Turkish Translation and Cross-Cultural Validity of WHOQOL-HIV Bref Tool


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Abstract

Background:The assessment of health-related quality of life among people living with HIV (PLWH) has gained increasing importance as it assesses their overall well-being, guides treatment decisions, and addresses psychosocial challenges, improving their quality of life. This study focuses on adapting and validating the Turkish version of the WHOQOL-HIV Bref, a tool developed by the World Health Organization (WHO) to measure health-related quality of life in PLWH. This adaptation is based on the generic WHOQOL-Bref Turkish and WHOQOL-HIV Bref inventory.

Methods:In line with WHO guidelines, the tool was translated and tested on 189 PLWH from İstanbul Şişli Hamidiye Etfal Training and Research Hospital's HIV outpatient clinic. A variety of statistical methods were employed to assess content, construct, concurrent, and known-group validity, as well as internal consistency and reliability.

Results:Participants' median age was 35 years (IQR: 14), with 178(94%) being male. The Turkish WHOQOL-HIV Bref showed overall satisfactory psychometric properties. Despite limitations in the spirituality domain, it demonstrated good internal consistency (alpha coefficient: 0.93) and strong validity across several metrics, including test-retest reliability (ICC: 0.79).

Conclusion:The WHOQOL-HIV BREF in Turkish is a reliable and valid instrument for assessing the quality of life in Turkish PLWH.

About the authors

Okan Derin

Epidemiology Doctorate Program, Graduate School of Health Sciences, Istanbul Medipol University

Author for correspondence.
Email: info@benthamscience.net

Ahsen Öncül

Infectious Diseases and Clinical Microbiology Department, İstanbul Şişli Hamidiye Etfal Training and Research Hospital

Email: info@benthamscience.net

Hakkı Türkkan

Infectious Diseases and Clinical Microbiology Department, İstanbul Şişli Hamidiye Etfal Training and Research Hospital

Email: info@benthamscience.net

Nazife Demirbaş

Infectious Diseases and Clinical Microbiology Department, İstanbul Şişli Hamidiye Etfal Training and Research Hospital

Email: info@benthamscience.net

Özlem Gül

Infectious Diseases and Clinical Microbiology Department, İstanbul Şişli Hamidiye Etfal Training and Research Hospital

Email: info@benthamscience.net

Hüsrev Diktaş

Infectious Diseases and Clinical Microbiology Department, İstanbul Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Türkiye, İstanbul Şişli Hamidiye Etfal Training and Research Hospital,

Email: info@benthamscience.net

Dilek Sevgi

Infectious Diseases and Clinical Microbiology, İstanbul Şişli Hamidiye Etfal Training and Research Hospital

Email: info@benthamscience.net

Osman Hayran

Epidemiology Doctorate Program, Graduate School of Health Sciences, Istanbul Medipol University

Email: info@benthamscience.net

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