The revised Bristol Rheumatoid Arthritis Fatigue measures and the Rheumatoid Arthritis Impact of Disease scale: validation in six countries

被引：35

作者：

Hewlett, Sarah ^{[1
]}

Kirwan, John ^{[2
]}

Bode, Christina ^{[3
]}

Cramp, Fiona ^{[1
]}

Carmona, Loreto ^{[4
]}

Dures, Emma ^{[1
]}

Englbrecht, Matthias ^{[5
,6
]}

Fransen, Jaap ^{[7
]}

Greenwood, Rosemary ^{[8
]}

Hagel, Sofia ^{[9
]}

van de Laar, Maart ^{[3
]}

Molto, Anna ^{[10
]}

Nicklin, Joanna ^{[8
]}

Petersson, Ingemar F. ^{[9
]}

Redondo, Marta ^{[11
]}

Schett, Georg ^{[5
,6
]}

Gossec, Laure ^{[12
]}

机构：

[1] Univ West England, Nursing & Midwifery, Bristol, Avon, England

[2] Univ Bristol, Musculoskeletal Res, Bristol, Avon, England

[3] Univ Twente, Dept Psychol Hlth & Technol, Twente, Netherlands

[4] Inst Salud Musculoesquelet, Madrid, Spain

[5] Friedrich Alexander Univ Erlangen Nurnberg, Dept Internal Med 3, Erlangen, Germany

[6] Univ Klinikum Erlangen, Erlangen, Germany

[7] Radboud Univ Nijmegen, Rheumatol Dept, Nijmegen, Netherlands

[8] Bristol Royal Infirm & Gen Hosp, Dept Res & Innovat, Bristol, Avon, England

[9] Lund Univ, Clin Sci Lund, Orthopaed, Lund, Sweden

[10] Paris Descartes Univ, Cochin Hosp, AP HP, Rheumatol Dept, Paris, France

[11] Univ Camilo Jose Cela, Dept Psychol, Madrid, Spain

[12] UPMC Univ Paris 06, Sorbonne Univ, Hop Pitie Salpetriere, AP HP,Rheumatol Dept, Paris, France

来源：

RHEUMATOLOGY | 2018年 / 57卷 / 02期

关键词：

PROMs; validation; cultural; fatigue; impact; rheumatoid arthritis; PATIENT-REPORTED OUTCOMES; NUMERICAL RATING-SCALES; VISUAL ANALOG SCALES; MULTIDIMENSIONAL QUESTIONNAIRE; CULTURAL-ADAPTATION; FOLLOW-UP; TRANSLATION; INSTRUMENTS; RELIABILITY; DESIGN;

D O I：

10.1093/rheumatology/kex370

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective. To evaluate the Bristol Rheumatoid Arthritis Fatigue Multidimensional Questionnaire (BRAF-MDQ), the revised Bristol Rheumatoid Arthritis Numerical Rating Scales (BRAF-NRS V2) and the Rheumatoid Arthritis Impact of Disease (RAID) scale in six countries. Methods. We surveyed RA patients in France, Germany, The Netherlands, Spain, Sweden and the UK, including the HAQ, 36-item Short Form Health Survey (SF-36) and potential revisions of the BRAF-NRS coping and Spanish RAID coping items. Factor structure and internal consistency were examined by factor analysis and Cronbach's a and construct validity by Spearman's correlation. Results. A total of 1276 patients participated (76% female, 25% with a disease duration < 5 years, median HAQ 1.0). The original BRAF-MDQ four-factor structure and RAID single-factor structure were confirmed in every country with >= 66% of variation in items explained by each factor and all item factor loadings of 0.71-0.98. Internal consistency for the BRAF-MDQ total and subscales was a Cronbach's alpha of 0.75-0.96 and for RAID, 0.93-0.96. Fatigue construct validity was shown for the BRAF-MDQ and BRAF-NRS severity and effect scales, correlated internally with SF-36 vitality and with RAID fatigue (r = 0.63-0.93). Broader construct validity for the BRAFs and RAID was shown by correlation with each other, HAQ and SF-36 domains (r = 0.46-0.82), with similar patterns in individual countries. The revised BRAF-NRS V2 Coping item had stronger validity than the original in all analyses. The revised Spanish RAID coping item performed as well as the original. Conclusion. Across six European countries, the BRAF-MDQ identifies the same four aspects of fatigue, and along with the RAID, shows strong factor structure and internal consistency and moderate-good construct validity. The revised BRAF-NRS V2 shows improved construct validity and replaces the original.

引用

页码：300 / 308

页数：9