PMID- 35346222 OWN - NLM STAT- MEDLINE DCOM- 20220330 LR - 20220401 IS - 1477-7525 (Electronic) IS - 1477-7525 (Linking) VI - 20 IP - 1 DP - 2022 Mar 28 TI - Development and validation of the health-related quality of life instrument for Chinese infertile couples: a mixed-methods study protocol. PG - 54 LID - 10.1186/s12955-022-01957-3 [doi] LID - 54 AB - BACKGROUND: Infertility and its treatment have negative impacts on a couple's marital relationship, sexual life, psychological state and interpersonal relationships, causing personal distress. Health-related quality of life (HRQoL) has become an important component of health outcomes. HRQoL instruments developed in western culture are not always appropriate for use in China due to cultural differences. Probably due to the unique concept of fertility in China, infertility patients can be looked down upon and the family may feel shameful. This study aims to develop a HRQoL instrument for infertile couples based on the Chinese social and cultural setting. METHODS: Complementary mixed methods will be used to develop a new HRQoL instrument for Chinese infertile couples. The study consists of four stages: the first stage will involve a systematic review and qualitative interviews to construct draft candidate items. In the second stage, quantitative research [e.g., exploratory factor analysis (EFA), item response theory (IRT)] and cognitive interviews will be used for item selection. The third stage will be instrument validation, in which classical test theory (CTT) and IRT will be applied. In the final stage, the minimal clinically important difference (MCID) will be calculated by using distribution-based methods and anchor-based methods (e.g., logistic regression, receiver operating characteristic curve). DISCUSSION: The new HRQoL instrument for Chinese infertile couples will be developed, which will provide a standard and effective HRQoL instrument in clinical outcome assessment and health outcome measurement. CI - (c) 2022. The Author(s). FAU - Shi, Zhao AU - Shi Z AD - Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China. AD - NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, 250012, China. AD - Center for Health Preference Research, Shandong University, Jinan, 250012, China. FAU - Mao, Zhuxin AU - Mao Z AD - School of Insurance, Southwestern University of Finance and Economics, Chengdu, 611130, China. FAU - Nie, Hongwei AU - Nie H AD - Center for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan, 250001, China. FAU - Geng, Ling AU - Geng L AD - Center for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan, 250001, China. FAU - Chen, Gang AU - Chen G AD - Centre for Health Economics, Monash Business School, Monash University, Melbourne, 3145, Australia. FAU - Li, Shunping AU - Li S AUID- ORCID: 0000-0001-8144-6220 AD - Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China. lishunping@sdu.edu.cn. AD - NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, 250012, China. lishunping@sdu.edu.cn. AD - Center for Health Preference Research, Shandong University, Jinan, 250012, China. lishunping@sdu.edu.cn. LA - eng GR - ZR2021MG010/Shandong Provincial Natural Science Foundation/ PT - Journal Article DEP - 20220328 PL - England TA - Health Qual Life Outcomes JT - Health and quality of life outcomes JID - 101153626 SB - IM MH - China MH - Factor Analysis, Statistical MH - Humans MH - *Infertility MH - *Quality of Life MH - Surveys and Questionnaires MH - Systematic Reviews as Topic PMC - PMC8961984 OTO - NOTNLM OT - Chinese OT - Health-related quality of life OT - Infertile couples OT - Instrument OT - Protocol OT - Validation COIS- The authors declare that they have no competing interests. EDAT- 2022/03/30 06:00 MHDA- 2022/03/31 06:00 PMCR- 2022/03/28 CRDT- 2022/03/29 05:39 PHST- 2021/11/24 00:00 [received] PHST- 2022/03/14 00:00 [accepted] PHST- 2022/03/29 05:39 [entrez] PHST- 2022/03/30 06:00 [pubmed] PHST- 2022/03/31 06:00 [medline] PHST- 2022/03/28 00:00 [pmc-release] AID - 10.1186/s12955-022-01957-3 [pii] AID - 1957 [pii] AID - 10.1186/s12955-022-01957-3 [doi] PST - epublish SO - Health Qual Life Outcomes. 2022 Mar 28;20(1):54. doi: 10.1186/s12955-022-01957-3.