Quality of Life Assessment in patients rehabilitated from head and neck cancer: application of Confirmatory Factor Analysis for construct validation

Authors

DOI:

https://doi.org/10.33448/rsd-v11i14.23367

Keywords:

Head and neck neoplasms; Quality of life; Oncology; Prostheses and implants.

Abstract

Objective: To apply the Confirmatory Factor Analysis (CFA) technique in a quality of life instrument (WHOQOL-bref), validated for the Portuguese language of Brazil, in patients with maxillofacial prosthesis. Method: exploratory study with retrospective collection of 193 patients with maxillofacial prosthesis seen at Fundação Oncocentro de São Paulo, SP, from 2016 to 2019. Demographic data (gender, age over 18 years, federative unit and date of birth) were included to characterize the sample. lifestyle (alcohol and tobacco consumption) and clinics. Medical records with more than 70% of the variables without information were excluded. The WHOQOL-bref instrument was filled in after indicating the prosthesis. Cronbach's alpha was applied to assess internal consistency and Confirmatory Factor Analysis for construct validity. Results: the instrument showed excellent internal consistency regarding its overall score (alpha = 0.82). For Confirmatory Factor Analysis, the parameters showed the feasibility of the analysis (higher = 0.50). Conclusion: the analysis showed that the WHOQOL-bref instrument can be applied to assess quality of life in patients with maxillofacial prosthesis. The use of this instrument allows the comparison of quality of life between different pathologies, as well as evaluation and monitoring of therapeutic processes.

Author Biographies

Léslie Piccolotto Ferreira, Pontifícia Universidade Católica de São Paulo

Graduated in Speech Therapy from the Pontifical Catholic University of São Paulo (1971), Master in Applied Linguistics to Language Teaching from the Pontifical Catholic University of São Paulo (1981) and Ph.D. in Human Communication Disorders (Speech Therapy) from the Federal University of São Paulo ( nineteen ninety). She is currently a professor at the Department of Theories and Methods of Speech Therapy and Physiotherapy at the Pontifical Catholic University of São Paulo. In the Voice, Communication, Health and Art Research Line, he teaches and guides research on professional voice, especially those related to the teacher's voice. This production helped in the discussions for the recognition of Work-Related Voice Disorder (DVRT). He was president of the Regional Council of Speech Therapy (1989-92), and of the Brazilian Society of Speech Therapy (2002-3). He was Vice President of the Brazilian Society of Speech Therapy - 2017-2019. She is currently scientific editor of the Revista Distúrbios da Comunicação and Coordinator of the Voice Laboratory (LaborVox) at the Pontifical Catholic University of São Paulo. He works as a reviewer or member of the Editorial Board of CEFAC, CoDAS, Audiology Communication Research, and Saúde em Revista journals.

Patrícia Rocha dos Santos, Pontifícia Universidade Católica de São Paulo

He holds a master's degree in Speech Therapy from the Pontifical Catholic University of São Paulo (2018). She is currently a speech therapist at the Municipality of Mauá, a doctoral student in Human Communication and Health at PUCSP and junior editor of the magazine Disturbios da Comunicação. He has experience in the field of Speech Therapy, with an emphasis on Public Health and Home Care, working mainly on the following topics: Speech Therapy, Public Health, Affects, Language and Home Care.

Ana Paula da Silva Tozzo, Pontifícia Universidade Católica de São Paulo

Graduated in Speech-Language Pathology from the University of the Sacred Heart (1989). Specialization in Family Health with a Multiprofessional Approach from the Pontifical Catholic University of Paraná (2012). Master's Degree in Speech Therapy from the Pontifical Catholic University of São Paulo (2017). Doctorate in Speech Therapy at the Pontifical Catholic University of São Paulo (in progress). Clinical experience in Educational Speech Therapy, in Communication Rehabilitation, in Communicative Improvement with emphasis on optimizing performance in Professional Voice.

Andre Luiz Lopes de Araujo, Pontifícia Universidade Católica de São Paulo

Graduated in Music Degree from the Catholic University of Salvador (2002). Master's student in Speech Therapy, in the Voz Cantada research line at PUC-SP. Doctorate in Human Communication and Health.

Giséli Pereira de Freitas , Pontifícia Universidade Católica de São Paulo

Graduated in Speech Therapy from the Federal University of Santa Maria (2008), Master's in Human Communication Disorders at the same institution, Specialization in Higher Education Didactics at Nilton Lins University and is pursuing a Ph.D. in Communication Disorders at PUC-SP with a CAPES scholarship. for four years as a professor at IES in undergraduate courses in Speech-Language Pathology and post-graduate courses in related areas.

Jéssica Raignieri, Pontifícia Universidade Católica de São Paulo

Graduated in Arts - Degree in Portuguese at ULBRA - (2010). Graduated in Speech Therapy at the University Center of Várzea Grande UNIVAG-MT (2015). Has a Post - Graduation in Audiology at CEFAC - SP (2017). He has a Master's Degree in Clinical Speech Therapy from PUC-SP (2018). Doctoral student in Clinical Speech Therapy at PUC - SP starting in (2019). He has experience in Speech Therapy in the field of Diagnosis in Child Hearing and Child Language. Specializing in Behavior Analysis (ABA).

Marcella Ferrari Martins, Pontifícia Universidade Católica de São Paulo

Graduated in Speech Therapy from the Pontifical Catholic University of São Paulo(2012). Improvement in speech therapy at the Sorocaba Association of Hearing Impaired Parents. Master in Speech-Language Pathology with the research line of hearing in children at the Pontifical Catholic University of São Paulo (2016). Doctoral student in Speech Therapy in the research line of hearing in children at the Pontifical Catholic University of São Paulo. He has experience in the field of speech therapy with emphasis in audiology, working mainly in the following areas: cochlear implant (device programming) and child and adult assessment, audiometry, imitanciometry, otoacoustic emissions and brainstem auditory evoked potential.

Rosy Neves da Silva, Pontifícia Universidade Católica de São Paulo

Graduated in Speech-Language Pathology from the Pontifical Catholic University of Campinas (2014) and a Master's Degree in Speech-Language Pathology from the Pontifical Catholic University of São Paulo (2017). He is currently a researcher at the Pontifical Catholic University of São Paulo.

Paulo Iakowski Cirillo , Fundação Oncocentro de São Paulo

Oncocentro de São Paulo Foundation - Deputy Director of Rehabilitation, São Paulo, SP, Brazil.

Stela Verzinhasse Peres, Fundação Oncocentro de São Paulo

Oncocentro Foundation of São Paulo – Deputy Directorate of Epidemiology and Information System. São Paulo, SP, Brazil.

References

Almeida-Brasil, C. C., Silveira, M. R., Silva, K. R., Lima, M. G., Faria, C. D. C. d. M., Cardoso, C. L., Menzel, H.-J. K., & Ceccato, M. d. G. B. (2017). Qualidade de vida e características associadas: aplicação do WHOQOL-BREF no contexto da Atenção Primária à Saúde. Ciência & Saúde Coletiva, 22(5), 1705–1716. https://doi.org/10.1590/1413-81232017225.20362015.

Areias, M. E., Pinto, C. I., Vieira, P. F., Castro, M., Freitas, I., Sarmento, S., Matos, S., Viana, V., & Areias, J. C. (2014) Living with CHD: quality of life (QOL) in early adult life. Cardiol Young. 24(Supl. 2):60-65. 54. Oliveira SE, Von Honendorff J, Müller JL, Bandeira DR,

Azevedo, I. F. M. (2016). Qualidade de vida, imagem corporal e autoestima de pacientes com sequelas bucomaxilofacias candidatos à reabilitação protética 98f. Dissertação (Mestrado em Psicologia) - Centro de Ciências Humanas, Letras e Artes, Universidade Federal do Rio Grande do Norte, Natal,

Barbosa Filho V. C., Moreira, N. B., Oliveira, V., Mazzardo, O., & Campos, W. (2013). Condições de saúde e variáveis sociodemográficas associadas à qualidade de vida em idosas de um programa de atividade física de Curitiba, Paraná, Sul do Brasil. Cad Saude Publica 29(5):955-969

Barros, A. P. B., Arakawa, l., Tonini, M. D., & Carvalho, V. A. (2000). Fonoaudiologia em cancerologia. Fundação Oncocentro de São Paulo. Brasil, Instituto Nacional do Câncer (Brasil). Tipos de câncer. [Brasília, DF]: Instituto Nacional do Câncer, 2020. Disponível em: www.inca.gov.br

Dogar I. A, Haider N, Ahmad M, Naseem S, & Bajwa A. (2012) Comparison of quality of life among cardiac, hepatic, cancer, and dermatological patients. J Pak Med Assoc; 62(3):232-235.

Fleck M. P. A, Leal O. F, Louzada S., Xavier M., Chachamovich E., & Vieira G. (1999). Desenvolvimento da versão em português do instrumento de avaliação de qualidade de vida da OMS (WHOQOL-100). Rev. Bras. Psiquiatr., 21(1):19-28.

Fleck M. P. A., Louzada S., Xavier M., Chachamovich E., Vieira G., Santos L., et al. (2000). Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vi. da "WHOQOL-bref". Rev. Saúde Pública. 34(2): 178-183. https://doi.org/10.1590/S0034-89102000000200012.

Gholami, A. et al. (2013). Aplicação do WHOQOL-BREF na mensuração da qualidade de vida em profissionais de saúde. Revista internacional de medicina preventiva, 4(7), 809.

Ha N. T, Duy H. T, Le N. H, Khanal V, & Moorin R. (2014). Quality of life among people living with hypertension in a rural Vietnam community. BMC Public Health; 14:833.

Hasson-Ohayon I, Tuval-Mashiach R, Goldzweig G, Levi R, Pizem N, & Kaufman B (2016). The need for friendships and information: Dimensions of social support and posttraumatic growth among women with breast cancer. Palliat Support Care, 14(4):387-92.

International Agency for Research on Cancer - IARC. Taxas estimadas de incidência padronizadas por idade (mundial) em 2020, em todo o mundo, ambos os sexos, todas idades. Cancer Today, Globocan - GCO, 2020. Acesso em: 05 SEt 2022

Koller S. H, Fleck M. P, & Trentini C. M. Associations between self-perceived quality of life and socio-demographic, psychosocial, and health variables in a group of elderly. Cad Saude Publica 2013; 29(7):1437-1448. 55. Vagetti GC,

Krus D. J, & Helmstadter G. C (1993). The problem of negative reliabilities. Educational and Psychological Measurement. v. 53, p. 643-650.

Landis J. R, & Koch G. G (1977) The measurement of observer agreement for categorical data. Biometrics. 33:159-74

Liao L. J, Hsu W. L, Lo W. C, Cheng P. W, Shueng P. W, & Hsieh C. H (2019). Health-related quality of life and utility in head and neck cancer survivors. BMC Cancer, 19(1):425.

Lin C. Y, Hwang J. S, Wang W. C, Lai W. W, Su W. C, Wu T. Y, Yao G, & Wang J. D (2019). Psychometric evaluation of the WHOQOL-BREF, Taiwan version, across five kinds of Taiwanese cancer survivors: Rasch analysis and confirmatory factor analysis. Journal of the Formosan Medical Association. 118(1):215-22

Mansano-Schlosser T. C, & Ceolim M. F (2012). Quality of life of cancer patients during the chemotherapy period. Texto & Contexto-Enfermagem. 21:600-7.

Melo C. F, Filho J. E. V., Teófilo M. B., Costa I. M., Ramos C. M. O., & Filho R. A. F. (2018). Resiliência e qualidade de vida: um estudo correlacional em jovens e adolescentes, Adolesc. Saude; 15(3): 7-14.

Monteiro G. T. R, & Hora H. R. M (2013). Pesquisa em Saúde Pública: como desenvolver e validar instrumentos de coleta de dados. Appris.

Nicolson P, & Anderson P. The patient’s burden: physical and psychological effects of acute exacerbations of chronic bronchitis. J Antimicrob Chemother 2000; 45:25-32.

Orem, D. E. (2001). Nursing Concepts of Practice. Hardcover.

Orley J, & Kuyken W (1994). WHOQOL Group. The development of the World Health Organization quality of life assessment instrument (the WHOQOL). (Eds.). Quality of life assessment: international perspectives. Heidelberg: Springer, 41-60.

Pereira E. F, Teixeira C. S, Santos A. (2012). Qualidade de vida: abordagens, conceitos e avaliação, Bras. educ. fís. esporte, 26(2):241-250.

Ribeiro, K. B, & Obregón, M. F. Q. (2018). A Valorização Da Aparência Física no Brasil e a Discriminação Estética na Relação de Emprego como Óbice ao Trabalho Decente Previsto Pela Organização Internacional Do Trabalho.

Rodrigues A. B, Cunha G. H, Aquino C. B. Q, Rocha S. R, Mendes C. R. S., & Firmeza M. A (2018). Head and neck cancer: validation of a data collection instrument. Bras Enferm, 71(4):1899-906.

Rodrigues, M. J. (2018). Qualidade de Vida e Associação do WHOQOL-Bref com o perfil dos idosos. Universidade Federal de Mato Grosso Campus Universitário do Araguaia.

Seidl E. M. F, & Zannon C. M. L. C (2004). Qualidade de vida e saúde: aspectos conceituais e metodológicos. Saúde Pública, 20(2)580-588.

Sharma, S. (1996). Applied multivariate techiniques. Willey.

Silveira, A., Gonçalves, J., Sequeira, T., Ribeiro, C., Lopes, C., Monteiro, E., & Pimentel, F. L. (2011). Avaliação da qualidade de vida em doentes com patologia oncológica da cabeça e pescoço modelo de validação da versão electrónica Portuguesa do EORTC-QLQ C30 e EORTC-H&N35. Acta Medica Portuguesa, 24(SUPPL. 2), 347-354.

Skevington, S. M., & Epton, T. (2018). How will the sustainable development goals deliver changes in well-being? A systematic review and meta-analysis to investigate whether WHOQOL-BREF scores respond to change. BMJ Global Health, 3(Suppl 1), Artigo e000609. https://doi.org/10.1136/bmjgh-2017-000609

Soares I, Silva A, Chariglione I, Formiga N, & Melo G. F. (2019). Escala de qualidade de vida (EQV): evidências psicométricas de medida em adultos. Psicologia, Saúde & Doenças, 20(2), 328-347 http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S1645- 00862019000200005&lng=pt&nrm=iso&tlng=pt

Vartanian J. G, Carvalho A. L, Yueh B, Furia C L, Toyota J, McDowell J. A, Weymuller E. A Jr, & Kowalski L. P. (2006). Brazilian-Portuguese validation of the University of Washington Quality of Life Questionnaire for patients with head and neck cancer. Head Neck, 28(12):1115-21. 10.1002/hed.20464. PMID: 16823873.

Ware J, & Sherbourne C, (1992). The MOS 36-Item Short-Form Health Survey (SF-36). I. Conceptual Framework and Item Selection. Medical Care, 30;473-483.

Zandonai A. P, Cardozo F. M. C., Nieto I. N. G., & Sawada N. O. (2010). Qualidade de vida nos pacientes oncológicos: revisão integrativa da literatura latino-americana. Eletr. Enferm, 12(3):554-61.

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Published

07/11/2022

How to Cite

FERREIRA, L. P. .; SANTOS, P. R. dos .; TOZZO, A. P. da S. .; ARAUJO, A. L. L. de .; FREITAS , G. P. de .; RAIGNIERI, J.; MARTINS, M. F. .; SILVA, R. N. da .; CIRILLO , P. I. .; PERES, S. V. . Quality of Life Assessment in patients rehabilitated from head and neck cancer: application of Confirmatory Factor Analysis for construct validation. Research, Society and Development, [S. l.], v. 11, n. 14, p. e226111423367, 2022. DOI: 10.33448/rsd-v11i14.23367. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/23367. Acesso em: 12 nov. 2024.

Issue

Vol. 11 No. 14

Section

Health Sciences

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Copyright (c) 2022 Léslie Piccolotto Ferreira; Patrícia Rocha dos Santos; Ana Paula da Silva Tozzo; Andre Luiz Lopes de Araujo; Giséli Pereira de Freitas ; Jéssica Raignieri; Marcella Ferrari Martins; Rosy Neves da Silva; Paulo Iakowski Cirillo ; Stela Verzinhasse Peres

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