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Palliative Medicine
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Validity of the McGill Quality of Life Questionnaire in the palliative care setting: a multi-centre Canadian study demonstrating the importance of the existential domain

S. Robin Cohen

Division of Palliative Care, Department of Oncology, McGill University

Balfour M Mount

Division of Palliative Care, and Eric M Flanders Chair in Palliative Medicine, Department of Oncology, McGill University, Montréal, Québec

Eduardo Bruera

Palliative Care Medicine, Department of Oncology, University of Alberta and Alberta Cancer Board Chair in Palliative Medicine

Marcel Provost

Chef, Service des soins palliatifs, Hôpital Nôtre Dame, Montréal, Québec

Jocelyn Rowe

Physician, St Clare's Mercy Hospital, St John's, Newfoundland

Kevin Tong

Palliative Care Service, Vancouver Hospital and Health Sciences Centre, Vancouver, British Columbia

This study was carried out in eight palliative care services in four Canadian cities. A revised version of The McGill Quality of Life Questionnaire (MQOL) is compared to a single-item scale measuring overall quality of life (SIS), and the self-administered version of the Spitzer Quality of Life Index (SA-QLI), to obtain evidence of validity. MQOL total score predicts SIS better than does SA-QLI, although much of the variance remains to be explained. The results of principal components analysis of data using this revised version of MQOL are similar to those from previous MQOL studies with different patient populations. The MQOL subscales, constructed on the basis of principal components analysis, demonstrate acceptable internal consistency reliability. The MQOL measures reflecting physical well-being and existential well-being are important for predicting SIS.

Key Words: quality of life • neoplasms • palliative care • spirituality (non- MeSH) • terminal care • psychosocial

Palliative Medicine, Vol. 11, No. 1, 3-20 (1997)
DOI: 10.1177/026921639701100102
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