Utility of the Brief Illness Perception Questionnaire to Monitor Patient Beliefs in Systemic Vasculitis.
Utility of the Brief Illness Perception Questionnaire to Monitor Patient Beliefs in Systemic Vasculitis.
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简短疾病认知问卷在监测系统性脉管炎患者信念方面的实用性
DOI：
10.3899/jrheum.190828
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发表时间：
2020-12-01
期刊：
影响因子：
--
通讯作者：
Grayson PC
中科院分区：
文献类型：
--
作者：
Schwartz MN;Rimland CA;Quinn KA;Ferrada MA;Gribbons KB;Rosenblum JS;Goodspeed W;Novakovich E;Grayson PC
评估简明疾病感知问卷（BIPQ）测量多种形式血管炎疾病感知的有效性和临床效用。巨细胞动脉炎（GCA）、大动脉炎（TAK）、ANCA相关性血管炎（AAV）和复发性多囊炎（RP）患者被招募到一个前瞻性观察队列中。患者在连续研究访视时独立完成BIPQ、多维疲劳量表（MFI）、SF-36健康调查（SF-36）和患者总体评估（PtGA）。医生同时完成了医生总体评估（PhGA）表。由BIPQ评估的疾病感知与全长修订的疾病感知问卷（IPQ-R）和其他临床结局指标的反应进行了比较。在454次访视中评价了196例患者（GCA=47，TAK=47，RP=56，AAV=46）。BIPQ和IPQ-R在每个领域的疾病感知评分相当（3.28 vs 3.47，p=0.22）。疾病的看法不同类型的血管炎，最高的疾病的心理负担的RP。BIPQ与所有其他患者报告的结局指标显著相关（ρ=0.50-0.70，p<0.0001），但与PhGA无关（ρ=0.13，p=0.13）。连续访视期间BIPQ综合评分变化≥7与PtGA的伴随变化相关。MFI和BIPQ评分的变化随时间显著相关（ρ= 0.38，p=0.0008）。BIPQ是一种准确有效的评估工具，可用于测量和监测血管炎患者的疾病感知。在临床试验中使用BIPQ作为结局指标可以为基于医生的评估提供补充信息。
To assess the validity and clinical utility of the Brief Illness Perception Questionnaire (BIPQ) to measure illness perceptions in multiple forms of vasculitis. Patients with giant cell arteritis (GCA), Takayasu’s arteritis (TAK), ANCA-associated vasculitis (AAV) and relapsing polychondritis (RP) were recruited into a prospective, observational cohort. Patients independently completed the BIPQ, Multidimensional Fatigue Inventory (MFI), SF-36 Health Survey (SF-36) and a Patient Global Assessment (PtGA) at successive study visits. Physicians concurrently completed a Physician Global Assessment (PhGA) form. Illness perceptions, as assessed by the BIPQ, were compared to responses from the full-length Revised Illness Perception Questionnaire (IPQ-R) and to other clinical outcome measures. 196 patients (GCA=47, TAK=47, RP=56, AAV=46) were evaluated over 454 visits. Illness perception scores in each domain were comparable between the BIPQ and IPQ-R (3.28 vs 3.47, p=0.22). Illness perceptions differed by type of vasculitis, with the highest perceived psychological burden of disease in RP. The BIPQ was significantly associated with all other patient-reported outcome measures (ρ=0.50–0.70, p<0.0001) but did not correlate with PhGA (ρ=0.13, p=0.13). A change in the BIPQ composite score of ≥7 over successive visits was associated with concomitant change in the PtGA. Change in the MFI and BIPQ scores significantly correlated over time (ρ= 0.38, p=0.0008). The BIPQ is an accurate and valid assessment tool to measure and monitor illness perceptions in patients with vasculitis. Use of the BIPQ as an outcome measure in clinical trials may provide complimentary information to physician-based assessments.
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影响因子：
4.7
作者：
Herlyn K;Hellmich B;Seo P;Merkel PA
通讯作者：
Merkel PA
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影响因子：
13.3
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