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Validation of the Dermatology Life Quality Index among patients with podoconiosis in southern Ethiopia

Identifieur interne : 000592 ( PascalFrancis/Curation ); précédent : 000591; suivant : 000593

Validation of the Dermatology Life Quality Index among patients with podoconiosis in southern Ethiopia

Auteurs : L. Henok [Éthiopie] ; G. Davey [Éthiopie]

Source :

RBID : Pascal:08-0483870

Descripteurs français

English descriptors

Abstract

Background Podoconiosis is a geochemical elephantiasis common among subsistence farmers in Ethiopia. It is completely preventable but, untreated, leads to considerable physical disability, social stigma and economic disadvantage. Quality of life has to date not been assessed among patients with podoconiosis. Objectives We aimed to assess the feasibility, internal consistency and concurrent validity of an Amharic translation of the Cardiff Dermatology Life Quality Index (DLQI) among patients with podoconiosis in southern Ethiopia. Methods We performed a comparative cross-sectional study among 74 new patients and 74 patients treated for at least 3 months at outreach clinics of the Mossy Foot Treatment and Prevention Association, a nongovernment organization providing services for more than 30 000 patients annually in southern Ethiopia. Results The DLQI was quick and simple to use, taking on average 4 min to administer. It distinguished successfully between new and treated patients (median scores 13 vs. 3, P < 0-001). The inter-item correlation averaged 0-44, and Cronbach's alpha was 0.90, indicating high internal consistency. The mean DLQI score for all patients was 8-42, and the highest score was for item 2 (feeling self-conscious). The item with the highest score among new patients was item 1 (pain), while that among treated patients was item 4 (clothes choice). Conclusions The Amharic DLQI appears feasible, reliable and valid among patients with podoconiosis in southern Ethiopia. The DLQI will play an important role in assessing the physical and social interventions available locally and in guiding the roll-out of these interventions to much larger groups of patients throughout Ethiopia.
pA  
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A06       @2 4
A08 01  1  ENG  @1 Validation of the Dermatology Life Quality Index among patients with podoconiosis in southern Ethiopia
A11 01  1    @1 HENOK (L.)
A11 02  1    @1 DAVEY (G.)
A14 01      @1 School of Public Health, Addis Ababa University, PO Box 26905/1000 @2 Addis Ababa @3 ETH @Z 1 aut. @Z 2 aut.
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A43 01      @1 INIST @2 1043 @5 354000185623150170
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 14 ref.
A47 01  1    @0 08-0483870
A60       @1 P
A61       @0 A
A64 01  1    @0 British journal of dermatology : (1951)
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C01 01    ENG  @0 Background Podoconiosis is a geochemical elephantiasis common among subsistence farmers in Ethiopia. It is completely preventable but, untreated, leads to considerable physical disability, social stigma and economic disadvantage. Quality of life has to date not been assessed among patients with podoconiosis. Objectives We aimed to assess the feasibility, internal consistency and concurrent validity of an Amharic translation of the Cardiff Dermatology Life Quality Index (DLQI) among patients with podoconiosis in southern Ethiopia. Methods We performed a comparative cross-sectional study among 74 new patients and 74 patients treated for at least 3 months at outreach clinics of the Mossy Foot Treatment and Prevention Association, a nongovernment organization providing services for more than 30 000 patients annually in southern Ethiopia. Results The DLQI was quick and simple to use, taking on average 4 min to administer. It distinguished successfully between new and treated patients (median scores 13 vs. 3, P < 0-001). The inter-item correlation averaged 0-44, and Cronbach's alpha was 0.90, indicating high internal consistency. The mean DLQI score for all patients was 8-42, and the highest score was for item 2 (feeling self-conscious). The item with the highest score among new patients was item 1 (pain), while that among treated patients was item 4 (clothes choice). Conclusions The Amharic DLQI appears feasible, reliable and valid among patients with podoconiosis in southern Ethiopia. The DLQI will play an important role in assessing the physical and social interventions available locally and in guiding the roll-out of these interventions to much larger groups of patients throughout Ethiopia.
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C03 01  X  SPA  @0 Linfedema @5 01
C03 02  X  FRE  @0 Eléphantiasis @5 02
C03 02  X  ENG  @0 Elephantiasis @5 02
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C03 03  X  FRE  @0 Validation @5 09
C03 03  X  ENG  @0 Validation @5 09
C03 03  X  SPA  @0 Validación @5 09
C03 04  X  FRE  @0 Dermatologie @5 10
C03 04  X  ENG  @0 Dermatology @5 10
C03 04  X  SPA  @0 Dermatología @5 10
C03 05  X  FRE  @0 Qualité de vie @5 11
C03 05  X  ENG  @0 Quality of life @5 11
C03 05  X  SPA  @0 Calidad vida @5 11
C03 06  X  FRE  @0 Indice @5 12
C03 06  X  ENG  @0 Index @5 12
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C03 07  X  FRE  @0 Homme @5 13
C03 07  X  ENG  @0 Human @5 13
C03 07  X  SPA  @0 Hombre @5 13
C03 08  X  FRE  @0 Ethiopie @2 NG @5 14
C03 08  X  ENG  @0 Ethiopia @2 NG @5 14
C03 08  X  SPA  @0 Etiopia @2 NG @5 14
C03 09  X  FRE  @0 Fiabilité @5 15
C03 09  X  ENG  @0 Reliability @5 15
C03 09  X  SPA  @0 Fiabilidad @5 15
C03 10  X  FRE  @0 Validité @5 16
C03 10  X  ENG  @0 Validity @5 16
C03 10  X  SPA  @0 Validez @5 16
C03 11  X  FRE  @0 Podoconiose @4 CD @5 96
C03 11  X  ENG  @0 Podoconiosis @4 CD @5 96
C07 01  X  FRE  @0 Afrique @2 NG
C07 01  X  ENG  @0 Africa @2 NG
C07 01  X  SPA  @0 Africa @2 NG
C07 02  X  FRE  @0 Pathologie de l'appareil circulatoire @5 37
C07 02  X  ENG  @0 Cardiovascular disease @5 37
C07 02  X  SPA  @0 Aparato circulatorio patología @5 37
C07 03  X  FRE  @0 Pathologie des vaisseaux lymphatiques @5 38
C07 03  X  ENG  @0 Lymphatic vessel disease @5 38
C07 03  X  SPA  @0 Linfático patología @5 38
N21       @1 316
N44 01      @1 OTO
N82       @1 OTO

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Pascal:08-0483870

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<div type="abstract" xml:lang="en">Background Podoconiosis is a geochemical elephantiasis common among subsistence farmers in Ethiopia. It is completely preventable but, untreated, leads to considerable physical disability, social stigma and economic disadvantage. Quality of life has to date not been assessed among patients with podoconiosis. Objectives We aimed to assess the feasibility, internal consistency and concurrent validity of an Amharic translation of the Cardiff Dermatology Life Quality Index (DLQI) among patients with podoconiosis in southern Ethiopia. Methods We performed a comparative cross-sectional study among 74 new patients and 74 patients treated for at least 3 months at outreach clinics of the Mossy Foot Treatment and Prevention Association, a nongovernment organization providing services for more than 30 000 patients annually in southern Ethiopia. Results The DLQI was quick and simple to use, taking on average 4 min to administer. It distinguished successfully between new and treated patients (median scores 13 vs. 3, P < 0-001). The inter-item correlation averaged 0-44, and Cronbach's alpha was 0.90, indicating high internal consistency. The mean DLQI score for all patients was 8-42, and the highest score was for item 2 (feeling self-conscious). The item with the highest score among new patients was item 1 (pain), while that among treated patients was item 4 (clothes choice). Conclusions The Amharic DLQI appears feasible, reliable and valid among patients with podoconiosis in southern Ethiopia. The DLQI will play an important role in assessing the physical and social interventions available locally and in guiding the roll-out of these interventions to much larger groups of patients throughout Ethiopia.</div>
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