ArticleF1000Research2025
Validation of the Thai version of the World Health Organization's Quality of Life Scale (WHOQOL-BREF-THAI) among Thai nursing students in northeast Thailand: A multi-centre study.
Article in F1000Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Quality of life and influencing factors among older adults in the end of COVID-19 era: A cross-sectional study.Journal of public health research · 2025Article
- Validation of the Thai version of the World Health Organization's Quality of Life Scale (WHOQOL-BREF-THAI) among Thai nursing students in northeast Thailand: A multi-centre study.F1000Research · 2025Article
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5 authors.
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Abstract
Background: The Thai version of the World Health Organization Quality of Life Scale (WHOQOL-BREF-THAI) has been verified among a variety of populations. However, there is a lack of existing research on its comprehensive psychometric properties, specifically when used with nursing students. This study aimed to assess the psychometric properties (construct validity, internal consistency, and convergent validity) of the WHOQOL-BREF- THAI among nursing students in northeastern Thailand. Methods: In this methodology study, Thai nursing students were recruited using multi-stage simple random sampling from universities located in the northeast of Thailand. The data was collected via self-assessment questionnaires, and the 3,570 participants were then randomly split into two subsamples. After reducing the number of items using statistical methods, construct validity was identified by performing exploratory factor analysis (EFA) (n = 2,000), confirmatory factor analysis (CFA) (n = 1,570), and convergent validity using average variance extracted (AVE). For scale reliability, the internal consistency and stability were performed using Cronbach's Alpha Coefficient and composite reliability (CR). Results: Principal component analysis on a random subsample supported a four-factor model with 24 items, originally suggested for factorial construct validity; these 24 items were distributed across the original four domain with a cumulative variance of 75.6%. CFA of the model revealed satisfactory indices of fitness (Chi-square/degree of freedom (CMIN/DF) = 113; root mean square error of approximation = 0.05; goodness of fit index = 0.97; and Tucker-Levis index = 0.91). The internal consistency was highly satisfactory (Cronbach's alpha was greater than 0.70) for both the total scale and ksubscales, and the CR values of the four domains, ranging from 0.76 to 0.95, indicated evidence of acceptable reliability. In terms of convergent validity, AVE revealed that all WHOQOL-BREF-THAI subscales achieved convergence, with AVE values ranging from 0.50 to 0.69. Conclusion: These results reveal that the WHOQOL-BREF-THAI is a valid and reliable tool which health care providers can utilize to measure QOL among Thai nursing students. Therefore, the WHOQOL-BREF can serve as an essential tool for researching the factors influencing nursing students' QOL, with implications for nursing education.
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