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Please use this identifier to cite or link to this item: http://hdl.handle.net/1993/4241

Title: Measurement invariance of health-related quality of life: a simulation study and numeric example
Authors: Sarkar, Joykrishna
Supervisor: Lix, Lisa (Community Health Sciences)
Examining Committee: Bruce, Sharon (Community Health Sciences) Wang, Liqun (Statistics)
Graduation Date: October 2010
Keywords: Measurement invariance
Health-related quality of life
Simulation study
Aboriginal
Non-Aboriginal
SF-36
Issue Date: 23-Sep-2010
Abstract: Measurement invariance (MI) is a prerequisite to conduct valid comparisons of Health-related quality of life (HRQOL) measures across distinct populations. This research investigated the performance of estimation methods for testing MI hypotheses in complex survey data using a simulation study, and demonstrates the application of these methods for a HRQOL measure. Four forms of MI were tested using confirmatory factory analysis. The simulation study showed that the maximum likelihood method for small sample size and low intraclass correlation (ICC) performed best, whereas the pseudomaximum likelihood with weights and clustering effects performed better for large sample sizes with high ICC to test configural invariance. Both methods performed similarly to test other forms of MI. In the numeric example, MI of one HRQOL measure in the Canadian Community Health Survey was investigated and established for Aboriginal and non-Aboriginal populations with chronic conditions, indicating that they had similar conceptualizations of quality of life.
URI: http://hdl.handle.net/1993/4241
Appears in Collection(s):FGS - Electronic Theses & Dissertations (Public)

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