Blog
About

2
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Disability related to COPD tool (DIRECT): towards an assessment of COPD-related disability in routine practice

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Chronic Obstructive Pulmonary Disease (COPD) is a worldwide public health concern. It is also a major source of disability that is often overlooked, depriving patients of effective treatments. This study describes the development and validation of a questionnaire specifically assessing COPD-related disability.

          Methods

          The DIsability RElated to COPD Tool (DIRECT) was developed according to reference methods, including literature review, patient and clinician interviews and test in a pilot study. A 12-item questionnaire was included for finalization and validation in an observational cross-sectional study conducted by 60 French pulmonologists, who recruited 275 COPD patients of stage II, III and IV according to the GOLD classification. Rasch modeling was conducted and psychometric properties were assessed (internal consistency reliability; concurrent and clinical validity).

          Results

          The DIRECT score was built from the 10 items retained in the Rasch model. Their internal consistency reliability was excellent (Cronbach’s alpha = 0.95). The score was highly correlated with the Saint George’s Respiratory Questionnaire Activity score (r = 0.83) and the London Handicap Scale (r = −0.70), a generic disability measure. It was highly statistically significantly associated to four clinical parameters ( P < 0.001): GOLD classification, BODE index, FEV 1 and 6-minute walk distance.

          Conclusion

          DIRECT is a promising tool that could help enhance the management of COPD patients by integrating an evaluation of the COPD-related disability into daily practice.

          Related collections

          Most cited references 15

          • Record: found
          • Abstract: found
          • Article: not found

          A conceptual framework for patient-provider communication: a tool in the PRO research tool box.

          To demonstrate how a previously described conceptual framework of physician-patient communication can inform the application of existing theory and the extension of new theory regarding the impact of patient-reported outcomes (PROs) in clinical practice.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Sexuality in patients with asthma and COPD.

            Sexual quality of life was examined in 55 outpatients with chronic obstructive pulmonary disease (COPD) and asthma, using disease-specific questionnaires. Compared to an age- and sex-matched norm group, male patients with COPD reported a significantly lower sexual quality of life on all dimensions of the questionnaire. Female patients with COPD reported a lower frequency of sexual intimacy and lower sexual quality of life overall. Patients with asthma reported sexual quality-of-life scores that were somewhat better than COPD patients but worse than the healthy control group. Patients reported that they did not discuss sexual quality-of-life issues with their physician. Sexuality needs to be discussed by the health care provider in the consultation in order to improve quality of life of patients with chronic respiratory disorders.
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Psychometric theory

                Bookmark

                Author and article information

                Journal
                Int J Chron Obstruct Pulmon Dis
                International Journal of COPD
                International Journal of Chronic Obstructive Pulmonary Disease
                Dove Medical Press
                1176-9106
                1178-2005
                2011
                2011
                05 July 2011
                : 6
                : 387-398
                Affiliations
                [1 ] HYLAB, Physiologie Clinique, Grenoble, France
                [2 ] Assistance Publique – Hôpitaux de Paris, Groupe Hospitalier Pitié-Salpêtrière, Service de Pneumologie et Réanimation, Paris, France
                [3 ] Mapi Values, Lyon, France
                [4 ] Formerly Boehringer Ingelheim, Paris, France
                [5 ] General Practitioner, Sainte- Foy-lès-Lyon, Paris, France
                [6 ] Centre Hospitalier Lyon Sud, Lyon, France
                [7 ] Université Paris 6 Pierre et Marie Curie, ER10, Paris, France
                Author notes
                Correspondence: Antoine Regnault, Mapi Values, 27 rue de la Villette, 69003 Lyon, France, Tel +33 4 7213 6662, Email antoine.regnault@ 123456mapivalues.com
                Article
                copd-6-387
                10.2147/COPD.S20007
                3133511
                21760726
                © 2011 Aguilaniu et al, publisher and licensee Dove Medical Press Ltd.

                This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.

                Categories
                Original Research

                Comments

                Comment on this article