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Evaluation of Cross-sectional and Longitudinal Construct Validity of Two Vision-related Quality of Life Questionnaires: The LVQOL and VCM1

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Abstract

The Low Vision Quality of Life (LVQOL) questionnaire and the Vision-related Quality of Life Core Measure (VCM1) are two of the many vision-related quality of life (QOL) questionnaires that have been developed in recent years. Although psychometric properties of the LVQOL and VCM1 compare well with other vision-related QOL questionnaires, construct and longitudinal validity have not been assessed (adequately). The purpose of this study was to examine the cross-sectional and longitudinal construct validity of these questionnaires by testing specific pre-specified hypotheses about the relations of these questionnaires with other measures. The percentage of hypotheses regarding the cross-sectional construct validity that were refuted for the LVQOL was 22% for the basic aspects of vision subscale, 50% for the mobility subscale, 39% for the adjustment subscale and 17% for the reading and fine work subscale. For the VCM1 this percentage was 57%. For the longitudinal construct validity the percentage of hypotheses that were refuted ranged from 33 to 75% for the LVQOL subscales and was 50% for the VCM1. In conclusion, cross-sectional construct validity was satisfactory for the LVQOL subscales, but seemed poor for the VCM1. In addition, the longitudinal validity of these scales was poor to moderate.

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Abbreviations

CFA:

confirmatory factor analysis

CFI:

comparative fit index

CI:

confidence interval

GRQ:

global rating question

HAQ:

Health Assessment Questionnaire

HRQOL:

health-related quality of life

ICC:

intra-class correlation coefficient

IQ:

interquartile

SD:

standard deviation

LVQOL:

Low Vision Quality of Life questionnaire

QOL:

quality of life

VCM1:

Vision-related Quality of Life Core Measure

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de Boer, M.R., Terwee, C.B., de Vet, H.C.W. et al. Evaluation of Cross-sectional and Longitudinal Construct Validity of Two Vision-related Quality of Life Questionnaires: The LVQOL and VCM1. Qual Life Res 15, 233–248 (2006). https://doi.org/10.1007/s11136-005-1524-9

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