Development and evaluation of a questionnaire to capture environmental and occupational inhalational exposures in adults with fibrotic interstitial lung disease.

IF 5.8 2区 医学 Q1 Medicine
Aparna C Swaminathan, Molly McFatrich, Laura Mkumba, Lauren Wright, Carrie A Redlich, Laurie D Snyder, Bryce B Reeve, Divya Patel, Mridu Gulati
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Abstract

Background: Identification of exposures in patients with interstitial lung diseases (ILDs) is essential for diagnosis and management and can be facilitated through the use of exposure questionnaires. However, for most ILDs, a patient-focused questionnaire is lacking. Cognitive interviewing is a methodology used to evaluate sources of understanding and misunderstanding in a questionnaire and to provide evidence of content validity. We developed and refined a new exposure questionnaire for patients with fibrotic ILDs by using cognitive interviewing to establish its understandability and content validity.

Methods: An exposure assessment questionnaire was developed by a multidisciplinary team. Cognitive interviews with 24 patients with fibrosing ILDs were conducted by trained interviewers over the phone or Zoom using a semi-structured interview guide. The questionnaire was amended based on the interviewers' interpretation of sources of misunderstanding. The revised questionnaire was tested in a second round of cognitive interviews with a different group of 24 patients.

Results: Among the 48 patients who completed interviews, mean age was 61 years, 58.3% were male and 75.0% were white. Based on the first round of cognitive interviews, the multidisciplinary team modified the questions, organization, and instructions of the questionnaire to facilitate recall, adjust for exposures that were frequently misunderstood or required clarification, and focus on clinically relevant exposures. The revised questionnaire performed well in the second round of interviews.

Conclusion: An exposure questionnaire, developed with input from patients, can be used to assess clinically relevant exposures in adults with fibrosing ILDs. This is the first questionnaire for all types of fibrosing ILD to have undergone content validation.

开发和评估调查问卷,以收集患有纤维化间质性肺病的成人的环境和职业吸入暴露情况。
背景:间质性肺病(ILDs)患者的暴露识别对于诊断和管理至关重要,可通过使用暴露调查问卷来实现。然而,对于大多数 ILD 而言,缺乏以患者为中心的调查问卷。认知访谈是一种用于评估问卷中理解和误解来源并提供内容有效性证据的方法。我们采用认知访谈法为纤维化 ILD 患者开发并改进了一份新的暴露评估问卷,以确定其可理解性和内容有效性:方法:一个多学科团队开发了一份暴露评估问卷。由经过培训的访谈者通过电话或 Zoom 使用半结构化访谈指南对 24 名纤维化 ILD 患者进行认知访谈。根据访谈者对误解来源的解释,对问卷进行了修订。修订后的问卷在对另一组 24 名患者进行的第二轮认知访谈中进行了测试:在完成访谈的 48 名患者中,平均年龄为 61 岁,58.3% 为男性,75.0% 为白人。在第一轮认知访谈的基础上,多学科团队修改了问卷的问题、组织和说明,以方便回忆,调整经常被误解或需要澄清的暴露,并将重点放在与临床相关的暴露上。修订后的问卷在第二轮访谈中表现良好:结论:根据患者意见开发的暴露调查问卷可用于评估成人纤维性 ILD 患者的临床相关暴露。这是第一份经过内容验证的适用于所有类型纤维性 ILD 的问卷。
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来源期刊
Respiratory Research
Respiratory Research RESPIRATORY SYSTEM-
CiteScore
9.70
自引率
1.70%
发文量
314
审稿时长
4-8 weeks
期刊介绍: Respiratory Research publishes high-quality clinical and basic research, review and commentary articles on all aspects of respiratory medicine and related diseases. As the leading fully open access journal in the field, Respiratory Research provides an essential resource for pulmonologists, allergists, immunologists and other physicians, researchers, healthcare workers and medical students with worldwide dissemination of articles resulting in high visibility and generating international discussion. Topics of specific interest include asthma, chronic obstructive pulmonary disease, cystic fibrosis, genetics, infectious diseases, interstitial lung diseases, lung development, lung tumors, occupational and environmental factors, pulmonary circulation, pulmonary pharmacology and therapeutics, respiratory immunology, respiratory physiology, and sleep-related respiratory problems.
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