The Serbian version of the Brunnsviken brief quality of life scale: reliability, validity, and psychometric features among the population of high school students

  • Milica Pantić University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia
  • Nemanja Rančić University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
  • Danijela Djoković University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia
  • Goran Mihajlović University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia
Keywords: Quality of life, serbia, students, surveys and questionnaires

Abstract


Background/Aim. Measuring the quality of life (QoL) is vital in daily clinical practice because it shows significant information in addition to symptoms. There are a large number of scales for assessing the QoL. The Brunnsviken Brief Quality of Life scale (BBQ) measures importance-adjusted satisfaction across six life areas. A validation study of the BBQ scale showed good questionnaire features (high concurrent and convergent validity, internal and test-retest reliability, and sensitivity to change). Therefore, the BBQ scale is excellent for use in psychiatric patients to measure outcomes, as well as for everyday screening. Methods. This prospective cross-sectional study was performed among the final-year students in five high schools in Kragujevac, Serbia. Students completed the BBQ questionnaire. Statistical analysis was performed using a standard statistical method for scale validation and standardization. Results. Our study showed that the BBQ scale had high internal consistency (Cronbach’s alpha = 0.687). That result showed that the scale had good reliability in our study. The average BBQ score was 69.63 ± 16.70 (male: 69.66 ± 18.46; female: 69.83 ± 15.78, p = 0.944). Conclusion. The Serbian version of BBQ satisfies all the criteria of successful validation. Therefore, this scale can be helpful in assessing the QoL in the healthy youth population in Serbia.

References

1. Lindner P, Frykheden O, Forsström D, Andersson E, Ljótsson B, Hedman E, et al. The Brunnsviken Brief Quality of Life Scale (BBQ): Development and Psychometric Evaluation. Cogn Be-hav Ther 2016; 45(3): 182‒95.

2. Gill TM, Feinstein AR. A critical appraisal of the quality of qual-ity-of-life measurements. JAMA 1994; 272(8): 619‒26.

3. Liu BC. Quality of life indicators in U.S. metropolitan areas: A statistical analysis. New York, NY: Praeger Publishers; 1976.

4. Landesman S, Jaccard J, Gunderson V. The family environment: The combined influence of family behaviour, goals, strategies, resources and individual experiences. In: Lewis M, Feinman S, editors. Social influences and socialization in infancy. New York, NY: Plenum; 1991. p. 63‒96.

5. Berzon RA, Donnelly MA, Simpson RL Jr, Simeon GP, Tilson HH. Quality of life bibliography and indexes: 1994 update. Qual Life Res 1995; 4(6): 547‒69.

6. EuroQol Group. EuroQol - a new facility for the measurement of health-related quality of life. Health Policy 1990; 16(3): 199‒208.

7. Hays RD, Sherbourne CD, Mazel RM. The RAND 36-Item Health Survey 1.0. Health Econ 1993; 2(3): 217‒27.

8. Sheehan DV, Harnett-Sheehan K, Raj BA. The measurement of disability. Int Clin Psychopharmacol 1996; 11(Suppl 3): 89‒95.

9. Pequeno NPF, Cabral NLA, Marchioni DM, Lima SCVC, Lyra CO. Quality of life assessment instruments for adults: a sys-tematic review of population-based studies. Health Qual Life Outcomes 2020; 18(1): 208.

10. Neil AL, Carr VJ, Mackinnon A, Foley DL, Morgan VA. Health-Related Quality of Life in People Living with Psychotic Illness and Factors Associated with Its Variation. Value Health 2018; 21(8): 1002‒9.

11. Marques LP, Schneider IJ, d'Orsi E. Quality of life and its associa-tion with work, the Internet, participation in groups and physi-cal activity among the elderly from the EpiFloripa survey, Flo-rianópolis, Santa Catarina State, Brazil. Cad Saude Publica 2016; 32(12): e00143615.

12. Stewart ST, Woodward RM, Rosen AB, Cutler DM. The impact of symptoms and impairments on overall health in US national health data. Med Care 2008; 46(9): 954‒62.

13. Chen X, Gelaye B, Williams MA. Sleep characteristics and health-related quality of life among a national sample of Amer-ican young adults: assessment of possible health disparities. Qual Life Res 2014; 23(2): 613‒25.

14. Campolina AG, Pinheiro MM, Ciconelli RM, Ferraz MB. Quality of life among the Brazilian adult population using the generic SF-8 questionnaire. Cad Saude Publica 2011; 27(6): 1121‒31.

15. Lima MG, Barros MB, César CL, Goldbaum M, Carandina L, Ciconelli RM. Health related quality of life among the elderly: a population-based study using SF-36 survey. Cad Saude Publica 2009; 25(10): 2159‒67.

16. Brunnsviken Brief Quality of life scale (BBQ). Available from: http://bbqscale.com

17. Stolić D, Jović J, Bukumirić Z, Rančić N, Stolić M, Ignjatović-Ristić D. The Serbian version of the geriatric depression scale: Reliabil-ity, validity and psychometric features among the depressed and non-depressed elderly. Engrami 2015; 37(4): 51‒64.

18. Sikka P, Pesonen H, Revonsuo A. Peace of mind and anxiety in the waking state are related to the affective content of dreams. Sci Rep 2018; 8(1): 12762.

19. Skevington SM, Tucker C. Designing response scales for cross-cultural use in health care: data from the development of the UK WHOQOL. Br J Med Psychol 1999; 72(Pt 1): 51‒61.

20. Ilić I, Šipetić S, Grujičić J, Mačužić IŽ, Kocić S, Ilić M. Psychomet-ric Properties of the World Health Organization's Quality of Life (WHOQOL-BREF) Questionnaire in Medical Students. Medicina (Kaunas) 2019; 55(12): 772.

21. Joković S, Pavlović J, Hadživuković N, Djević R, Vilotić S. Assess-ment and indicators of quality of life. Biomedicinka istraživan-ja 2017; 8(1): 90‒4.

22. Hyland ME. A brief guide to the selection of quality of life in-strument. Health Qual Life Outcomes. 2003; 1: 24.

23. Silqueira SMF. O questionário genérico SR-36 como instru-mento de mensuração da qualidade de vida relacionada a saúde de pacientes hipertensos [tese]. Ribeirão Preto: Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo; 2005. p. 117.

24. Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Intern Med 1993; 118(8): 622‒9.

25. Souza JG, Costa Oliveira BE, Martins AM. Contextual and indi-vidual determinants of oral health-related quality of life in old-er Brazilians. Qual Life Res 2017; 26(5): 1295‒302.

26. Gallegos-Carrillo K, Mudgal J, Sánchez-García S, Wagner FA, Gallo JJ, Salmerón J, et al. Social networks and health-related quality of life: a population based study among older adults. Salud Publica Mex 2009; 51(1): 6‒13.

27. Tran HM, Mahdi AM, Sivasubramaniam S, Gudlavalleti MV, Gilbert CE, Shah SP, et al. Nigeria National Blindness and Visual Impairment Study Group. Quality of life and visual function in Nigeria: findings from the National Survey of Blindness and Visual Impairment. Br J Ophthalmol 2011; 95(12): 1646‒51.

28. Chen H, Cohen P, Kasen S, Gordan K, Dufur R, Smailes E. Con-struction and validation of a quality of life instrument for young adults. Qual Life Res 2004; 13(4): 747‒59.

29. Lance CE, Butts MM, Michels LC. The sources of four com-monly reported cutoff criteria: What did they really say? Organ Res Methods 2006; 9: 202‒20.

30. Briggs SR, Cheek JM. The role of factor analysis in the devel-opment and evaluation of personality scales. J Pers 1986; 54: 106-48.

31. Andersson E, Hedman E, Wadström O, Boberg J, Andersson EY, Axelsson E, et al. Internet-Based Extinction Therapy for Wor-ry: A Randomized Controlled Trial. Behav Ther 2017; 48(3): 391‒402.

32. Andersson E, Ljótsson B, Hedman-Lagerlöf M, Nygren L, Persson M, Rosengren K, et al. Targeting excessive worry with internet-based extinction therapy: a randomised controlled trial with mediation analysis and economical evaluation. Psychol Med 2020; 51(12): 1‒11.

33. Bellman H. Boost and Balance: Boosting life quality and balancing stress with five minutes’ daily yoga, mindfulness and positive psy-chology. [thesis]. Lund, Sweden: Lund University, The Depart-ment of Psychology, The Clinical Psychologist Program; 2017.

34. Rozental A, Kottorp A, Forsström D, Månsson K, Boettcher J, Anders-son G, et al. The Negative Effects Questionnaire: psychometric properties of an instrument for assessing negative effects in psychological treatments. Behav Cogn Psychother 2019; 47(5): 559‒72.

35. Kharshiing KD, Kashyap D, Gupta K, Khursheed M, Shahnawaz MG, Khan NH, et al. Quality of Life in the COVID-19 Pandemic in

India: Exploring the Role of Individual and Group Variables. Community Ment Health J. 2021; 57(1):70-8.

36. Johles L, Gustafsson H, Jansson-Fröjmark M, Classon C, Hasselqvist J, Lundgren T. Psychological Flexibility Among Competitive Athletes: A Psychometric Investigation of a New Scale. Front Sports Act Living 2020; 2: 110.

37. Sugara GS, Rakhmat C, Nurihsan J, Ilfiandra. Factorial Structure and Psychometric Properties of the Quality of Life Inventory in an Indonesian College Sample. Mediterran J Clin Psychol 2020; 8(3): 1‒16.

38. Mörtberg E, Jansson Fröjmark M. Psychometric Evaluation of the Social Phobia Inventory and the Mini-Social Phobia Inventory in a Swedish University Student Sample. Psychol Rep 2019; 122(1): 323‒9.

Published
2023/04/30
Section
Original Paper