4 months ago

WHOQOL-HIV (validação)

Table V. Correlations

Table V. Correlations between WHOQOL-HIV domains and general quality of Life facets. Physical Psychol. Level of Indep. Social Rel. Environ. Spirit. General QOL Physical 1.000 Psychological 0.708* 1.000 Level of Indep 0.704* 0.645* 1.000 Social Rel. 0.525* 0.735* 0.535* 1.000 Environment 0.532* 0.663* 0.491* 0.731* 1.000 Spirit. 0.576* 0.723* 0.458* 0.564* 0.533* 1.000 General QOL 0.619* 0.635* 0.528* 0.638* 0.692* 0.501* 1.000 Note: *pB0.01. Quality of life in HIV-positive Brazilians 929 Downloaded by [Tulane University] at 08:09 12 January 2015 Independence domains. It is feasible that increased presence of symptoms, which limits self-management, increases the quantity of necessary anti-retroviral drugs. Moreover, the need for an increased number of medications may create the feeling of dependency on drugs and have repercussions in self-esteem. Among the limitations of this study is the convenience sample. The sample is composed solely of people in treatment and complying to it, therefore hampering data generalization. Due to the crosssectional design, the findings point more towards an association rather than to cause and effect. Amid the researched clinical variables, CD4 was informed verbally by patients themselves, which decreases the trustworthiness of the information. An issue not investigated in this study is the one of sensibility to change in relation to treatment. The use of the WHOQOL-HIV module in studies that evaluate new treatment strategies for the infection would be a potential application of this new instrument not contemplated in the cross-sectional design of the present study. Nonetheless, due to its cross-cultural perspective and adequate psychometric characteristics, the WHOQOL-HIV seems an interesting alternative for future studies regarding quality of life in HIV patients. References Ciconelli, R.M. (1997) The Brazilian-portuguese version and validation of the ‘Medical Outcomes Study 36-item Short- Form Health Survey (SF-36)’. Thesis of Ph. D. Degree in Medicine . Universidade Federal de São Paulo Escola Paulista de Medicina. São Paulo/SP, Brazil. Critério de Classificação Econômica Brasil. (Brazil Economic Classification Criterium) CCEB.pdf (accessed: 1 March, 2000). Fleck, M.P.A., Leal, O.F., Louzada, S., Xavier, M., Chachamovich, E., Vieira, G., Santos, L., & Pinzon, V. (1999) Application of the Portuguese version of the instrument for the assessment of the quality of life of the World Health Organization (WHOQOL-100) Revista de Saúde Pública, 33 (2), pp. 198 205, 1999. Fleck, M.P.A., Leal, O.F., Louzada, S., Xavier, M., Chachamovich, E., Vieira, G., Santos, L., & Pinzon, V. (2000). Application of the Portuguese version of the abbreviated instrument of quality of life WHOQOL-bref. Revista de Saúde Pública, 34 (2), 17883. Fryback, P.B., & Reinert, B.R. (1999). Spirituality and people with potentially fatal diagnoses. Nursing forum, 34(1), 13 22. Holmes, W.C., & Shea, J.A. (1997). Performance on a new, HIV/ AIDS-targeted quality of life (HAT-QOL) instrument in asymptomatic seropositive individuals. Quality of Life Research, 6 , 56171. Kaplan, R.M., Patterson, T.L., Kerner, D.N., Atkinson, J.H., Heaton, R.K., Grant, I., & the HNRC Group. (1997) The Quality of Well Being Scale in asymptomatic HIV-infected patients. Quality of Life Research, 6 , pp. 50714. Kramer, I. (1998) A better life and death. AIDS Action, Jun-Aug (41), pp. 23. Lenderking, W.R., Testa, M.A., Katzenstein, D., & Hammer, S. (1997). Measuring quality of life in early HIV disease: the modular approach. Quality of Life Research, 6 , 51530. Leplège, A., Rude, N., Ecosse, E., Ceinos, R., Dohin, E., & Pouchot, J. (1997). Measuring quality of life from the point of view of HIV-positive subjetcts: the HIV-QL31. Quality of Life Research, 6 , 58594. McHorney, C.A., Ware, J.E., Lu, J.F.R., & Sherbourne, C.D. (1994). The MOS 36-item short-form health survey (SF-36): III. Tests of data quality, scaling assumptions and reliability across diverse patient groups. Medical Care, 32 ,4066. Mrus, J.M., Williams, P.L., Tsevat, J., Cohn, S.E., & Wu, A.W. (2005). Gender differences in health-related quality of life in patients with HIV/AIDS. Quality of Life Research, 14 (2), 479 91. O’Connell, K., Skevington, S., Saxena, S., & WHOQOL HIV Group. (2003). Preliminary development of the World Health Organization’s Quality of Life HIV instrument (WHOQOL- HIV): analysis of the pilot version. Social Science & Medicine, 57 (7), 125975. Saxena, S., O’Connell, K., & Underwood, L. (2002). A commentary: cross-cultural quality-of-life assessment at the end of life. Gerontologist. 42 Spec No, 3 ,815. Spilberger, C.D., Gorsuch, R.L., & Lushene, R.E. (1979) Inventário de Ansiedade Traço-Ansiedade (State-Trait Anxiety Inventory). Rio de Janeiro: Centro Editor de Psicologia Aplicada. Starace, F., Cafaro, L., Abrescia, N., Chirianni, A., Izzo, C., Rucci, P., & de Girolamo, G. (2002). Quality of life assessment in HIV-positive persons: application and validation of the WHOQOL-HIV, Italian version. AIDS Care, 14 (3), 40515. Tostes, M.A. (1998) Quality of life in women with HIV infection. Thesis of Ph. D. Degree in Medicine . Universidade Federal do Rio de Janeiro (UFRJ)-Instituto de Psiquiatria. Rio de Janeiro/ RJ, Brazil. Ware, J.E., Gandek, B., & the, IQOLA PROJECT GROUP. (1994). The SF-36 health survey: development and use in

Downloaded by [Tulane University] at 08:09 12 January 2015 930 R. R. Zimpel & M. P. Fleck mental health research and the IQOLA Project. International Journal of Mental Health, 23 ,4973. WHOQOL group (1994). The development of the World Health Organization quality of life assessment instrument (the WHO- QOL). In J. Orley, & W. Kuyken (Eds.), Quality of life assessment: international perspectives. Heidelberg: Springer-Verlag. WHOQOL GROUP (2001). Psychometric properties of the WHOQOL-HIV field test. Draft from May 21 st , 2001. The WHOQOL Group. World Health Organization (1994). Weekly Epidemiological Record, 69 , pp. 27380.

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