Development of a battery of instruments for detailed measurement of health status in patients with COPD in routine care: the Nijmegen Clinical Screening Instrument

Jeannette Bernadette Peters, Leonie Daudey, Yvonne F Heijdra, Johan Molema, P N Richard Dekhuijzen, Jan H Vercoulen, Jeannette Bernadette Peters, Leonie Daudey, Yvonne F Heijdra, Johan Molema, P N Richard Dekhuijzen, Jan H Vercoulen

Abstract

Purpose: To compose a battery of instruments that provides a detailed assessment of health status (HS) in COPD but that is applicable and clinically meaningful in routine care.

Methods: In a previous study, we developed the Nijmegen Integral Assessment Framework (NIAF) that organizes existing tests and instruments by the sub-domains of HS they measure. Based on clinical and statistical criteria (correlation coefficients and Cronbach alpha's) we selected for each sub-domain instruments from the NIAF. A COPD-study group was used to determine c-scores, and two control groups were used to determine the score ranges indicating normal functioning versus clinically relevant problems for each sub-domain. Existing questionnaire completion software (TestOrganiser) was adapted to enhance clinical applicability.

Results: The NCSI measures eleven sub-domains of physiological functioning, symptoms, functional impairment, and quality of life. The TestOrganiser automatically processes the data and produces the graphical PatientProfileChart, which helps to easily interpret results. This envisages the problem areas and discrepancies between the different sub-domains.

Conclusion: The NCSI provides a valid and detailed picture of a patient's HS within 15-25 min. In combination with the PatientProfileChart, the NCSI can be used perfectly in routine care as screening instrument and as a guide in patient-tailored treatment.

Figures

Fig. 1
Fig. 1
Main stages of the development of the Nijmegen Integral Assessment Framework (NIAF) for COPD (previous study) and the development of the Nijmegen Clinical Screening Instrument (NCSI) for COPD (present study)
Fig. 2
Fig. 2
The PatientProfileChart; graphical representations of the patients’ results

References

    1. None
    2. Spilker, B., & Revicki, D. A. (1996). Taxonomy of quality of life. In B. Spilker (Ed.), Quality of life and pharmaeconomics in clinical trials (2nd ed., pp. 25–31). Philadelphia: Lippincott-Raven.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1001/jama.273.1.59', 'is_inner': False, 'url': 'https://doi.org/10.1001/jama.273.1.59'}, {'type': 'PubMed', 'value': '7996652', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/7996652/'}]}
    2. Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. The Journal of American Medical Association,273, 59–65.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1183/09031936.03.00078102', 'is_inner': False, 'url': 'https://doi.org/10.1183/09031936.03.00078102'}, {'type': 'PubMed', 'value': '12795330', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/12795330/'}]}
    2. Curtis, J. R., & Patrick, D. L. (2003). The assessment of health status among patients with COPD. Journal of European Respiratory,41(Suppl), 36s–45s.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '8193627', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/8193627/'}]}
    2. Jones, P. W., Quirk, F. H., & Baveystock, C. M. (1994). Why quality of life measures should be used in the treatment of patients with respiratory illness. Monaldi Archives for Chest Disease,49, 79–82.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1136/thorax.56.11.880', 'is_inner': False, 'url': 'https://doi.org/10.1136/thorax.56.11.880'}, {'type': 'PMC', 'value': 'PMC1745959', 'is_inner': False, 'url': 'http://www.ncbi.nlm.nih.gov/pmc/articles/pmc1745959/'}, {'type': 'PubMed', 'value': '11641515', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/11641515/'}]}
    2. Jones, P. W. (2001). Health status measurement in chronic obstructive pulmonary disease. Thorax,56, 880–887.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1080/10705500802365474', 'is_inner': False, 'url': 'https://doi.org/10.1080/10705500802365474'}, {'type': 'PubMed', 'value': '19005926', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/19005926/'}]}
    2. Vercoulen, J. H., Daudey, L., Molema, J., Vos, P., Peters, J., Top, M., et al. (2008). An Integral assessment framework of health status in chronic obstructive pulmonary disease (COPD). International Journal of Behavioral Medicine,15(4), 263–279.
    1. Bowling, A. (2001). Health-related quality of life: Conceptual meaning, use and measurement. In A. Bowling (Ed.), Measuring disease:A review of disease-specific quality of life measurement scales. (2nd ed., pp. 1–22). Buckingham, Philadelphia: Open University Press.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1164/rccm.200703-456SO', 'is_inner': False, 'url': 'https://doi.org/10.1164/rccm.200703-456so'}, {'type': 'PubMed', 'value': '17507545', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/17507545/'}]}
    2. Rabe, K. F., Hurd, S., Anzueto, A., Barnes, P. J., Buist, S. A., Calverley, P., et al. (2007). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. American Journal of Respiratory and Critical Care Medicine,176(6), 532–555.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/j.jclinepi.2006.03.012', 'is_inner': False, 'url': 'https://doi.org/10.1016/j.jclinepi.2006.03.012'}, {'type': 'PubMed', 'value': '17161752', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/17161752/'}]}
    2. Terwee, C. B., Bot, S. D., de Boer, M. R., van der Windt, D. A., Knol, D. L., Dekker, J., et al. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiologie,60(1), 34–42.
    1. None
    2. Ogden, J. (2001). Theory and measurement: Conceptualisation, operationalisation, and the example of health status. In A. Vingerhoets (Ed.), Assessment in behavioral medicine (pp. 73–90). East Sussex: Brunner-Routledge.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '9400687', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/9400687/'}]}
    2. Celli, B. R. (1997). ATS standards for the optimal management of chronic obstructive pulmonary disease. Respirology,2(Suppl 1), S1–S4.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1183/09031936.95.08081398', 'is_inner': False, 'url': 'https://doi.org/10.1183/09031936.95.08081398'}, {'type': 'PubMed', 'value': '7489808', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/7489808/'}]}
    2. Siafakas, N. M., Vermeire, P., Pride, N. B., Paoletti, P., Gibson, J., Howard, P., et al. (1995). Optimal assessment and management of chronic obstructive pulmonary disease (COPD). The European Respiratory Society Task Force. European Respiratory Journal,8, 1398–1420.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1023/A:1024740307643', 'is_inner': False, 'url': 'https://doi.org/10.1023/a:1024740307643'}]}
    2. Taillefer, M., Dupuis, G., Roberge, M., & Le May, S. (2003). Health-related quality of life models: Systematic review of the literature. Social Indicators Research,64, 293–323.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PMC', 'value': 'PMC2682926', 'is_inner': False, 'url': 'http://www.ncbi.nlm.nih.gov/pmc/articles/pmc2682926/'}, {'type': 'PubMed', 'value': '19452033', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/19452033/'}]}
    2. Verhage, T. L., Heijdra, Y. F., Molema, J., Daudey, L., Dekhuijzen, P. N. R., & Vercoulen, J. H. (2009). Adequate patient characterization in COPD: Reasons to go beyond GOLD classification. Open Respiratory Medicine Journal,3, 1–9.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1186/1477-7525-1-13', 'is_inner': False, 'url': 'https://doi.org/10.1186/1477-7525-1-13'}, {'type': 'PMC', 'value': 'PMC156640', 'is_inner': False, 'url': 'http://www.ncbi.nlm.nih.gov/pmc/articles/pmc156640/'}, {'type': 'PubMed', 'value': '12773199', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/12773199/'}]}
    2. Van Der Molen, T., Willemse, B. W., Schokker, S., Ten Hacken, N. H., Postma, D. S., & Juniper, E. F. (2003). Development, validity and responsiveness of the clinical COPD questionnaire. Health and Quality of Life Outcomes,1, 13.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1023/B:QURE.0000031338.88928.e9', 'is_inner': False, 'url': 'https://doi.org/10.1023/b:qure.0000031338.88928.e9'}, {'type': 'PubMed', 'value': '15287278', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/15287278/'}]}
    2. Jacobs, J. E., Maille, A. R., Akkermans, R. P., van Weel, C., & Grol, R. P. T. M. (2004). Assessing the quality of life of adults with chronic respiratory diseases in routine primary care: Construction and first validation of the 10-item respiratory illness questionnaire-monitoring 10 (RIQ-MON10). Quality of Life Research,13, 1117–1127.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/0168-8510(90)90421-9', 'is_inner': False, 'url': 'https://doi.org/10.1016/0168-8510(90)90421-9'}, {'type': 'PubMed', 'value': '10109801', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/10109801/'}]}
    2. The EuroQol Group. (1990). EuroQol-a new facility for the measurement of health-related quality of life. Health Policy,16, 199–208.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1023/A:1022213223673', 'is_inner': False, 'url': 'https://doi.org/10.1023/a:1022213223673'}, {'type': 'PubMed', 'value': '12639060', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/12639060/'}]}
    2. van Stel, H. F., Maille, A. R., Colland, V. T., & Everaerd, W. (2003). Interpretation of change and longitudinal validity of the quality of life for respiratory illness questionnaire (QoLRIQ) in inpatient pulmonary rehabilitation. Quality of Life Research,12, 133–145.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1037/1040-3590.17.4.481', 'is_inner': False, 'url': 'https://doi.org/10.1037/1040-3590.17.4.481'}, {'type': 'PubMed', 'value': '16393015', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/16393015/'}]}
    2. Wiebe, J. S., & Penley, J. A. (2005). A psychometric comparison of the beck depression inventory-II in English and Spanish. Psychological Assessment,17, 481–485.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0954-6111(97)90034-2', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0954-6111(97)90034-2'}, {'type': 'PubMed', 'value': '9176649', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/9176649/'}]}
    2. Maillé, A. R., Koning, C. J., Zwinderman, A. H., Willems, L. N., Dijkman, J. H., & Kaptein, A. A. (1997). The development of the ‘quality-of-life for respiratory illness questionnaire (QOL-RIQ)’: A disease-specific quality-of-life questionnaire for patients with mild to moderate chronic non-specific lung disease. Respiratory Medicine,91, 297–309.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/0022-3999(94)90099-X', 'is_inner': False, 'url': 'https://doi.org/10.1016/0022-3999(94)90099-x'}, {'type': 'PubMed', 'value': '7965927', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/7965927/'}]}
    2. Vercoulen, J. H. M. M., Swanink, C. M. A., Galama, J. M. D., Fennis, J. F. M., van der Meer, J. W. M., & Bleijenberg, G. (1994). Dimensional assessment in chronic fatigue syndrome. Journal of Psychosomatic Research,38, 383–392.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0022-3956(97)00039-3', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0022-3956(97)00039-3'}, {'type': 'PubMed', 'value': '9447571', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/9447571/'}]}
    2. Vercoulen, J. H. M. M., Bazelmans, E., Swanink, C. M. A., Fennis, J. F. M., Galama, J. M. D., Jongen, P. J. H., et al. (1997). Physical activity in chronic fatigue syndrome: Assessment and its role in fatigue. Journal of Psychiatric Research,31, 661–673.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1097/00005650-198108000-00001', 'is_inner': False, 'url': 'https://doi.org/10.1097/00005650-198108000-00001'}, {'type': 'PubMed', 'value': '7278416', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/7278416/'}]}
    2. Bergner, M., Bobbitt, R. A., Carter, W. B., & Gilson, B. S. (1981). The sickness impact profile: Development and final revision of a health status measure. Medical Care,19, 787–805.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '2234151', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/2234151/'}]}
    2. Jacobs, H. M., Luttik, A., Touw-Otten, F. W. M. M., & De Melker, R. A. (1990). De ‘sickness impact profile’; Resultaten van een valideringsonderzoek van de Nederlandse versie. Nederlands Tijdschrift voor Geneeskunde,134, 1950–1954.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0005-7967(97)00025-9', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0005-7967(97)00025-9'}, {'type': 'PubMed', 'value': '9256522', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/9256522/'}]}
    2. Beck, A. T., Guth, D., Steer, R. A., & Ball, R. (1997). Screening for major depression disorders in medical inpatients with the beck depression inventory for primary care. Behaviour Research and Therapy,35, 785–791.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1207/s15327752jpa4901_13', 'is_inner': False, 'url': 'https://doi.org/10.1207/s15327752jpa4901_13'}, {'type': 'PubMed', 'value': '16367493', 'is_inner': True, 'url': 'http://pubmed.ncbi.nlm.nih.gov/16367493/'}]}
    2. Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment,49, 71–75.
    1. None
    2. Arrindell, W. A., & Ettema, J. H. M. (1986). SCL-90: Handleiding bij een multidimensionele psychopathologie-indicator. Lisse: Swets & Zeitlinger.

Source: PubMed

Sponsorit ja yhteistyökumppanit

Sairaudet

Huumeiden interventiot

3
Tilaa