Validation of “Oral Mucositis Quality of Life (OMQoL)” instrument to Brazilian Portuguese

Authors

DOI:

https://doi.org/10.33448/rsd-v12i7.42444

Keywords:

Stomatitis; Quality of Life; Surveys and questionnaires; Validation study; Neoplasms.

Abstract

To cross-culturally adapt the Oral Mucositis Quality of Life (OMQoL) instrument to Brazilian Portuguese and assess its psychometric properties. The cross-cultural adaptation was performed in six steps. In one of them, the instrument was applied to 40 participants who indicated whether items were comprehensible, which helped elaborate the final version. In the validation phase, 102 participants were interviewed. The sample included patients undergoing oncologic treatment. The softwares R version 4.0.5 and the R Studio 1.4.1717 were used, and the initial database used Dplyr, Tidyr, Gplot2. To assess the psychometric properties, confirmatory factor analysis was performed. The dimensionality of the instrument was investigated using a network analysis approach. The wording of items in a couple of questions were revised after participants indicated a lack of clarity. The relationship between the degree of oral mucositis and the different hospital groups showed statistically significant differences (p<0.001). Confirmatory factor analysis resulted in good index scores (RMSEA=0.08; CFI=0.91; TFI=0.89; CD=0.99), which showed that the instrument had good properties. The OMQoL was translated, adapted and its Brazilian version adequately reflected the original instrument. The OMQoL is valid for the Brazilian population, as well as its short form proposed by this study.  

References

Aglarci, C., Baysal, A., Demirci, K., Dikmen, F., & Aglarci, A.V. (2016). Translation and validation of the Turkish version of the Psychosocial Impact of Dental Aesthetics Questionnaire. The Korean Journal of Orthodontics, 46(4):220-7. https://doi.org/10.4041/kjod.2016.46.4.220

Baek, J.J.H., Soares, G.H., da Rosa, G.C., Mialhe, F.L., Biazevic, M.G.H., & Michel-Crosato, E. (2021). Network analysis and psychometric properties of the Brazilian version of the eHealth Literacy Scale in a dental clinic setting. International Journal of Medic Informatics, 153:104532. https://doi.org/10.1016/j.ijmedinf.2021.104532.

Beaton, D.E., Bombardier, C., Guillemin, F., & Ferraz, M.B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. The Spine Journal, 25(24):3186-91. https://doi.org/10.1097/00007632-200012150-00014

Bezinelli, L.M., Eduardo, F.P., Ferreira, M.H., Gobbi, M., Lopes, R.M.G., Rosin, F.C.P., Vogel, C., Hamerschlak, N., & Corrêa, L. (2021). Salivary antioxidant enzymes associated with oral toxicity in haematopoietic cell transplantation: An observational study. European Journal of Clinical Investigation, 51(2):e13379. https://doi.org/10.1111/eci.13379

Bezinelli, L.M., Eduardo, F.P., Neves, V.D., Correa, L., Lopes, R.M., Michel-Crosato, E., et al. (2016). Quality of life related to oral mucositis of patients undergoing haematopoietic stem cell transplantation and receiving specialised oral care with low-level laser therapy: a prospective observational study. European Journal of Cancer Care, 25(4):668-74. https://doi.org/10.1111/ecc.12344

Calderon, C., Ferrando, P., Lorenzo-Seva, U., Ferreira, E., Lee, E., Oporto-Alonso, M., et al. (2022). Psychometric properties of the Spanish version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30). Quality of Life Research, 31:1859-1869. doi:https://doi.org/10.1007/s11136-021-03068-w

Cecilio, H. P. M., Oliveira, D. S., Apostolidis, T., Dany, L., & Oliveira, D. C. de. (2020). Time perspective, socioeconomical status and quality of life of people living with HIV. Research, Society and Development, 9(8), e148985451. https://doi.org/10.33448/rsd-v9i8.5451

Cheng, K.K., Leung, S.F., Liang, R.H., Tai, J.W., Yeung, R.M., & Thompson, D.R. (2010). Severe oral mucositis associated with cancer therapy: impact on oral functional status and quality of life. Supportive Care in Cancer, 18(11):1477-85. https://doi.org/10.1007/s00520-009-0771-7

Cheng, K.K., Leung, S.F., Thompson, D.R., Tai, J.W., Liang, R.H., Kan, A.S., et al. (2007). New measure of health-related quality of life for patients with oropharyngeal mucositis: development and preliminary psychometric evaluation. Cancer, 109(12):2590-9. https://doi.org/10.1002/cncr.22730

Cheng, K.K. (2007). Oral mucositis and quality of life of Hong Kong Chinese patients with cancer therapy. European Journal of Oncology Nursing, 11(1):36-42. doi:https://doi.org/10.1016/j.ejon.2006.03.004

Cruz, L. F. da, Raponi, M. B. G. ., Felix, M. M. dos S. ., Barichello, E. ., Pires, P. da S. ., & Barbosa, M. H. (2022). Adaptação transcultural para o idioma português brasileiro do Assessment of Safe Nursing Care Questionnaire. Research, Society and Development, 11(12), e543111234856. doi:https://doi.org/10.33448/rsd-v11i12.34856

Eichenbaum, A.E., Marcus, D.K., & French, B.F. (2019). Item Response Theory Analysis of the Psychopathic Personality Inventory-Revised. Assessment, 26(6):1046-1058. https://doi.org/10.1177/1073191117715729

Faria, S.O., Lima, G.A.S., Carvalho, A.L., Marta, G.N., Howel, D., & Eluf-Neto, J. (2022). Clinically significant changes in health-related quality of life in head and neck cancer patients following intensive nutritional care during radiotherapy. European Journal of Oncology Nursing, 56(2022). https://doi.org/10.1016/j.ejon.2021.102065

Ferreira, L. P. ., Santos, P. R. dos ., Tozzo, A. P. da S. ., Araujo, A. L. L. de ., Freitas , G. P. de ., Raignieri, J., et al. (2022). Avaliação da Qualidade de Vida em pacientes reabilitados do câncer de cabeça e pescoço: aplicação da Análise Fatorial Confirmatória para validação de constructo. Research, Society and Development, 11(14), e226111423367. https://doi.org/10.33448/rsd-v11i14.23367

Gondivkar, S.M., Bhowate, R.R., Gadbail, A.R., Gondivkar, R.S., Sarode, S.C., & Saode, G.S. (2019). Comparison of generic and condition-specific oral health-related quality of life instruments in patients with oral submucous fibrosis. Quality of Life Research, 28:2281-2288. https://doi.org/10.1007/s11136-019-02176-y

Guberti, M., Botti, S., Fusco, A., Cafarri, C., Couto, S., Savoldi, L., et al. (2022). Stem cell transplantation patients receiving a novel oral care protocol for oral mucositis prevention and treatment: patient-reported outcomes and quality of life. Supportive Care Cancer, 30:6317-6325. doi:https://doi.org/10.1007/s00520-022-07073-8

Haraldstad, K., Wahl, A., Andenaes, R., Andersen, J.R., Andersen, M.H., Beisland, E., et al. (2019). A systematic review of quality of life research in medicine and health sciences. Quality of Life Research, 28:2641-2650. https://doi.org/10.1007/s11136-019-02214-9

Hoofs, H., van de Schoot, R., Jansen, N.W.H., & Kant, I. (2018). Evaluating Model Fit in Bayesian Confirmatory Factor Analysis With Large Samples: Simulation Study Introducing the BRMSEA. Educational and Psychological Measurement, 78(4):537-568. https://doi.org/10.1177/0013164417709314

Leelataweewud, P., Jirarattanasopha, V., Ungchusak, C., & Vejvithee, W. (2021). Psychometric evaluation of the Thai version of the Early Childhood Oral Health Impact Scale (Th-ECOHIS): a cross sectional validation study. BMC Oral Health, 11;21(1):64. https://doi.org/10.1186/s12903-020-01332-y

Li, Y., & Baser, R. (2012). Using R and WinBUGS to fit a generalized partial credit model for developing and evaluating patient-reported outcomes assessments. Statistics in Medicine, 15;31(18):2010-26. https://doi.org/10.1002/sim.4475

Locker, D. (1997). Concepts of oral health, disease and the quality of life. In: Slade GD, editor. Measuring oral health and quality of life. North Carolina: Dental Ecology, p. 172

Oba, M.K., Innocentini, L.M.A.R., Viani, G., Ricz, H.M.A., Reis, T.C., Ferrari, T.C., et al. (2021). Evaluation of the correlation between side effects to oral mucosa, salivary glands, and general health status with quality of life during intensity-modulated radiotherapy for head and neck cancer. Supportive Care Cancer, 29:127–134. https://doi.org/10.1007/s00520-020-05454-5

Ondé, D., & Alvarado, J.M. (2020). Reconsidering the Conditions for Conducting Confirmatory Factor Analysis. The Spanish Journal of Psychology, 4;23:e55. https://doi.org/10.1017/SJP.2020.56

Paiva, C.E., Carneseca, E.C., Barroso, E.M., de Camargos, M.G., Alfano, A.C., Rugno, F.C., et al. (2014). Further evaluation of the EORTC QLQ-C30 psychometric properties in a large Brazilian cancer patient cohort as a function of their educational status. Supportive Care in Cancer, 22(8):2151-60. doi:https://doi.org/10.1007/s00520-014-2206-3.

Perazzo, M.F., Ortiz, F.R., Pérez-Díaz, P.A.,Tsakos, G., Zini, A., Büssing, A., et al. (2022). Brazilian version of Positive Oral Health and Well-Being: cross-cultural adaptation and psychometric analysis. Brazilian Oral Research, 36:e051. https://doi.org/10.1590/1807-3107bor-2022.vol36.0051

Pereira, N.F., Silva, P.V.R., Fukuoka, C.Y., Michel-Crosato, E., Gonçalves, A.S., Alves, F.A., et al. (2018). Measurement of oral health quality of life among patients who underwent haematopoietic stem-cell transplantation. Brazilian Oral Research, 32:e78. https://doi.org/10.1590/1807-3107BOR-2018.vol32.0078

Pilati, R., & Abbad, G. (2005). Confirmatory fator analysis of a scale for impact of training at work. Revista Piscologia Teoria e Pesquisa, 21(1):43-51. https://doi.org/10.1590/S0102-37722005000100007

Pimentel, R.P., Bittencourt, L.F., Miller, L.M., Borges, R.B., Oppermann, R.V., & Gomes, S.C. (2022). Self-reported questionnaire on periodontal condition validated for use in Brazil. Brazilian Oral Research, 36:e060. https://doi.org/10.1590/1807-3107bor-2022.vol36.0060

Seidl, E.M.F., & Zannon, C.M.L.d.C. (2004). Qualidade de vida e saúde: aspectos conceituais e metodológicos. Cadernos de Saúde Pública, 20:580-8. doi:https://doi.org/10.1590/S0102-311X2004000200027

Silva, M.A., Batista, A.U.D., Abreu, M.H.N.G., & Forte, F.S. (2018). Oral Health Impact Profile: Need and use of dental prostheses among Northeast Brazilian independent-living elderly. Ciência e Saúde Coletiva, 24(11). https://doi.org/10.1590/1413-812320182411.32472017

Skevington, S.M., Rowland, C., Panagioti, M., Bower, P., & Krägeloh, C. (2021). Enhancing the multi-dimensional assessment of quality of life: introducing the WHOQOL-Combi. Quality of Life Research, 30(3):891-903. https://doi.org/10.1007/s11136-020-02661-9

Villa, A., Vollemans, M., De Moraes, A., & Sonis, S. (2021). Concordance of the WHO, RTOG, and CTCAE v4.0 grading scales for the evaluation of oral mucositis associated with chemoradiation therapy for the treatment of oral and oropharyngeal cancers. Supportive Care Cancer, 29: 6061–6068. https://doi.org/10.1007/s00520-021-06177-x

WHO. (1979). Handbook for Reporting Results of Cancer Treatment. World Health Organization, Geneva, Switzerland. 1979. Offset publication no. 48. World Health Organization (WHO)

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Published

10/07/2023

How to Cite

ARAGÃO, A. S. .; FERREIRA, M. H. .; BEZINELLI, L. M. .; EDUARDO, F. de P. .; VIEIRA, J. P. .; MICHEL-CROSATO, E.; BIAZEVIC, M. G. H. . Validation of “Oral Mucositis Quality of Life (OMQoL)” instrument to Brazilian Portuguese. Research, Society and Development, [S. l.], v. 12, n. 7, p. e3612742444, 2023. DOI: 10.33448/rsd-v12i7.42444. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/42444. Acesso em: 27 apr. 2024.

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Health Sciences