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Development of a battery of instruments for detailed measurement of health status in patients with COPD in routine care: the Nijmegen Clinical Screening Instrument
- Source :
- Quality of Life Research, 18, 7, pp. 901-12, Quality of Life Research, 18, 901-12, Quality of Life Research
- Publication Year :
- 2009
-
Abstract
- Contains fulltext : 80284.pdf (Publisher’s version ) (Closed access) PURPOSE: To compose a battery of instruments that provides a detailed assessment of health status (HS) in COPD but that is applicable and clinically meaningful in routine care. METHODS: In a previous study, we developed the Nijmegen Integral Assessment Framework (NIAF) that organizes existing tests and instruments by the sub-domains of HS they measure. Based on clinical and statistical criteria (correlation coefficients and Cronbach alpha's) we selected for each sub-domain instruments from the NIAF. A COPD-study group was used to determine c-scores, and two control groups were used to determine the score ranges indicating normal functioning versus clinically relevant problems for each sub-domain. Existing questionnaire completion software (TestOrganiser) was adapted to enhance clinical applicability. RESULTS: The NCSI measures eleven sub-domains of physiological functioning, symptoms, functional impairment, and quality of life. The TestOrganiser automatically processes the data and produces the graphical PatientProfileChart, which helps to easily interpret results. This envisages the problem areas and discrepancies between the different sub-domains. CONCLUSION: The NCSI provides a valid and detailed picture of a patient's HS within 15-25 min. In combination with the PatientProfileChart, the NCSI can be used perfectly in routine care as screening instrument and as a guide in patient-tailored treatment.
- Subjects :
- Battery (electricity)
Quality of life
Adult
Male
medicine.medical_specialty
Health Status
MEDLINE
Severity of Illness Index
Article
Pulmonary Disease, Chronic Obstructive
Quality of life (healthcare)
Sickness Impact Profile
Surveys and Questionnaires
Severity of illness
medicine
COPD
Humans
In patient
Intensive care medicine
Routine care
Aged
Aged, 80 and over
business.industry
Public health
Patient-tailored treatment
Public Health, Environmental and Occupational Health
Psychological determinants of chronic illness [NCEBP 8]
Middle Aged
medicine.disease
Pathogenesis and modulation of inflammation [N4i 1]
Screening instrument
Physical therapy
Female
business
Subjects
Details
- ISSN :
- 09629343
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Quality of Life Research
- Accession number :
- edsair.doi.dedup.....e390c0178968e589d43a085c539ff399