The development and validation of the Bronchiectasis Health Questionnaire

Arietta Spinou; Richard J. Siegert; Wei-jie Guan; Amit S. Patel; Harry R. Gosker; Kai K. Lee; Caroline Elston; Michael R. Loebinger; Robert Wilson; Rachel Garrod; Surinder S. Birring

doi:10.1183/13993003.01532-2016

The development and validation of the Bronchiectasis Health Questionnaire

Arietta Spinou, Richard J. Siegert, Wei-jie Guan, Amit S. Patel, Harry R. Gosker, Kai K. Lee, Caroline Elston, Michael R. Loebinger, Robert Wilson, Rachel Garrod, Surinder S. Birring^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Health-related quality of life or health status is significantly impaired in bronchiectasis. There is a paucity of brief, simple-to-use, disease-specific health status measures. The aim of this study was to develop and validate the Bronchiectasis Health Questionnaire (BHQ), a new health status measure that is brief and generates a single overall score.

Patients with bronchiectasis were recruited from two outpatient clinics, during a clinically stable stage. The development of the questionnaire followed three phases: item generation and item reduction using Rasch analysis, validation, and repeatability testing. The BHQ was translated into 11 languages using standardised methodology.

206 patients with bronchiectasis completed a preliminary 65-item questionnaire. 55 items were removed due to redundancy or poor fit to the Rasch model. The final version of the BHQ consisted of 10 items. Internal consistency was good (Cronbach's alpha=0.85). Convergent validity of the BHQ with the St George's Respiratory Questionnaire was high (r=-0.82; p

The BHQ is a brief, valid and repeatable, self-completed health status questionnaire for bronchiectasis that generates a single total score. It can be used in the clinic to assess bronchiectasis from the patient's perspective.

Original language	English
Article number	1601532
Number of pages	11
Journal	European Respiratory Journal
Volume	49
Issue number	5
DOIs	https://doi.org/10.1183/13993003.01532-2016
Publication status	Published - May 2017

Keywords

QUALITY-OF-LIFE
LEICESTER COUGH QUESTIONNAIRE
INTERSTITIAL LUNG-DISEASE
GEORGES RESPIRATORY QUESTIONNAIRE
CYSTIC FIBROSIS BRONCHIECTASIS
MINIMAL IMPORTANT DIFFERENCE
PSYCHOMETRIC ANALYSES
K-BILD
SEVERITY

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10.1183/13993003.01532-2016

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Cite this

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title = "The development and validation of the Bronchiectasis Health Questionnaire",

abstract = "Health-related quality of life or health status is significantly impaired in bronchiectasis. There is a paucity of brief, simple-to-use, disease-specific health status measures. The aim of this study was to develop and validate the Bronchiectasis Health Questionnaire (BHQ), a new health status measure that is brief and generates a single overall score.Patients with bronchiectasis were recruited from two outpatient clinics, during a clinically stable stage. The development of the questionnaire followed three phases: item generation and item reduction using Rasch analysis, validation, and repeatability testing. The BHQ was translated into 11 languages using standardised methodology.206 patients with bronchiectasis completed a preliminary 65-item questionnaire. 55 items were removed due to redundancy or poor fit to the Rasch model. The final version of the BHQ consisted of 10 items. Internal consistency was good (Cronbach's alpha=0.85). Convergent validity of the BHQ with the St George's Respiratory Questionnaire was high (r=-0.82; pThe BHQ is a brief, valid and repeatable, self-completed health status questionnaire for bronchiectasis that generates a single total score. It can be used in the clinic to assess bronchiectasis from the patient's perspective.",

keywords = "QUALITY-OF-LIFE, LEICESTER COUGH QUESTIONNAIRE, INTERSTITIAL LUNG-DISEASE, GEORGES RESPIRATORY QUESTIONNAIRE, CYSTIC FIBROSIS BRONCHIECTASIS, MINIMAL IMPORTANT DIFFERENCE, PSYCHOMETRIC ANALYSES, K-BILD, SEVERITY",

author = "Arietta Spinou and Siegert, {Richard J.} and Wei-jie Guan and Patel, {Amit S.} and Gosker, {Harry R.} and Lee, {Kai K.} and Caroline Elston and Loebinger, {Michael R.} and Robert Wilson and Rachel Garrod and Birring, {Surinder S.}",

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AU - Lee, Kai K.

AU - Elston, Caroline

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