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Assessing quality of life in severe obesity: development and psychometric properties of the ORWELL-R

dc.contributor.authorCamolas, José
dc.contributor.authorFerreira, André
dc.contributor.authorMannucci, Edoardo
dc.contributor.authorMascarenhas, Mário
dc.contributor.authorCarvalho, Manuel
dc.contributor.authorMoreira, Pedro
dc.contributor.authorCarmo, Isabel do
dc.contributor.authorSantos, Osvaldo
dc.date.accessioned2017-05-30T11:15:59Z
dc.date.available2017-05-30T11:15:59Z
dc.date.issued2016-06
dc.descriptionThe final publication is available at Springer via http://dx.doi.org/10.1007/s40519-015-0222-zpt_PT
dc.description.abstractPURPOSE: Several health-related quality-of-life (HRQoL) dimensions are affected by obesity. Our goal was to characterize the psychometric properties of the ORWELL-R, a new obesity-related quality-of-life instrument for assessing the "individual experience of overweightness". METHODS: This psychometric assessment included two different samples: one multicenter clinical sample, used for assessing internal consistency, construct validity and temporal reliability; and a community sample (collected through a cross-sectional mailing survey design), used for additional construct validity assessment and model fit confirmation. RESULTS: Overall, 946 persons participated (188 from the clinical sample; 758 from community sample). An alpha coefficient of 0.925 (clinical sample) and 0.934 (community sample) was found. Three subscales were identified (53.2 % of variance): Body environment experience (alpha = 0.875), Illness perception and distress (alpha = 0.864), Physical symptoms (alpha = 0.674). Adequate test-retest reliability has been confirmed (ICC: 0.78 for the overall score). ORWELL-R scores were worse in the clinical sample. Worst HRQoL, as measured by higher ORWELL-R scores, was associated with BMI increases. ORWELL-R scores were associated with IWQOL-Lite and lower scores in happiness. CONCLUSIONS: ORWELL-R shows good internal consistency and adequate test-retest reliability. Good construct validity was also observed (for convergent and discriminant validity) and confirmed through confirmatory factor analysis (in both clinical and community samples). Presented data sustain ORWELL-R as a reliable and useful instrument to assess obesity-related QoL, in both research and clinical contexts.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCamolas, J., Ferreira, A., Mannucci, E. et al. Eat Weight Disord (2016) 21: 277. doi:10.1007/s40519-015-0222-zpt_PT
dc.identifier.doi10.1007/s40519-015-0222-zpt_PT
dc.identifier.issn1124-4909
dc.identifier.issn1590-1262
dc.identifier.urihttp://hdl.handle.net/10400.26/18432
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.relation.publisherversionhttps://link.springer.com/article/10.1007%2Fs40519-015-0222-zpt_PT
dc.subjectHealth-related quality of lifept_PT
dc.subjectORWELL-Rpt_PT
dc.subjectObesitypt_PT
dc.subjectValidationpt_PT
dc.titleAssessing quality of life in severe obesity: development and psychometric properties of the ORWELL-Rpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage288pt_PT
oaire.citation.startPage277pt_PT
oaire.citation.titleEating and Weight Disorders - Studies on Anorexia, Bulimia and Obesitypt_PT
oaire.citation.volume21(2)pt_PT
rcaap.embargofctPolítica de copyright do editorpt_PT
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT

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