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 Vol 12: Validation of the disease burden morbidity assessment by self-report in a French-speaking population.


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This article is from BMC Health Services Research, volume 12.AbstractBackground: The Disease Burden Morbidity Assessment DBMA is a self-report questionnaire used to estimate the disease burden experienced by patients. The aim of this study was to test and to measure the properties of the French translation of the DBMA DBMA-Fv. Methods: The original version of the DBMA was translated into French Canadian and first assessed during cognitive interviews. In the validation study, patients recruited during consecutive consultation periods completed the DBMA-Fv questionnaire while they were in the waiting room of a primary care setting T1. Participants completed the same questionnaire mailed to their home two weeks later T2. Concomitant validity of the DBMA-Fv was assessed using the Cumulative Illness Rating Scale CIRS. Patient medical records were reviewed to verify chronic diseases and past medical history. Results: Ninety-seven patients were recruited and 85 88% returned the mailed questionnaires; 5 5.9% were incomplete. DBMA-Fv scores of the 80 participants with a complete questionnaire at T2 ranged from 0 to 30 median 5.5, mean 7.7, SD = 7.0. Test-retest reliability of the DBMA-Fv was high ICC: 0.86, 95% CI: 0.79-0.92. The DBMA-Fv and the CIRS correlated moderately at T1 r = 0.46, 95% CI: 0.26 - 0.62, p 0.01 and T2 r = 0.56, 95% CI: 0.38 - 0.70, p 0.01. The mean SD sensitivity of patient reports of a condition in relation to chart review at T2 was 73.9 8.4 range 62.5% to 90%. The overall mean SD specificity was 92.2 6.7 range 77.6% to 98.6%. Conclusions: The DBMA-Fvs properties are similar to its English counterpart as to its median sensitivity and specificity compared to chart reviews. It correlated moderately with an established index of multimorbidity. A high percentage of patients were able to complete the test correctly as a mail questionnaire and it showed high test-retest reliability.



Autor: Poitras, Marie-Eve; Fortin, Martin; Hudon, Catherine; Haggerty, Jeannie; Almirall, Jose

Fuente: https://archive.org/







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