

Objectives

Methods

Results

Conclusion