Cognitive testing of the WHOQOL-BREF Bangladesh tool in a northern rural Bangladeshi population with lymphatic filariasis

L Zeldenryk; S Gordon; Marion Gray; R Speare; W Melrose; M Hossain; Gary Williams

doi:10.1007/s11136-012-0333-1

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Cognitive testing of the WHOQOL-BREF Bangladesh tool in a northern rural Bangladeshi population with lymphatic filariasis

Journal article

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Cognitive testing of the WHOQOL-BREF Bangladesh tool in a northern rural Bangladeshi population with lymphatic filariasis

L Zeldenryk, S Gordon, Marion Gray, R Speare, W Melrose, M Hossain and Gary Williams

Quality of Life Research, Vol.22(8), pp.1917-1926

2013

DOI: https://doi.org/10.1007/s11136-012-0333-1

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Abstract

quality of life

instrument design

cultural adaptation

lymphatic filariasis

cognitive interview

Purpose: The purpose of this study was to test the cultural suitability of the WHOQOL-BREF Bangladesh for a rural village population in Bangladesh. Methods: Participants (n = 35) were purposefully stratified for age, gender, education level and location from the Nilphamari district in northern rural Bangladesh. Cognitive interviews were conducted via an emergent probing method to identify issues with language and constructs within the tool. Data were collected through note taking and recordings of interviews. A coding framework was used to identify key issues with questions, which were analysed using SPSS version 19 and Chi-square analysis using a Fisher's exact test to determine statistically significant variances within the sample. Results Twenty-two of the 26 questions in the tool were found to be problematic. The majority of problems with questions related to wording and conceptual difficulties. The majority of participants found the tool to be overly formal. Issues with translation appeared to affect the interpretation of a number of questions, and some concepts in the tool were found to be irrelevant in a village setting. There were statistically significant differences between those of different educational backgrounds and between genders. Conclusions The study found that the WHOQOL-BREF Bangladesh as it currently stands is not culturally or linguistically suitable for use within a rural northern Bangladeshi population.

Details

Title: Cognitive testing of the WHOQOL-BREF Bangladesh tool in a northern rural Bangladeshi population with lymphatic filariasis
Authors: L Zeldenryk (Author) - James Cook University
S Gordon (Author) - James Cook University
Marion Gray (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
R Speare (Author) - James Cook University
W Melrose (Author) - James Cook University
M Hossain (Author) - Institute of Allergy and Clinical Immunology of Bangladesh, Bangladesh
Gary Williams (Author) - James Cook University
Publication details: Quality of Life Research, Vol.22(8), pp.1917-1926
Publisher: Springer Netherlands
Date published: 2013
DOI: 10.1007/s11136-012-0333-1
ISSN: 0962-9343
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy
Language: English
Record Identifier: 99450223402621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Health Care Sciences & Services; Health Policy & Services; Public, Environmental & Occupational Health