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Article

Construction and Validation of the 17-Item Stroke-Specific Quality of Life Scale (SS-QOL-17): A Comprehensive Short Scale to Assess the Functional, Psychosocial, and Therapeutic Factors of QOL among Stroke Survivors

by
Fouad Sakr
1,2,3,*,
Mariam Dabbous
3,
Marwan Akel
3,4,5,
Pascale Salameh
5,6,7,8,† and
Hassan Hosseini
1,2,9,†
1
École Doctorale Sciences de la Vie et de la Santé, Université Paris-Est Créteil, 94010 Créteil, France
2
UMR 955 INSERM, Institut Mondor de Recherche Biomédicale, Université Paris-Est Créteil, 94010 Créteil, France
3
School of Pharmacy, Lebanese International University, Beirut 1105, Lebanon
4
International Pharmaceutical Federation (FIP), 2517 The Hague, The Netherlands
5
INSPECT-LB: Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie-Liban, Beirut 1103, Lebanon
6
School of Medicine, Lebanese American University, Byblos 4504, Lebanon
7
Faculty of Public Health, Lebanese University, Beirut 1103, Lebanon
8
Department of Primary Care and Population Health, University of Nicosia Medical School, Nicosia 2408, Cyprus
9
Stroke Unit, Service de Neurologie, CHU Henri Mondor, 94010 Créteil, France
*
Author to whom correspondence should be addressed.
†
These authors are the last 2 co-authors.
Int. J. Environ. Res. Public Health 2022, 19(23), 15668; https://doi.org/10.3390/ijerph192315668
Submission received: 7 October 2022 / Revised: 17 November 2022 / Accepted: 23 November 2022 / Published: 25 November 2022
(This article belongs to the Special Issue Treatment and Rehabilitation after Stroke)
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Abstract

(1) Background: The exiting stroke-specific quality of life (SS-QOL) measure scales are limited by their excessive length, inconsistent validity, and restricted breadths of assessment. The objectives of this study were to construct and validate a comprehensive short SS-QOL scale to assess stroke-related outcomes and QOL and determine the socioeconomic, sociodemographic, and pharmacotherapeutic predictors of QOL among stroke survivors. (2) Methods: The novel 17-item SS-QOL scale (SS-QOL-17) was constructed with the aim of providing a well-balanced measuring tool to depict QOL widely while ensuring the simplicity of administration. (3) Results: The SS-QOL-17 structure was validated over a solution of three factors with a Kaiser–Meyer–Olkin measure of sampling adequacy = 0.894 and a significant Bartlett’s test of sphericity (p < 0.001). The Cronbach’s alpha of the SS-QOL-17 was 0.903. Better QOL was correlated to financial wellbeing (beta 0.093, p < 0.001), and medication adherence (beta 0.305, p = 0.004), whereas reduced QOL was correlated to older age (beta −0.117, p = 0.014), illiteracy (beta −6.428, p < 0.001), unemployment (beta −6.170, p < 0.001), and higher amount of prescribed medication (beta −1.148, p < 0.001). (4) Conclusions: The SS-QOL-17 is a valid and reliable tool with promising psychometric properties. It is useful in clinical practice and research settings to evaluate the post-stroke therapeutic and rehabilitation outcomes.
Keywords: stroke; quality of life; validated scale; stroke survivors; SS-QOL; stroke outcomes; short scale; comprehensive scale stroke; quality of life; validated scale; stroke survivors; SS-QOL; stroke outcomes; short scale; comprehensive scale

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MDPI and ACS Style

Sakr, F.; Dabbous, M.; Akel, M.; Salameh, P.; Hosseini, H. Construction and Validation of the 17-Item Stroke-Specific Quality of Life Scale (SS-QOL-17): A Comprehensive Short Scale to Assess the Functional, Psychosocial, and Therapeutic Factors of QOL among Stroke Survivors. Int. J. Environ. Res. Public Health 2022, 19, 15668. https://doi.org/10.3390/ijerph192315668

AMA Style

Sakr F, Dabbous M, Akel M, Salameh P, Hosseini H. Construction and Validation of the 17-Item Stroke-Specific Quality of Life Scale (SS-QOL-17): A Comprehensive Short Scale to Assess the Functional, Psychosocial, and Therapeutic Factors of QOL among Stroke Survivors. International Journal of Environmental Research and Public Health. 2022; 19(23):15668. https://doi.org/10.3390/ijerph192315668

Chicago/Turabian Style

Sakr, Fouad, Mariam Dabbous, Marwan Akel, Pascale Salameh, and Hassan Hosseini. 2022. "Construction and Validation of the 17-Item Stroke-Specific Quality of Life Scale (SS-QOL-17): A Comprehensive Short Scale to Assess the Functional, Psychosocial, and Therapeutic Factors of QOL among Stroke Survivors" International Journal of Environmental Research and Public Health 19, no. 23: 15668. https://doi.org/10.3390/ijerph192315668

APA Style

Sakr, F., Dabbous, M., Akel, M., Salameh, P., & Hosseini, H. (2022). Construction and Validation of the 17-Item Stroke-Specific Quality of Life Scale (SS-QOL-17): A Comprehensive Short Scale to Assess the Functional, Psychosocial, and Therapeutic Factors of QOL among Stroke Survivors. International Journal of Environmental Research and Public Health, 19(23), 15668. https://doi.org/10.3390/ijerph192315668

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