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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.

Peters JB, Daudey L, Heijdra YF, Molema J, Dekhuijzen PN, Vercoulen JH - Qual Life Res (2009)

Bottom Line: The TestOrganiser automatically processes the data and produces the graphical PatientProfileChart, which helps to easily interpret results.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Medical Psychology, Radboud University Nijmegen Medical Center, Nijmeegsebaan 31, Postbus 66, 6560 AB, Groesbeek, The Netherlands. j.peters@mps.umcn.nl

ABSTRACT

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.

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Related in: MedlinePlus

Main stages of the development of the Nijmegen Integral Assessment Framework (NIAF) for COPD (previous study) and the development of the Nijmegen Clinical Screening Instrument (NCSI) for COPD (present study)
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Fig1: Main stages of the development of the Nijmegen Integral Assessment Framework (NIAF) for COPD (previous study) and the development of the Nijmegen Clinical Screening Instrument (NCSI) for COPD (present study)

Mentions: In a previous study, we defined four domains of HS; physiological functioning, symptoms, functional impairment, and QoL [6]. These four main domains of HS were found to be subdivided into 15 relatively unique sub-domains, which together constitute the NIAF for COPD. See Fig. 1 for a general description of the development and validation of the NIAF. For a detailed description on the development and validation of the NIAF see elsewhere [6].Fig. 1


Development of a battery of instruments for detailed measurement of health status in patients with COPD in routine care: the Nijmegen Clinical Screening Instrument.

Peters JB, Daudey L, Heijdra YF, Molema J, Dekhuijzen PN, Vercoulen JH - Qual Life Res (2009)

Main stages of the development of the Nijmegen Integral Assessment Framework (NIAF) for COPD (previous study) and the development of the Nijmegen Clinical Screening Instrument (NCSI) for COPD (present study)
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2724638&req=5

Fig1: Main stages of the development of the Nijmegen Integral Assessment Framework (NIAF) for COPD (previous study) and the development of the Nijmegen Clinical Screening Instrument (NCSI) for COPD (present study)
Mentions: In a previous study, we defined four domains of HS; physiological functioning, symptoms, functional impairment, and QoL [6]. These four main domains of HS were found to be subdivided into 15 relatively unique sub-domains, which together constitute the NIAF for COPD. See Fig. 1 for a general description of the development and validation of the NIAF. For a detailed description on the development and validation of the NIAF see elsewhere [6].Fig. 1

Bottom Line: The TestOrganiser automatically processes the data and produces the graphical PatientProfileChart, which helps to easily interpret results.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Medical Psychology, Radboud University Nijmegen Medical Center, Nijmeegsebaan 31, Postbus 66, 6560 AB, Groesbeek, The Netherlands. j.peters@mps.umcn.nl

ABSTRACT

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.

Show MeSH
Related in: MedlinePlus