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Psychometric Validation of a General Health Quality of Life Tool for Cats Used to Compare Healthy Cats and Cats with Chronic Kidney Disease.


ABSTRACT:

Background

Numerous validated psychometric tools are available to assess impact of disease on a human's quality of life (QoL). To date, no psychometrically validated general health-related QoL tool exists for cats.

Hypothesis/objectives

To develop and validate a tool for assessment of owner-perceived QoL in cats (CatQoL) and to use this tool to compare QoL between healthy cats and those with chronic kidney disease (CKD).

Animals/subjects

Total of 204 owners of young healthy cats (YH, n = 99; <9 years), older healthy cats (OH, n = 35), and cats diagnosed with CKD (CKD, n = 70) completed the CatQoL.

Methods

Discussions with a focus group and 2 pilot surveys informed design of 16 QoL questions grouped into 4 domains. Each item scored according to frequency and importance, and item-weighted-impact-scores were calculated. The validity of the tool was assessed using principal components analysis and Cronbach's ?. The average item-weighted-impact-score (AWIS) was compared among groups and domains.

Results

Sixteen-item CatQoL showed good internal consistency reliability (Cronbach's ?, 0.77) and unidimensionality with significant loadings (0.2-0.7) and communalities (>0.3). Young healthy cats had significantly higher AWIS (median [IQR], 1.25 [0.63, 1.88]) than OH (0.56 [-0.06, 1.00]) and CKD cats (-0.06 [-0.81, 0.88]), P < .001). CKD cats had significantly lower AWIS for eating domain (YH: 2.00 [1.00, 3.00]; OH: 2.00 [0.67, 3.00]; CKD : 1.00 [0.00, 2.67]) when compared with the YH group and OH group, and all groups differed significantly in their management domain (YH: -0.50 [-1.00, 0.00]; OH: -1.00 [-1.88, -0.50]; CKD : -1.50 [-2.50, -1.00], P < .001).

Conclusions and clinical importance

The CatQoL was validated for use in cats, and can be used as additional assessment parameter in clinical and research settings.

SUBMITTER: Bijsmans ES 

PROVIDER: S-EPMC4913638 | biostudies-literature | 2016 Jan-Feb

REPOSITORIES: biostudies-literature

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Psychometric Validation of a General Health Quality of Life Tool for Cats Used to Compare Healthy Cats and Cats with Chronic Kidney Disease.

Bijsmans E S ES   Jepson R E RE   Syme H M HM   Elliott J J   Niessen S J M SJ  

Journal of veterinary internal medicine 20151114 1


<h4>Background</h4>Numerous validated psychometric tools are available to assess impact of disease on a human's quality of life (QoL). To date, no psychometrically validated general health-related QoL tool exists for cats.<h4>Hypothesis/objectives</h4>To develop and validate a tool for assessment of owner-perceived QoL in cats (CatQoL) and to use this tool to compare QoL between healthy cats and those with chronic kidney disease (CKD).<h4>Animals/subjects</h4>Total of 204 owners of young healthy  ...[more]

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