scholarly journals Validity and Reliability of the Indonesia version St. George’s Respiratory Questionnaire

2020 ◽  
Vol 8 (02) ◽  
pp. 2-11
Author(s):  
Nury Nusdwinuringtyas ◽  
Gunawan Kurniadi ◽  
Anita Ratnawati ◽  
Peggy Sunarjo

Introduction: St. George’s Respiratory Questionnaire (SGRQ) is a measuring tool to assess the quality of life of people with chronic obstructive pulmonary disease or various respiratory disorders. This study aimed to assess whether The Indonesian version of SGRQ was valid and reliable for subjects with chronic obstructive pulmonary disease (COPD). Methods: The Indonesian version of SGRQ was analyzed using a correlation test between SGRQ and sixminute walk distance (6 MWD) for validity. The reliability test was done using the test re-test reliability test by Spearman’s rank correlation, and Cronbach’s alpha for internal consistency. Results: Twenty-two patients eligible COPD patients were included in this study. There is a correlation between SGRQ’s component and 6MWD on activity (r= 0.49), impact (r= -0.58) and total SGRQ (r=-0.56). The SGRQ re-measurement test shows a strong correlation on the symptom (r = 0.76), activity (r = 0.58), impact (r = 0.51), total (r=0.58) and Wilcoxon test result shows there were no significantdifferences among subscales except total value p = 0.049. High internal Cronbach’s alpha consistency was approximately 0.73 to 0.86. Conclusion: The Activities and Impacts of Indonesian version of SGRQ component provides a picture of the validity to functional capacity. The Indonesia version of SGRQ is also proven to have good repeatability with high internal consistency.

2010 ◽  
Vol 5 ◽  
Author(s):  
Deniz Inal-Ince ◽  
Sema Savci ◽  
Melda Saglam ◽  
Ebru Calik ◽  
Hulya Arikan ◽  
...  

Background and aims: Fatigue is associated with longitudinal ratings of health in patients with chronic obstructive pulmonary disease (COPD). Although the degree of airflow obstruction is often used to grade disease severity in patients with COPD, multidimensional grading systems have recently been developed. The aim of this study was to investigate the relationship between perceived and actual fatigue level and multidimensional disease severity in patients with COPD. Materials and methods: Twenty-two patients with COPD (aged 52-74 years) took part in the study. Multidimensional disease severity was measured using the SAFE and BODE indices. Perceived fatigue was assessed using the Fatigue Severity Scale (FSS) and the Fatigue Impact Scale (FIS). Peripheral muscle endurance was evaluated using the number of sit-ups, squats, and modified push-ups that each patient could do. Results: Thirteen patients (59%) had severe fatigue, and their St George’s Respiratory Questionnaire scores were significantly higher (p < 0.05). The SAFE index score was significantly correlated with the number of sit-ups, number of squats, FSS score and FIS score (p < 0.05). The BODE index was signif- icantly associated with the numbers of sit-ups, squats and modified push-ups, and with the FSS and FIS scores (p < 0.05). Conclusions: Peripheral muscle endurance and fatigue perception in patients with COPD was related to multidimensional disease severity measured with both the SAFE and BODE indices. Improvements in perceived and actual fatigue levels may positively affect multidimensional disease severity and health status in COPD patients. Further research is needed to investigate the effects of fatigue perception and exercise training on patients with different stages of multidimensional COPD severity.


2010 ◽  
Vol 110 (3) ◽  
pp. 772-788 ◽  
Author(s):  
Theodoros A. Katsoulas ◽  
Emmanouil K. Skordilis ◽  
Pavlos Myrianthefs ◽  
George Fildisis ◽  
Eleni Theodosopoulou ◽  
...  

2010 ◽  
Vol 17 (5) ◽  
pp. 219-223 ◽  
Author(s):  
Adrienne S Scott ◽  
Marcel A Baltzan ◽  
Joel Fox ◽  
Norman Wolkove

BACKGROUND: Pulmonary rehabilitation (PR) is beneficial for some, but not all, patients with chronic lung disease.OBJECTIVES: To determine the success rate of a comprehensive PR program for patients with chronic obstructive pulmonary disease (COPD) and to characterize the differences between responders and nonresponders.METHODS: A chart review was performed on patients with a clinical diagnosis of COPD who were referred for PR. Success was defined according to clinically important changes in St George’s Respiratory Questionnaire scores and/or 6 min walk test distance.RESULTS: The majority of subjects were men (58%) with a mean (± SD) age of 69±10 years (n=177). Sixty-two per cent of participants had a successful outcome with PR, with proportionally more responders noting subjective improvement than objective improvement on a 6 min walk test (73% versus 51%). Subjects with poor baseline St George’s Respiratory Questionnaire scores tended to improve the most (P=0.011 [ANOVA]). Successful participants had a greater forced expired volume in 1 s (1.1 L versus 0.9 L; P<0.05) and a lower BODE index (body mass index, airflow obstruction, dyspnea, and exercise capacity index) at baseline (9.6 versus 10.3; P<0.05). Success of PR was not correlated with age, sex, chronic hypoxemic respiratory failure or other chronic conditions. Successful participants were more likely to be compliant and to experience fewer adverse events (P≤0.001).CONCLUSIONS: Our study reinforced the belief that the majority of participants with COPD benefit from PR. Few baseline characteristics were predictive of success. Subjectively measured improvement occurred more frequently than objectively measured improvement and was greatest in those with the poorest baseline values.


2018 ◽  
Vol 32 (10) ◽  
pp. 1374-1382 ◽  
Author(s):  
Isabel Fialho Fontenele Garcia ◽  
Carina Tiemi Tiuganji ◽  
Maria do Socorro Morais Pereira Simões ◽  
Adriana Claudia Lunardi

Objective: To test the measurement properties (reliability, interpretability, and validity) of the Life-Space Assessment questionnaire for older adults with chronic obstructive pulmonary disease. Design: Clinimetric study. Setting: Pneumology service, ambulatory care, São Paulo, SP, Brazil. Participants: Consecutive sample of older adults ( n = 62; 38 (61%) men, 24 (39%) women) with chronic obstructive pulmonary disease. Interventions: Not applicable. Main outcome measures: Life-Space Assessment questionnaire assesses five space levels visited by the older adult in four weeks prior to the assessment. We tested the following measurement properties of this questionnaire: reliability (reproducibility assessed by a type-2,1 intraclass correlation coefficient (ICC2,1); internal consistency assessed by the Cronbach’s alpha; measurement error by determining the standard error of measurement (SEM)), interpretability (minimum detectable change with 90% confidence (MDC90); ceiling and floor effects by calculating the proportion of participants who achieved the minimum and maximum scores), and validity by Pearson’s correlation test between the Life-Space Assessment questionnaire scores and number of daily steps assessed by accelerometry. Results: Reproducibility (ICC2,1) was 0.90 (95% confidence interval (CI): 0.84–0.94), and internal consistency (Cronbach’s α) was 0.80 (range = 0.76–0.80 for each item deleted). SEM was 3.65 points (3%), the MDC90 was 0.20 points, and we observed no ceiling (2%) or floor (6%) effects. We observed an association between the score of the Life-Space Assessment questionnaire and daily steps ( r = 0.43; P = 0.01). Conclusion: Life-Space Assessment questionnaire shows adequate measurement properties for the assessment of life-space mobility in older adults with chronic obstructive pulmonary disease.


2007 ◽  
Vol 14 (8) ◽  
pp. 465-472 ◽  
Author(s):  
Charles KN Chan ◽  
François Maltais ◽  
Chris Sigouin ◽  
Jennifer M Haddon ◽  
Gordon T Ford ◽  
...  

BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) who smoke have a greater annual rate of decline in forced expiratory volume in 1 s (FEV1) than those patients who have stopped smoking.OBJECTIVES: To assess the effect of tiotropium on pre-dose (trough) FEV1in patients with COPD followed in Canada.METHODS: A total of 913 patients were randomly assigned to receive either tiotropium 18 μg once daily (n=608) or placebo (usual care minus inhaled anticholinergics) (n=305) for 48 weeks in the present randomized, double-blind, parallel-group study. The effect of tiotropium on measurements of lung function (FEV1, FEV6and forced vital capacity), symptoms, health-related quality of life (St George’s Respiratory Questionnaire) and exacerbations were examined.RESULTS: Tiotropium improved trough FEV1in both current and ex-smokers compared with placebo. Baseline FEV1in smokers and ex-smokers was 1.03 L and 0.93 L, respectively (P<0.001). At week 48, the mean difference between the tiotropium and placebo groups was 0.14±0.04 L (P<0.001) in the smoker group and 0.08±0.02 L (P<0.0001) in the ex-smoker group. Tiotropium also significantly improved trough forced vital capacity and FEV6compared with placebo throughout the treatment period (P<0.05, for all). Furthermore, tiotropium significantly improved the St George’s Respiratory Questionnaire total score compared with placebo at week 48 (40.9 versus 43.7 units, P<0.005).CONCLUSIONS: Compared with the placebo group, tiotropium provides sustained improvements in lung function in patients with COPD, with improvements for smokers and ex-smokers.


2019 ◽  
Vol 10 ◽  
pp. 204062231988220 ◽  
Author(s):  
Abebaw Mengistu Yohannes ◽  
Sheila Dryden ◽  
Nicola Alexander Hanania

Background: We examined the responsiveness of the Manchester Chronic Obstructive Pulmonary Disease (COPD) Fatigue Scale (MCFS) in patients with COPD following 8 weeks of pulmonary rehabilitation (PR). Methods: Patients ( n = 273) with clinically stable COPD completed 8 weeks of outpatient multidisciplinary PR, comprising 2 h (1 h exercise and 1 h education) weekly. Anxiety, exercise capacity, quality of life, dyspnea, fatigue were measured pre- and post-PR, utilizing the Anxiety Inventory for Respiratory Disease (AIR), Incremental Shuttle Walk Test (ISWT), St. George’s Respiratory Questionnaire (SGRQ), and modified Medical Research Council (mMRC) scale and MCFS, respectively. Results: The mean (SD) age of participants was 72 (8) years, and 50% were women. Total MCFS score fell after PR mean (95% confidence interval) −4.89 (–7.90 to −3.79) as did domain scores: physical −1.89 (–2.33 to −1.46), cognition −1.37 (–1.65 to −1.09), and psychosocial −1.62 (–2.00 to −1.62). Total MCFS effect size (ES) was 0.55; and for domains, physical was 0.52, cognition was 0.59, and psychosocial was 0.51. The ES for AIR was 0.30, mMRC was 0.38, SGRQ was 0.66, and ISWT was 1.19. MCFS changes correlated with changes in both SGRQ ( p < 0.002) and AIR ( p < 0.004), but not ISWT ( p = 0.30) or mMRC ( p = 0.18). The AIR, SGRQ, mMRC, and ISWT all improved after PR (all, p < 0.001). Conclusion: The MCFS scale is a valid and responsive scale to measure fatigue in patients with COPD after pulmonary rehabilitation.


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Setiawan Setiawan ◽  
Nur Basuki

Abstract: High-Intensity Ground Walking, Static Bicycle exercise, exercise capacity, the 6-minutes walking test, chronic obstructive pulmonary disease (COPD). This study aimed to compare the benefits between High-Intensity Ground Walking exercise and Static Bicycle exercise on exercise capacity in patients with chronic obstructive pulmonary disease (COPD). This research is a quasi-experimental study design with two groups pre and post-test design. The subjects were all patients COPD with a moderate and severe degree in The Special hospital of Pulmonary dr. Ario Wirawan Salatiga, that meet the inclusion and exclusion criteria. The data was collected directly by assessing the results of the six-minute walk test before and after the treatments. Data collected were analyzed using SPSS 11.5. The different test within groups measured with the Wilcoxon test, and for between groups measured with Mann Whitney test. The significance level was set on 0.05. Results and Conclusion (1) High-Intensity Ground Walking exercises improve exercise capacity in patients with COPD (p = 0.005), (2) Static Bicycle training program improves exercise capacity of patients with COPD (p = 0.005), (3) There is no difference between High-Intensity Ground Walking Exercise and Static Bicycle training in improving exercise capacity in patients with COPD (p = 0.970).


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