The Brazilian version of the Health-Related Quality of Life Questionnaire for Nausea and Vomiting of Pregnancy

translation, cross-cultural adaptation and reliability – an observational cross-sectional study

Authors

Keywords:

Nausea, Rehabilitation, Surveys and questionnaires, Transcultural study, Vomiting

Abstract

BACKGROUND: The Health-Related Quality of Life Questionnaire for Nausea and Vomiting of Pregnancy (NVPQOL) is a validated questionnaire assessing quality of life among pregnant women with nausea and vomiting. OBJECTIVE: To translate, cross-culturally adapt and evaluate the reliability of the NVPQOL. DESIGN AND SETTING: Observational cross-sectional study developed in a public university in Brazil. METHODS: The translation, synthesis of translations, back-translation, expert committee, pre-testing and validation were carried out, resulting in a Portuguese-language version. The internal consistency, intra-rater and test-retest reliability and correlation between the total score of the Portuguese-language version of the NVPQOL and the domains of the World Health Organization Quality of Life-bref questionnaire were considered in the data analysis. RESULTS: The instrument went through the process with testing on 104 pregnant women. Strong internal consistency (Cronbach’s α: 0.95), strong intra-rater and test-retest reliability (P < 0.0; intraclass correlation coefficient: 0.89; confidence interval: 0.791-0.945) and strong correlation between the total score of the Portuguese-language version of the NVPQOL and the physical health domain of the World Health Organi- zation Quality of Life-bref questionnaire (P < 0.01; R = -0.8) were observed. CONCLUSION: The NVPQOL was translated, cross-culturally adapted and validated for the Portuguese language with satisfactory psychometric properties for assessing quality of life, especially in relation to physical health, among pregnant women with symptoms of nausea and vomiting in the first trimester of pregnancy.

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Author Biographies

Adriana Piccini, UroFisioterapia, Laboratory of the Postgraduate Program on Rehabilitation Sciences, Universidade Federal de Alfenas

MSc. Physiotherapist, Postgraduate Program on Rehabilitation Sciences, Motor Science Institute, Federal University of Alfenas (UNIFAL-MG), Alfenas (MG), Brazil.

Amanda Tulha, UroFisioterapia, Laboratory of the Postgraduate Program on Rehabilitation Sciences, Universidade Federal de Alfenas

BSPT. Physiotherapist, Physiotherapy Course, Motor Science Institute, Federal University of Alfenas (UNIFAL-MG), Alfenas (MG), Brazil.

Sílvia Lanziotti Azevedo da Silva, UroFisioterapia, Laboratory of the Postgraduate Program on Rehabilitation Sciences, Universidade Federal de Alfenas

PhD. Professor, Faculty of Medicine/Department of Collective Health, Federal University of Juiz de Fora (UFJF), Juiz de Fora (MG), Brazil; Professor, Postgraduate Program on Rehabilitation Sciences, Motor Science Institute, Federal University of Alfenas (UNIFAL-MG), Alfenas (MG), Brazil.

Luciana de Barros Cavalcanti Michelutti, UroFisioterapia, Laboratory of the Postgraduate Program on Rehabilitation Sciences, Universidade Federal de Alfenas

BSc. Professor, School of Medicine, Federal University of Alfenas (UNIFAL-MG), Alfenas (MG), Brazil; Master’s Student, Postgraduate Program on Rehabilitation Sciences, Motor Science Institute, Federal University of Alfenas (UNIFAL-MG), Alfenas (MG), Brazil.

Leonardo César Carvalho, UroFisioterapia, Laboratory of the Postgraduate Program on Rehabilitation Sciences, Universidade Federal de Alfenas

PhD. Physiotherapist and Professor, Postgraduate Program on Rehabilitation Sciences, Motor Science Institute, Federal University of Alfenas (UNIFAL-MG), Alfenas (MG), Brazil.

Simone Botelho, UroFisioterapia, Laboratory of the Postgraduate Program on Rehabilitation Sciences, Universidade Federal de Alfenas

PhD. Physiotherapist, Professor and Coordinator, Postgraduate Program on Rehabilitation Sciences Motor Science Institute, Federal University of Alfenas (UNIFAL-MG), Alfenas (MG), Brazil; Professor and Researcher, Postgraduate Program on Surgical Science, School of Medical Sciences, State University of Campinas (UNICAMP), Campinas (SP), Brazil.

References

Balaban CD, Yates BJ. What is nausea? A historical analysis of changing views. Auton Neurosci. 2017;202:5-17. PMID: 27450627; https://doi.org/10.1016/j.autneu.2016.07.003.

O’Brien B, Zhou Q. Variables related to nausea and vomiting during pregnancy. Birth. 1995;22(2):93-100. PMID: 7779229; https://doi.org/10.1111/j.1523-536X.1995.tb00566.x.

Tan A, Lowe S, Henry A. Nausea and vomiting of pregnancy: Effects on quality of life and day-to-day function. Aust N Z J Obstet Gynaecol. 2017;58(3):278-90. PMID: 28949009; https://doi.org/10.1111/ajo.12714.

Hizli D, Kamalak Z, Kosus A, Kosus N, Akkurt G. Hyperemesis gravidarum and depression in pregnancy: is there an association? J Psychosom Obstet Gynaecol. 2012;33(4):171-5. PMID: 22946891; https://doi.org/10.3109/0167482X.2012.717129.

Wood H, McKellar LV, Lightbody M. Nausea and vomiting in pregnancy: Blooming or bloomin’ awful? A review of the literature. Women Birth. 2013;26(2):100-4. PMID: 23200815; https://doi.org/10.1016/j.wombi.2012.10.001.

Bustos M, Venkataramanan R, Caritis S. Nausea and vomiting of pregnancy - What's new? Auton Neurosci. 2017;202:62-72. PMID: 27209471; https://doi.org/10.1016/j.autneu.2016.05.002.

Grooten IJ, Roseboom TJ, Painter R C. Barriers and Challenges in Hyperemesis Gravidarum Research. Nutr Metab Insights. 2016;8(Suppl 1):33-9. PMID: 26917969; https://doi.org/10.4137/NMI.S29523.

Heitmann K, Nordeng H, Havnen GC, Solheimsnes A, Holst L. The burden of nausea and vomiting during pregnancy: severe impacts on quality of life, daily life functioning and willingness to become pregnant again – results from a cross-sectional study. BMC Pregnancy Childbirth. 2017;17(1):75. PMID: 28241811; https://doi.org/10.1186/s12884-017-1249-0.

Lacasse A, Bérard A. Validation of the nausea and vomiting of pregnancy specific health related quality of life questionnaire. Health Qual Life Outcomes. 2008;6:32. PMID: 18471301; https://doi.org/10.1186/1477-7525-6-32.

Magee LA, Chandra K, Mazzotta P, et al. Development of a health-related quality of life instrument for nausea and vomiting of pregnancy. Am J Obstet Gynecol. 2002;186(5):S232-8. PMID: 12011892; https://doi.org/10.1067/mob.2002.122604.

Beaton DT, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of Cross Cultural adaptation of Self Report measures. Spine. 2000;25(24):3186-91. PMID: 11124735; https://doi.org/10.1097/00007632-200012150-00014.

Mokkink LB, Prinsen Donald CAC, Patrick L, et al. COSMIN Study Design checklist for patient-reported outcome measurement instruments. Available from: https://www.cosmin.nl/wp-content/uploads/COSMIN-study-designing-checklist_final.pdf Accessed in 2020 (Dec 9).

Terwee CB, Bot SD, Boer MR, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60(1):34-42. PMID: 17161752; https://doi.org/10.1016/j.jclinepi.2006.03.012.

Fleck MP, Louzada S, Xavier M, et al. Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida “WHOQOL-bref” [Application of the Portuguese version of the abbreviated instrument of quality life WHOQOL-bref]. Rev Saude Publica. 2000;34(2):178-83. PMID: 10881154; https://doi.org/10.1590/S0034-89102000000200012.

The WHOQOL Group. Development of the World Health Organization WHOQOL-bref. Quality of Life Assessment. Psychol Med. 1998;28:551-8. PMID: 9626712; https://doi.org/10.1017/s0033291798006667.

Portney LG, Watkins MP. Reliability of Measurements. In: Portney LG, Watkins MP, editors. Foundations of Clinical Research: Applications to Practice. Upper Saddle River: Prentice Hall; 2008. p. 77-96.

Jones JML, Feitosa ACR. Estudos de Validação de Instrumentos e Checklist COSMIN. In: Katia Nunes Sá; Cristiane Maria Carvalho Costa Dias, org. Metodologia científica aplicada à fisioterapia: incertezas, probabilidades e raras evidências. Salvador: Editora Sanar Ltda; 2018. p. 287-310.

McDowell I, Newell C. Measuring Health: A Guide to Rating Scales and Questionnaires. New York: Oxford University Press. 1996. https://doi.org/10.1093/acprof:oso/9780195165678.001.0001.

Lagadec N, Steinecker M, Kapassi A, et al. Factors influencing the quality of life of pregnant women: a systematic review. BMC Pregnancy Childbirth. 2018;18(1):455. PMID: 30470200; https://doi.org/10.1186/s12884-018-2087-4.

Mayhall E, Gray R, Lopes V, Matteson KA. Comparison of antiemetics for nausea and vomiting of pregnancy in the emergency department setting. Am J Emerg Med. 2015;33(7):882-6. PMID: 25921968; https://doi.org/10.1016/j.ajem.2015.03.032.

Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 189: Nausea And Vomiting Of Pregnancy. Obstet Gynecol. 2018;131(1):e15‐e30. PMID: 29266076; https://doi.org/10.1097/AOG.0000000000002456.

Rudd JA, Nalivaiko E, Matsuki N, Wan C, Andrews PLR. The involvement of TRPV1 in emesis and anti-emesis. Temperature. 2015;2(2):258-76. PMID: 27227028; https://doi.org/10.1080/23328940.2015.1043042.

Vazquez JC. Heartburn in pregnancy. BMJ Clin Evid. 2015:1411. PMID: 26348641.

Attard CL, Kohli MA, Coleman S, et al. The burden of illness of severe nausea and vomiting of pregnancy in the United States. Am J Obstet Gynecol. 2002;186(5 Suppl Understanding):S220-7. PMID: 12011890; https://doi.org/10.1067/mob.2002.122605.

Bai G, Korfage IJ, Groen EH, et al. Associations between Nausea, Vomiting, Fatigue and Health-Related Quality of Life of Women in Early Pregnancy: The Generation R Study. PLoS One. 2016;11(11):e0166133. PMID: 27814390; https://doi.org/10.1371/journal.pone.0166133.

World Health Organization. International Classification of Functioning, Disability and Health. Geneva: World Health Organization; 2001. Available from: https://apps.who.int/iris/bitstream/handle/10665/42407/9241545429.pdf Accessed in 2020 (Dec 9).

Chou FH, Kuo SH, Wang RH. A longitudinal study of nausea and vomiting, fatigue and perceived stress in, and social support for, pregnant women through the three trimesters. Kaohsiung J Med Sci. 2008;24(6):306-14. PMID: 18635416; https://doi.org/10.1016/S1607-551X(08)70157-8.

Fejzo MS, Trovik J, Grooten IJ, et al. Nausea and vomiting of pregnancy and hyperemesis gravidarum. Nat Rev Dis Primers. 2019;5(1):62. PMID: 31515515; https://doi.org/10.1038/s41572-019-0110-3.

Wickham RJ. Revisiting the physiology of nausea and vomiting − challenging the paradigm. Support Care Cancer. 2019;28(1):13-21. PMID: 31388745; https://doi.org/10.1007/s00520-019-05012-8.

Dean C, Bannigan K, Marsden J. Reviewing the effect of hyperemesis gravidarum on women's lives and mental health. British Journal of Midwifery. 2018;26(2):109-19. https://doi.org/10.12968/bjom.2018.26.2.109.

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Published

2021-04-11

How to Cite

1.
Piccini A, Tulha A, Silva SLA da, Michelutti L de BC, Carvalho LC, Botelho S. The Brazilian version of the Health-Related Quality of Life Questionnaire for Nausea and Vomiting of Pregnancy: translation, cross-cultural adaptation and reliability – an observational cross-sectional study. Sao Paulo Med J [Internet]. 2021 Apr. 11 [cited 2025 Mar. 9];139(2):147-55. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/405

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