Translation and Validation of the Health-Related Quality of Life in Stroke Patients - 26 (HRQoLISP-26) Scale into Filipino for Filipino Adult Stroke Patients
Shanelle Katrina N. Tan, Portia Margarita D. Simsuangco, Fatima Mae S. Singson, Joselle T. Sinson, Celina Therese R. Solomon, Arnold Christopher P. Soriano, Stephen Lorenzo P. Sulay, Mikhael Thaddeus S. Supe, Rafael Alfonso S. Syfu, Althea Jannary C. Talens, Ian Cedric D. Tan, Jan Tyrone Cabrera, Wennielyn F. Fajilan, Elenita Mendoza, John Dale Trogo
Apr 2026 DOI 10.35460/2546-1621.2025-0112 Access
Abstract
Introduction: Stroke is one of the top five leading causes of disability in the Philippines. It has a significant impact on the quality of life (QoL) of patients, particularly in the functional and psycho-emotional aspects. Thus, it is important to understand the health-related quality of life in stroke patients (HRQoLISP), which focuses on the clinical impact of the disease and disability. The assessment of a stroke patient’s QoL is prognostically significant as it can predict a patient’s treatment success and survival.
Objective: This study aims to translate the HRQoLISP-26 into Filipino and assess its content validity for Filipino adult stroke patients.
Methodology: The HRQoLISP-26 was translated into Filipino using a forward translation protocol and an expert analyzed the forward translation. Selected expert committee members reviewed the first version to assess for content validity and the questionnaire was modified accordingly. The content validity index (CVI) was used for content validity.
Results: Majority of the revisions made were done to improve the semantic and grammatical accuracy of items in the Filipino version of the HRQoLISP-26. Only a few items had no revisions implemented. No revisions were done in the final version of the translated questionnaire as each item had a CVI of 1 indicating that it has good content validity.
Conclusion: The Filipino translated HRQoLISP-26 questionnaire is a validated questionnaire that allows assessment of a stroke survivor’s QoL.
Key Words: Stroke, Health-related quality of life, Translation, Filipino, Content validity
- World Health Organization. Rehabilitation. 2024. Available from: https://www.who.int/news-room/fact-sheets/detail/rehabilitation
- Lanas F, Seron P. Facing the stroke burden worldwide. Lancet Glob Health [Internet]. 2021;9(3):e235–6. Available from: http://dx.doi.org/10.1016/S2214-109X(20)30520-9
- Philippine Statistics Authority. Causes of Deaths in the Philippines (Preliminary): January to December 2020. Available from: https://psa.gov.ph/content/causes-deaths-philippines-preliminary-january-december-2020
- Collantes MV, Zuñiga YH, Granada CN, Uezono DR, De Castillo LC, Enriquez CG, et al. Current state of stroke care in the Philippines. Front Neurol [Internet]. 2021;12:665086. Available from: http://dx.doi.org/10.3389/fneur.2021.665086
- McCurley JL, Funes CJ, Zale EL, Lin A, Jacobo M, Jacobs JM, et al. Preventing chronic emotional distress in stroke survivors and their informal caregivers. Neurocrit Care [Internet]. 2019;30(3):581–9. Available from: http://dx.doi.org/10.1007/s12028-018-0641-6
- Haraldstad K, Wahl A, Andenæs R, Andersen JR, Andersen MH, Beisland E, et al. A systematic review of quality of life research in medicine and health sciences. Qual Life Res [Internet]. 2019;28(10):2641–50. Available from: http://dx.doi.org/10.1007/s11136-019-02214-9
- Centers for Disease Control and Prevention. HRQOL Concepts. 2018. Available from: https://www.cdc.gov/hrqol/concept.htm
- Owolabi MO. Impact of stroke on health-related quality of life in diverse cultures: the Berlin-Ibadan multicenter international study. Health Qual Life Outcomes [Internet]. 2011;9(1):81. Available from: http://dx.doi.org/10.1186/1477-7525-9-81
- Ojagbemi A, Owolabi M, Akinyemi J, Ovbiagele B. Proposing a new stroke-specific screening tool for depression: Examination of construct validity and reliability. eNeurologicalSci [Internet]. 2017;9:14–8. Available from: http://dx.doi.org/10.1016/j.ensci.2017.10.002
- Mojica J, Jerez-Cortez C. Functional outcome of stroke in the young patients undergoing rehabilitation at the Philippine General Hospital. Acta Med Philipp. 2010;44(2):28–31.
- Abarico J, Cruz ND, Pason NM, Inocentes RR, Magallanes RA. Quality of Life Among Post-Stroke Out-patients in Four DLSHSI-affiliated Hospitals in the Province of Cavite. 2011. Available from: https://greenprints.dlshsi.edu.ph/bspt/85/
- Shi J, Mo X, Sun Z. Content validity index in scale development. Zhong Nan Da Xue Xue Bao Yi Xue Ban [Internet]. 2012;37(2):152–5. Available from: http://dx.doi.org/10.3969/j.issn.1672-7347.2012.02.007
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