Validation of the WHOQOL-BREF among women following childbirth

Webster, Joan, Nicholas, Catherine, Velacott, Catherine, Cridland, Noelle, & Fawcett, Lisa (2010) Validation of the WHOQOL-BREF among women following childbirth. The Australian & New Zealand Journal of Obstetrics & Gynaecology, 50(2), pp. 132-137.

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Background: There is an increasing interest in measuring quality of life (QOL) in clinical settings and in clinical trials. None of the commonly used QOL instrument have been validated for use postnatally. Aim: To assess the psychometric properties of the 26-item WHOQOL-BREF among women following childbirth. Methods: Using a prospective cohort design we recruited 320 women within the first few days of childbirth. At six weeks postpartum, participants were asked to complete the WHOQOL-BREF, the Edinburgh Postnatal Depression Index and the Australian Unity Wellbeing Index. Validation of the WHOQOL-BREF included an analysis of internal consistency, discriminate validity, convergent validity and an examination of the domain structure. Results: 221 (69.1%) women returned their six-week questionnaire. All domains of the WHOQOL-BREF met reliability standards (alpha coefficient exceeding 0.70). The questionnaire discriminated well between known groups (depressed and non-depressed women. P = <0.000) and demonstrated satisfactory correlations with the Australian Unity Wellbeing index (r = >0.45). The domain structure of the WHOQOL-BREF was also valid in this population of new mothers, with moderate to high correlation between individual items and the domain structure to which the items were originally assigned. Conclusion: The WHOQOL-BRF is well-accepted and valid instrument in this population and may be used in postnatal clinical settings or for assessing intervention effects in research studies.

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ID Code: 34279
Item Type: Journal Article
Refereed: Yes
Additional Information: The definitive version is available at
Keywords: Quality of life, validation studies, childbirth, postpartum period, depression, postpartum
DOI: 10.1111/j.1479-828X.2009.01131.x
ISSN: 0004-8666
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2010 The Authors.
Deposited On: 31 Aug 2010 00:38
Last Modified: 29 Feb 2012 14:16

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