Measurement properties of the Arabic Version of the multidimensional dyspnea profile in patients with chronic respiratory diseases.

IF 3.3 4区医学 Q1 Medicine

European review for medical and pharmacological sciences Pub Date : 2025-02-01 DOI:10.26355/eurrev_202502_37096

A Shaheen, Y Alenazi, A Albarrati, A Alnahdi, A Alsubiheen, F Alrashed, M Algabbani

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引用次数: 0

Abstract

Objective: The multidimensional dyspnea profile (MDP) is a self-reported instrument validated in several languages but not Arabic. The study aimed to translate and cross-culturally adapt the MDP into Arabic (A-MDP) and test its measurement properties in patients with chronic respiratory diseases.

Materials and methods: The MDP was translated and culturally adapted into Arabic based on published guidelines. A sample of 127 patients was recruited to assess the construct validity [correlating the A-MDP with the Arabic Numeric Pain Rating Scale (ANPRS), the Arabic version of the Chronic Obstructive Pulmonary Disease Assessment test (Arabic-CAT), and the Arabic Dyspnea-12 scale (D-12-A)] and structural validity (the exploratory and confirmatory factor analysis). Internal consistency [(Cronbach's alpha (α), corrected item-total correlation], test-retest reliability [Spearman's correlation (rho), Intraclass correlation coefficient (ICC2.1) with a 95% confidence interval (95% CI)], standard error of measurement (SEM), minimal detectable change (MDC95% and MDC%), the limit of agreement, and floor/ceiling effects were calculated. A-MDP responsiveness was assessed using the receiver operating characteristic curve.

Results: A-MDP's content validity was excellent. The scale showed highly significant positive correlations with the Arabic-CAT and ANPRS (rho = 0.83 and 0.78, respectively) and a moderately significant positive correlation with D-12-A (rho = 0.69). A model with a two-factor construct showed an acceptable fit (comparative fit index = 0.0.95). Excellent internal consistency (α = 0.93) and acceptable corrected item-total correlations (rho = 0.57-0.84) were found. The test-retest reliability was satisfactory (ICC2.1 = 0.94, 95% CI = 0.91-0.96, rho = 0.79). The SEM of the total score was 1.76 with an MCD95 of 4.8 (12.4%) with no systematic error or proportional bias. The area under the curve was 0.80. At the cut-off point of 40.5/110, specificity and sensitivity were 88% and 61%, respectively. No floor or ceiling effects were observed.

Conclusions: The MDP-A elaborated excellent measurement properties. It is recommended for its clinical utility.

查看原文本刊更多论文

阿拉伯语版慢性呼吸系统疾病患者多维呼吸困难概况的测量特性。

目的：多维呼吸困难概况（MDP）是一种自我报告的工具，在几种语言中验证，但不包括阿拉伯语。本研究旨在将MDP翻译成阿拉伯语（A-MDP）并跨文化适应，并测试其在慢性呼吸系统疾病患者中的测量特性。材料和方法：根据已出版的指南将MDP翻译成阿拉伯语并进行文化改编。招募127例患者进行结构效度评估[将A- mdp与阿拉伯数字疼痛评定量表（ANPRS）、阿拉伯版慢性阻塞性肺疾病评估测试（arab - cat）和阿拉伯呼吸困难量表（D-12-A）相关联]和结构效度评估（探索性和验证性因子分析）。计算了内部一致性[(Cronbach's alpha (α)，校正的项目-总量相关]，重测信度[Spearman's相关（rho）， 95%置信区间（95% CI）的类内相关系数（ICC2.1）]，测量标准误差（SEM），最小可检测变化（MDC95%和MDC%），一致性极限和下限/上限效应。采用受试者工作特征曲线评估A-MDP反应性。结果：A-MDP的内容效度良好。量表与Arabic-CAT和ANPRS呈极显著正相关（rho分别为0.83和0.78），与D-12-A呈中等显著正相关（rho = 0.69）。具有双因素结构的模型显示出可接受的拟合（比较拟合指数= 0.0.95）。内部一致性极佳（α = 0.93），校正后的项目-总量相关性可接受（rho = 0.57-0.84）。重测信度令人满意（ICC2.1 = 0.94, 95% CI = 0.91-0.96, rho = 0.79）。总得分的SEM为1.76，MCD95为4.8(12.4%)，无系统误差和比例偏倚。曲线下面积为0.80。在40.5/110的临界值下，特异性为88%，敏感性为61%。没有观察到下限或上限效应。结论：MDP-A具有良好的测量性能。推荐其临床应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European review for medical and pharmacological sciences 医学-药学

CiteScore

5.30

自引率

6.10%

发文量

906

审稿时长

2-4 weeks

期刊介绍： European Review for Medical and Pharmacological Sciences, a fortnightly journal, acts as an information exchange tool on several aspects of medical and pharmacological sciences. It publishes reviews, original articles, and results from original research. The purposes of the Journal are to encourage interdisciplinary discussions and to contribute to the advancement of medicine. European Review for Medical and Pharmacological Sciences includes: -Editorials- Reviews- Original articles- Trials- Brief communications- Case reports (only if of particular interest and accompanied by a short review)