Validation of the Hungarian version of the SRI Questionnaire

Abstract Background Home mechanical ventilation is a reliable treatment for patients suffering from chronic respiratory failure, improving survival and quality of life. Prevalence has been increasing worldwide as a result of evolving technical possibilities, telemedicine and improving national guide...

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Main Authors: Luca Valko, Szabolcs Baglyas, Laszlo Kunos, Attila Terray-Horvath, Andras Lorx, Janos Gal, Wolfram Windisch
Format: Article
Language:English
Published: BMC 2020-05-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12890-020-1171-5
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author Luca Valko
Szabolcs Baglyas
Laszlo Kunos
Attila Terray-Horvath
Andras Lorx
Janos Gal
Wolfram Windisch
author_facet Luca Valko
Szabolcs Baglyas
Laszlo Kunos
Attila Terray-Horvath
Andras Lorx
Janos Gal
Wolfram Windisch
author_sort Luca Valko
collection DOAJ
description Abstract Background Home mechanical ventilation is a reliable treatment for patients suffering from chronic respiratory failure, improving survival and quality of life. Prevalence has been increasing worldwide as a result of evolving technical possibilities, telemedicine and improving national guidelines. Projects to establish a national guideline and registry for patients treated with home mechanical ventilation are currently under way in Hungary and our aim was to validate a quality of life questionnaire suited for evaluation and follow up in this specific patient group. The Severe Respiratory Insufficiency Questionnaire (SRI) is a quality of life tool designed to evaluate patients receiving home mechanical ventilation and has been validated both in patient groups receiving invasive and noninvasive ventilation. Methods The Hungarian version of the SRI was created using the translation-backtranslation method, which was then tested for validity, viability and reliability in a cohort involving patients from three centers, receiving long-term home mechanical ventilation for chronic respiratory failure through an invasive or noninvasive interface. Patient data was collected (demographic data, lung function test, arterial blood gas, ventilation settings) and quality of life was measured with the previously validated SF-36 and newly created Hungarian SRI Questionnaires at two time points. Results One hundred four patients receiving home mechanical ventilation were enrolled. The time to complete the SRI Questionnaire was 8.6 (±3.1) minutes, 69.2% questionnaires were self-administered. Exploratory factor analysis explained 73.8% of the variance of the questionnaire, but resulted in 13 scales. We found correlations between the SRI subscale scores to corresponding scales of the previously validated general quality of life survey SF-36. The Cronbach alpha coefficient was 0.928 for the Summary Scale of the SRI Questionnaire, proving high internal consistency. Reproducibility was high for most scales, resulting in a high overall correlation for the summary score (0.877, p < 0.001). Conclusions The Hungarian version of the SRI Questionnaire is a viable, valid, reliable and reproduceable quality of life tool applicable for patients treated with home mechanical ventilation.
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spelling doaj.art-dc5119bc45c3454b801dcfdae5dcaab92022-12-22T01:58:50ZengBMCBMC Pulmonary Medicine1471-24662020-05-012011910.1186/s12890-020-1171-5Validation of the Hungarian version of the SRI QuestionnaireLuca Valko0Szabolcs Baglyas1Laszlo Kunos2Attila Terray-Horvath3Andras Lorx4Janos Gal5Wolfram Windisch6Department of Anesthesiology and Intensive Therapy, Semmelweis UniversityDepartment of Anesthesiology and Intensive Therapy, Semmelweis UniversityDepartment of Pulmonology, Semmelweis UniversityDepartment of Neurology, Hungarian Army Medical CenterDepartment of Anesthesiology and Intensive Therapy, Semmelweis UniversityDepartment of Anesthesiology and Intensive Therapy, Semmelweis UniversityDepartment of Pneumology, Cologne Merheim Hospital, Kliniken der Stadt Köln gGmbH, Witten/Herdecke UniversityAbstract Background Home mechanical ventilation is a reliable treatment for patients suffering from chronic respiratory failure, improving survival and quality of life. Prevalence has been increasing worldwide as a result of evolving technical possibilities, telemedicine and improving national guidelines. Projects to establish a national guideline and registry for patients treated with home mechanical ventilation are currently under way in Hungary and our aim was to validate a quality of life questionnaire suited for evaluation and follow up in this specific patient group. The Severe Respiratory Insufficiency Questionnaire (SRI) is a quality of life tool designed to evaluate patients receiving home mechanical ventilation and has been validated both in patient groups receiving invasive and noninvasive ventilation. Methods The Hungarian version of the SRI was created using the translation-backtranslation method, which was then tested for validity, viability and reliability in a cohort involving patients from three centers, receiving long-term home mechanical ventilation for chronic respiratory failure through an invasive or noninvasive interface. Patient data was collected (demographic data, lung function test, arterial blood gas, ventilation settings) and quality of life was measured with the previously validated SF-36 and newly created Hungarian SRI Questionnaires at two time points. Results One hundred four patients receiving home mechanical ventilation were enrolled. The time to complete the SRI Questionnaire was 8.6 (±3.1) minutes, 69.2% questionnaires were self-administered. Exploratory factor analysis explained 73.8% of the variance of the questionnaire, but resulted in 13 scales. We found correlations between the SRI subscale scores to corresponding scales of the previously validated general quality of life survey SF-36. The Cronbach alpha coefficient was 0.928 for the Summary Scale of the SRI Questionnaire, proving high internal consistency. Reproducibility was high for most scales, resulting in a high overall correlation for the summary score (0.877, p < 0.001). Conclusions The Hungarian version of the SRI Questionnaire is a viable, valid, reliable and reproduceable quality of life tool applicable for patients treated with home mechanical ventilation.http://link.springer.com/article/10.1186/s12890-020-1171-5Home mechanical ventilationQuality of lifeQuestionnaire validation
spellingShingle Luca Valko
Szabolcs Baglyas
Laszlo Kunos
Attila Terray-Horvath
Andras Lorx
Janos Gal
Wolfram Windisch
Validation of the Hungarian version of the SRI Questionnaire
BMC Pulmonary Medicine
Home mechanical ventilation
Quality of life
Questionnaire validation
title Validation of the Hungarian version of the SRI Questionnaire
title_full Validation of the Hungarian version of the SRI Questionnaire
title_fullStr Validation of the Hungarian version of the SRI Questionnaire
title_full_unstemmed Validation of the Hungarian version of the SRI Questionnaire
title_short Validation of the Hungarian version of the SRI Questionnaire
title_sort validation of the hungarian version of the sri questionnaire
topic Home mechanical ventilation
Quality of life
Questionnaire validation
url http://link.springer.com/article/10.1186/s12890-020-1171-5
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