Psychometric Properties of the Hospital Anxiety and Depression Scale in Individuals With Chronic Obstructive Pulmonary Disease: Protocol for a Systematic Review

BackgroundIn individuals with chronic obstructive pulmonary disease (COPD), anxiety and depression contribute to increased mortality and exacerbations, decreased physical functioning, and deteriorated health-related quality of life. The Hospital Anxiety and Depression Scale (...

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Main Authors: Aleksandra Nikolovski, Lara Gamgoum, Arshpreet Deol, Shea Quilichini, Ethan Kazemir, Jonathan Rhodenizer, Ana Oliveira, Dina Brooks, Sanaa Alsubheen
Format: Article
Language:English
Published: JMIR Publications 2022-09-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2022/9/e37854
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author Aleksandra Nikolovski
Lara Gamgoum
Arshpreet Deol
Shea Quilichini
Ethan Kazemir
Jonathan Rhodenizer
Ana Oliveira
Dina Brooks
Sanaa Alsubheen
author_facet Aleksandra Nikolovski
Lara Gamgoum
Arshpreet Deol
Shea Quilichini
Ethan Kazemir
Jonathan Rhodenizer
Ana Oliveira
Dina Brooks
Sanaa Alsubheen
author_sort Aleksandra Nikolovski
collection DOAJ
description BackgroundIn individuals with chronic obstructive pulmonary disease (COPD), anxiety and depression contribute to increased mortality and exacerbations, decreased physical functioning, and deteriorated health-related quality of life. The Hospital Anxiety and Depression Scale (HADS) is a patient-reported tool developed to measure symptoms of anxiety and depression in clinical settings. The HADS has been frequently used with individuals with COPD; however, its measurement properties lack critical appraisal in this population. ObjectiveThis review aims to summarize and critically appraise the validity, reliability, and responsiveness of the HADS in individuals with COPD. MethodsFive electronic databases (MEDLINE, Embase, Scopus, PsychINFO, and Web of Science) will be systematically searched. Articles will be included if they assessed the measurement properties of the HADS in COPD; were published in a peer-reviewed journal; and were written in English. The COSMIN (Consensus-based Standards for the Selection of Health Measurement Instruments) guidelines will be used to assess the methodological quality and level of evidence in the selected studies. ResultsTo date, 12 articles met the inclusion criteria and will be included in the systematic review. The results of the psychometric properties of HADS will be qualitatively summarized and compared against the criteria for good measurement properties. The overall quality of evidence will be graded using the modified Grading of Recommendations, Assessment, Development and Evaluation approach. We expect to complete the systematic review by December 2022. ConclusionsThis systematic review will be the first to evaluate the psychometric properties of the HADS in individuals with COPD. Given the negative impact of anxiety and depression on physical functioning and health-related quality of life, this systematic review provides an opportunity to use the HADS as a validated measurement tool for the assessment and treatment of anxiety and depression in individuals with COPD. Trial RegistrationPROSPERO CRD42022302064; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=302064 International Registered Report Identifier (IRRID)PRR1-10.2196/37854
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spelling doaj.art-42560c7e957c478c8a2f8af58aa104a02023-08-28T23:07:07ZengJMIR PublicationsJMIR Research Protocols1929-07482022-09-01119e3785410.2196/37854Psychometric Properties of the Hospital Anxiety and Depression Scale in Individuals With Chronic Obstructive Pulmonary Disease: Protocol for a Systematic ReviewAleksandra Nikolovskihttps://orcid.org/0000-0001-7830-7406Lara Gamgoumhttps://orcid.org/0000-0001-6033-2929Arshpreet Deolhttps://orcid.org/0000-0002-4151-4417Shea Quilichinihttps://orcid.org/0000-0001-9432-576XEthan Kazemirhttps://orcid.org/0000-0001-9522-1137Jonathan Rhodenizerhttps://orcid.org/0000-0001-6207-3246Ana Oliveirahttps://orcid.org/0000-0003-4516-6904Dina Brookshttps://orcid.org/0000-0001-6080-5052Sanaa Alsubheenhttps://orcid.org/0000-0001-9841-7522 BackgroundIn individuals with chronic obstructive pulmonary disease (COPD), anxiety and depression contribute to increased mortality and exacerbations, decreased physical functioning, and deteriorated health-related quality of life. The Hospital Anxiety and Depression Scale (HADS) is a patient-reported tool developed to measure symptoms of anxiety and depression in clinical settings. The HADS has been frequently used with individuals with COPD; however, its measurement properties lack critical appraisal in this population. ObjectiveThis review aims to summarize and critically appraise the validity, reliability, and responsiveness of the HADS in individuals with COPD. MethodsFive electronic databases (MEDLINE, Embase, Scopus, PsychINFO, and Web of Science) will be systematically searched. Articles will be included if they assessed the measurement properties of the HADS in COPD; were published in a peer-reviewed journal; and were written in English. The COSMIN (Consensus-based Standards for the Selection of Health Measurement Instruments) guidelines will be used to assess the methodological quality and level of evidence in the selected studies. ResultsTo date, 12 articles met the inclusion criteria and will be included in the systematic review. The results of the psychometric properties of HADS will be qualitatively summarized and compared against the criteria for good measurement properties. The overall quality of evidence will be graded using the modified Grading of Recommendations, Assessment, Development and Evaluation approach. We expect to complete the systematic review by December 2022. ConclusionsThis systematic review will be the first to evaluate the psychometric properties of the HADS in individuals with COPD. Given the negative impact of anxiety and depression on physical functioning and health-related quality of life, this systematic review provides an opportunity to use the HADS as a validated measurement tool for the assessment and treatment of anxiety and depression in individuals with COPD. Trial RegistrationPROSPERO CRD42022302064; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=302064 International Registered Report Identifier (IRRID)PRR1-10.2196/37854https://www.researchprotocols.org/2022/9/e37854
spellingShingle Aleksandra Nikolovski
Lara Gamgoum
Arshpreet Deol
Shea Quilichini
Ethan Kazemir
Jonathan Rhodenizer
Ana Oliveira
Dina Brooks
Sanaa Alsubheen
Psychometric Properties of the Hospital Anxiety and Depression Scale in Individuals With Chronic Obstructive Pulmonary Disease: Protocol for a Systematic Review
JMIR Research Protocols
title Psychometric Properties of the Hospital Anxiety and Depression Scale in Individuals With Chronic Obstructive Pulmonary Disease: Protocol for a Systematic Review
title_full Psychometric Properties of the Hospital Anxiety and Depression Scale in Individuals With Chronic Obstructive Pulmonary Disease: Protocol for a Systematic Review
title_fullStr Psychometric Properties of the Hospital Anxiety and Depression Scale in Individuals With Chronic Obstructive Pulmonary Disease: Protocol for a Systematic Review
title_full_unstemmed Psychometric Properties of the Hospital Anxiety and Depression Scale in Individuals With Chronic Obstructive Pulmonary Disease: Protocol for a Systematic Review
title_short Psychometric Properties of the Hospital Anxiety and Depression Scale in Individuals With Chronic Obstructive Pulmonary Disease: Protocol for a Systematic Review
title_sort psychometric properties of the hospital anxiety and depression scale in individuals with chronic obstructive pulmonary disease protocol for a systematic review
url https://www.researchprotocols.org/2022/9/e37854
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