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ORIGINAL ARTICLE
Year : 2019  |  Volume : 36  |  Issue : 3  |  Page : 338-347

Evaluation of psychometric properties of the Uterine Fibroids Symptoms and Health-related Quality of Life (UFSQOL) questionnaire: The translated Bengali version


1 Department of Homoeopathic Materia Medica, National Institute of Homoeopathy, Block GE, Sector III, Salt Lake, Kolkata, West Bengal, India
2 Department of Organon of Medicine and Homoeopathic Philosophy, National Institute of Homoeopathy, Block GE, Sector III, Salt Lake, Kolkata, West Bengal, India
3 Department of Case Taking and Repertory, National Institute of Homoeopathy, Block GE, Sector III, Salt Lake, Kolkata, West Bengal, India
4 Department of Obstetrics and Gynaecology, National Institute of Homoeopathy, Block GE, Sector III, Salt Lake, Kolkata, West Bengal, India
5 Department of Organon of Medicine and Homoeopathic Philosophy, The Calcutta Homoeopathic Medical College and Hospital, 265, 266, Acharya Prafulla Chandra Road, Kolkata, West Bengal, India
6 Department of Obstetrics and Gynaecology, Mahesh Bhattacharyya Homoeopathic Medical College and Hospital, Drainage Canal Road, Doomurjola, Howrah, West Bengal, India
7 Department of Obstetrics and Gynaecology, The Calcutta Homoeopathic Medical College and Hospital, 265, 266, Acharya Prafulla Chandra Road, Kolkata, West Bengal, India
8 Champsara, Baidyabati, Hooghly, West Bengal, India
9 93/2/1, Shibpur Road, Howrah, West Bengal, India

Correspondence Address:
Jasleen Luthra
Postgraduate Trainee, Dept. of Homoeopathic Materia Medica, National Institute of Homoeopathy, Block GE, Sector III, Salt Lake, Kolkata - 700 106, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/TJOG.TJOG_37_19

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Background: The Uterine Fibroids Symptom and Health-related Quality of Life (UFSQOL) is a validated questionnaire assessing symptom severity and Health-Related Quality of Life (HRQL) in patients with uterine fibroids. The English version contains 37 items measuring 7 components—symptom severity, concern, activities, energy/mood, control, self-consciousness, and sexual function. To date, no validated Bengali version of the questionnaire is available. We aimed to translate the UFSQOL into Bengali and validate the same. Methods: The UFSQOL-Bengali version (UFSQOL-B) was produced by standardized forward-backward translations. A cross-sectional, multi-center, observational study was conducted to gather responses by convenience sampling. Reliability was tested using internal consistency and test-retest reliability analyses, while construct validity by exploratory factor analysis (EFA; n = 120) using principal component analysis (PCA; varimax rotation). Subsequently, confirmatory factor analysis (CFA; n = 120) was performed to verify the a priori scales by the goodness-of-fit model. Results: Both the internal consistency (Cronbach's α) and the intra-class correlation (ICC) coefficient were 0.92. All the items loaded above the pre-specified value of 0.4. The factor analyses using varimax identified 10 components (activities, energy and control, concern about clothing, mood, sexual function, self-consciousness, associated symptoms, heavy bleeding, cycle disturbance, and concern about flooding); explaining 70.2% of the variation. The Kaiser-Meyer-Olkin (KMO) was 0.801 and Bartlett's test of sphericity was P < 0.001. The goodness-of-fit of CFA model was mediocre. Therefore, the final version consisted of 37 items, framed within 10 components. Conclusion: The UFSQOL-B was a valid and reliable questionnaire but measured different dimensions from the English version.


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