Outcome measurement for COPD: reliability and validity of the Dyspnea Management Questionnaire.
Outcome measurement for COPD: reliability and validity of the Dyspnea Management Questionnaire.
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DOI：
10.1016/j.rmed.2010.09.002
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发表时间：
2011-03
影响因子：
4.3
通讯作者：
Kim, Minjin
中科院分区：
文献类型：
--
作者：
Norweg, Anna;Jette, Alan M.;Ni, Pengsheng;Whiteson, Jonathan;Kim, Minjin
关键词：
呼吸困难管理问卷（DMQ）是一项衡量COPD成人患者对呼吸困难的心理社会和行为反应的指标。本研究的目的是评估扩展DMQ项目库的信度和效度，作为开发计算机自适应测试的初步步骤。使用DMQ的原始66个项目进行分析。样本包括从两个城市医疗中心招募的63名女性和44名男性COPD患者（n = 107）。我们使用验证性因素分析来测试DMQ的因素结构及其潜在的认知行为理论基础。并对扩展后的DMQ题库的内部一致性、重测信度和覆盖范围进行了评价。使用DMQ的56个原始项目确认了五个不同的呼吸困难领域：呼吸困难强度、呼吸困难焦虑、活动回避、活动自我效能和策略满意度。总体而言，项目的广度是优秀的样本分数和项目难度之间的良好匹配。DMQ-56显示出良好的内部一致性信度（α = 0.85至0.96）和良好的初步重测信度（ICC = 0.69至0.92）。DMQ在测量COPD成年人接受医疗、心理和行为干预后的多维呼吸困难结果方面表现出可接受的可靠性和有效性水平。
The Dyspnea Management Questionnaire (DMQ) is a measure of the psychosocial and behavioral responses to dyspnea for adults with COPD. The research objectives were to evaluate the reliability and validity of an expanded DMQ item pool, as a preliminary step for developing a computer adaptive test. The original 66 items of the DMQ were used for the analyses. The sample included 63 women and 44 men with COPD (n = 107) recruited from two urban medical centers. We used confirmatory factor analysis to test the factor structure of the DMQ and its underlying cognitive-behavioral theoretical base. The internal consistency and test-retest reliability, and breadth of coverage of the expanded DMQ item bank were also evaluated. Five distinct dyspnea domains were confirmed using 56 original items of the DMQ: dyspnea intensity, dyspnea anxiety, activity avoidance, activity self-efficacy, and strategy satisfaction. Overall, the breadth of items was excellent with a good match between sample scores and item difficulty. The DMQ-56 showed good internal consistency reliability (α = .85 to .96) and good preliminary test-retest reliability over a 3-week interval (ICC = .69 to .92). The DMQ demonstrated acceptable levels of reliability and validity for measuring multidimensional dyspnea outcomes after medical, psychological, and behavioral interventions for adults with COPD.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
2.8
作者：
Lareau, SC;Meek, PM;Roos, PJ
通讯作者：
Roos, PJ
DOI：
10.1097/00008483-199501000-00004
发表时间：
1995-01-01
期刊：
Journal of cardiopulmonary rehabilitation
影响因子：
--
作者：
Breslin, E H
通讯作者：
Breslin, E H
影响因子：
3.5
作者：
Devine, EC;Pearcy, J
通讯作者：
Pearcy, J
影响因子：
5.4
作者：
LINDERPELZ, S
通讯作者：
LINDERPELZ, S