A study of the psychometric properties of the Brazilian...Portuguese version of Bronchiectasis Health Questionnaire

Introduction and objective: The Bronchiectasis Health Questionnaire (BHQ) is a simple, repeatable, and self-reporting health status questionnaire for bronchiectasis. This study aims to cross-culturally adapt the BHQ into Brazilian Portuguese and evaluate its measurement properties. Methods: The part...

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Main Authors: A. Luppo, C.O. de Camargo, S.S. Birring, A.C. Lunardi, S.Z. Rached, R.A. Athanazio, R. Stelmach, S.D. Corso
Format: Article
Language:English
Published: Elsevier España 2023-01-01
Series:Pulmonology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2531043720302440
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author A. Luppo
C.O. de Camargo
S.S. Birring
A.C. Lunardi
S.Z. Rached
R.A. Athanazio
R. Stelmach
S.D. Corso
author_facet A. Luppo
C.O. de Camargo
S.S. Birring
A.C. Lunardi
S.Z. Rached
R.A. Athanazio
R. Stelmach
S.D. Corso
author_sort A. Luppo
collection DOAJ
description Introduction and objective: The Bronchiectasis Health Questionnaire (BHQ) is a simple, repeatable, and self-reporting health status questionnaire for bronchiectasis. This study aims to cross-culturally adapt the BHQ into Brazilian Portuguese and evaluate its measurement properties. Methods: The participants answered the Saint George...s Respiratory Questionnaire (SGRQ) and the modified Medical Research Council (mMRC) scale for dyspnea. The Brazilian-Portuguese version of the Bronchiectasis Health Questionnaire (BHQ-Brazil) was used at baseline (test) and after 14 days (retest). The psychometric analyses included internal consistency, test-retest reliability, and construct validity: factorial validity, convergent validity, and discriminative validity, agreement, and ceiling and floor effects. Results: The BHQ-Brazil demonstrated adequate internal consistency (Cronbach...s alpha...=...0.92) and substantial reliability (intraclass correlation coefficient...=...0.86; 95%CI: 0.79...0.90). The exploratory factorial analysis was considered suitable. All items presented a factorial load >0.40. The convergent validity of the BHQ-Brazil with mMRC was moderate (r...=......0.53, p...<...0.001), while concurrent validity with the SGRQ was strong (symptoms: r...=......0.72, activities: r...=......0.60, impact: r...=......0.60, total score: r...=......0.75, all p...<...0.001). The standard error of measurement was 4.81 points. The discriminative validity demonstrated that individuals with more pulmonary exacerbations, colonization by Pseudomonas aeruginosa, worst dyspnea, and a higher number of affected lung lobes presented the lowest quality of life. No floor or ceiling effects were observed. Conclusion: The BHQ-Brazil presents adequate measurement properties to evaluate the impact of bronchiectasis on health-related quality of life, and can be used in clinical and research settings.
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spelling doaj.art-cfda4c84e7f04a458eaa8d93edc348d82023-01-05T07:07:31ZengElsevier EspañaPulmonology2531-04372023-01-012914249A study of the psychometric properties of the Brazilian...Portuguese version of Bronchiectasis Health QuestionnaireA. Luppo0C.O. de Camargo1S.S. Birring2A.C. Lunardi3S.Z. Rached4R.A. Athanazio5R. Stelmach6S.D. Corso7Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho ... UNINOVE, Rua Vergueiro, 235/249 ... 2.. Subsolo, 01504-001, S.·o Paulo, Brazil; Corresponding author.Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho ... UNINOVE, Rua Vergueiro, 235/249 ... 2.. Subsolo, 01504-001, S.·o Paulo, BrazilCentre for Human and Applied Physiological Sciences, School of Basic and Medical Biosciences, King's College London, United Kingdom, Denmark Hill, London, SE9 5RS, UK.Master and Doctoral Programs in Physical Therapy, Universidade Cidade de Sao Paulo, S.·o Paulo, SP, Brazil; Department of Physical Therapy, School of Medicine, University of Sao Paulo, Av. Dr. Arnaldo, 455, 01246903, S.·o Paulo, SP, BrazilPulmonary Division, Heart Institute (InCor), Hospital das Cl.ínicas da Faculdade de Medicina da Universidade de S.·o Paulo, Av. Dr. En..as Carvalho Aguiar, 44, 05403-000, S.·o Paulo, BrazilPulmonary Division, Heart Institute (InCor), Hospital das Cl.ínicas da Faculdade de Medicina da Universidade de S.·o Paulo, Av. Dr. En..as Carvalho Aguiar, 44, 05403-000, S.·o Paulo, BrazilPulmonary Division, Heart Institute (InCor), Hospital das Cl.ínicas da Faculdade de Medicina da Universidade de S.·o Paulo, Av. Dr. En..as Carvalho Aguiar, 44, 05403-000, S.·o Paulo, BrazilPostgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho ... UNINOVE, Rua Vergueiro, 235/249 ... 2.. Subsolo, 01504-001, S.·o Paulo, BrazilIntroduction and objective: The Bronchiectasis Health Questionnaire (BHQ) is a simple, repeatable, and self-reporting health status questionnaire for bronchiectasis. This study aims to cross-culturally adapt the BHQ into Brazilian Portuguese and evaluate its measurement properties. Methods: The participants answered the Saint George...s Respiratory Questionnaire (SGRQ) and the modified Medical Research Council (mMRC) scale for dyspnea. The Brazilian-Portuguese version of the Bronchiectasis Health Questionnaire (BHQ-Brazil) was used at baseline (test) and after 14 days (retest). The psychometric analyses included internal consistency, test-retest reliability, and construct validity: factorial validity, convergent validity, and discriminative validity, agreement, and ceiling and floor effects. Results: The BHQ-Brazil demonstrated adequate internal consistency (Cronbach...s alpha...=...0.92) and substantial reliability (intraclass correlation coefficient...=...0.86; 95%CI: 0.79...0.90). The exploratory factorial analysis was considered suitable. All items presented a factorial load >0.40. The convergent validity of the BHQ-Brazil with mMRC was moderate (r...=......0.53, p...<...0.001), while concurrent validity with the SGRQ was strong (symptoms: r...=......0.72, activities: r...=......0.60, impact: r...=......0.60, total score: r...=......0.75, all p...<...0.001). The standard error of measurement was 4.81 points. The discriminative validity demonstrated that individuals with more pulmonary exacerbations, colonization by Pseudomonas aeruginosa, worst dyspnea, and a higher number of affected lung lobes presented the lowest quality of life. No floor or ceiling effects were observed. Conclusion: The BHQ-Brazil presents adequate measurement properties to evaluate the impact of bronchiectasis on health-related quality of life, and can be used in clinical and research settings.http://www.sciencedirect.com/science/article/pii/S2531043720302440BronchiectasisQuality of lifeSurveys and QuestionnairesDyspneaPsychometric properties
spellingShingle A. Luppo
C.O. de Camargo
S.S. Birring
A.C. Lunardi
S.Z. Rached
R.A. Athanazio
R. Stelmach
S.D. Corso
A study of the psychometric properties of the Brazilian...Portuguese version of Bronchiectasis Health Questionnaire
Pulmonology
Bronchiectasis
Quality of life
Surveys and Questionnaires
Dyspnea
Psychometric properties
title A study of the psychometric properties of the Brazilian...Portuguese version of Bronchiectasis Health Questionnaire
title_full A study of the psychometric properties of the Brazilian...Portuguese version of Bronchiectasis Health Questionnaire
title_fullStr A study of the psychometric properties of the Brazilian...Portuguese version of Bronchiectasis Health Questionnaire
title_full_unstemmed A study of the psychometric properties of the Brazilian...Portuguese version of Bronchiectasis Health Questionnaire
title_short A study of the psychometric properties of the Brazilian...Portuguese version of Bronchiectasis Health Questionnaire
title_sort study of the psychometric properties of the brazilian portuguese version of bronchiectasis health questionnaire
topic Bronchiectasis
Quality of life
Surveys and Questionnaires
Dyspnea
Psychometric properties
url http://www.sciencedirect.com/science/article/pii/S2531043720302440
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