Skip to main content
SpringerLink
Log in

Assessing the Quality of Life of Adults with Chronic Respiratory Diseases in Routine Primary Care: Construction and First Validation of the 10-Item Respiratory Illness Questionnaire-Monitoring 10 (RIQ-MON10)

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Background: As doctors' judgements about the burden of a disease often differ from patients' own assessments a manageable method to incorporate the latter into routine care might support patient-centered decision-making. For this purpose we shortened the 55-Item Quality of Life for Respiratory Illness Questionnaire (QoL-RIQ). Methods: Secondary analyses of the data of 3 controlled studies (n = 328, 502 and 555). Procedures: inter-item correlations, scale distributions, Cronbach's α and factor analysis. Dyspnoea, forced expiratory volume in 1 (FEV1), COOP/WONCA charts, the Medical Research Council-ECCS symptoms questionnaire and the MOS-SF 36 served as criteria to test validity and responsiveness. Results: Item-reduction resulted in a 10-item short form (α's 0.87–0.90), consisting of 2 5-item factors:(1) physical and emotional complaints and (2) physical and social limitations. The correlations of the short form with dyspnoea (r from 0.57 to 0.60), the generic health status instruments (r from 0.39 to 0.59) and lung function (r from 0.10 to 0.15) fulfilled the criteria. Further results: a clinical relevant score difference (> 0.5) between upper and lower quartiles of the convergent instruments, an intraclass correlation between repeated scores in a stable group of 0.82 and a standardised response mean of 0.86 in an improved group of patients. Conclusions: The short form (RIQ-MON10) maintained the psychometric properties of the original instrument and is promising for assessing quality of life (QoL) during routine primary care visits.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Romain A, Pauwels A, Buist S, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2001; 163: 1256-1276.

    Google Scholar 

  2. National Institutes of health. Global initiative for asthma. National Heart LaBI, (ed.) 95-3659, 1995; 1-168.

  3. Smeele IJM, Jacobs JE, van Schayck CP, et al. Quality of life of patients with asthma/COPD in general practice; impairments and correlations with clinical condition. Eur J Gen Pract 1998; 4: 121-125, 129.

    Google Scholar 

  4. Calkins DR, Rubenstein LV, Cleary PD, et al. Failure of physicians to recognize functional disability in ambulatory patients. Ann Intern Med 1991; 114: 451-454.

    Google Scholar 

  5. Nelson EC, Conger B, Douglass R, et al. Functional health status levels of primary care patients. JAMA 1983; 249(24): 3331-3338.

    Google Scholar 

  6. Sprangers MAG, Aaronson NK. The role of health care providers and significant others in evaluating the quality of life of patients with chronic disease: A review. J Clin Epidemiol 1992; 45(7): 743-760.

    Google Scholar 

  7. Jones PW, Quirk FH, Baveystock CM. Why quality of life measures should be used in the treatment of patients with respiratory illness. Monaldi Arch Chest Dis 1994; 49(1): 79-82.

    Google Scholar 

  8. Undén A, Elofsson S. Health from the patient's point of view. How does it relate to the physician's judgement? Fam Pract 2001; 18(2): 174-180.

    Google Scholar 

  9. Curtis JR, Deyo RA, Hudson LD. Health-related quality of life among patients with chronic obstructive pulmonary disease. Thorax 1994; 49: 162-170.

    Google Scholar 

  10. Battista RN, Hodge MJ. Quality of life research and health technology assessment-a time for synergy. Qual Life Res 1996; 5: 413-418.

    Google Scholar 

  11. Hyland ME, Singh SJ, Sodergren SC, Morgan MPL. Development of a shortened version of the Breathing Problems Questionnaire suitable for use in pulmonary rehabilitation clinic: A purpose-specific, disease-specific questionnaire. Qual Life Res 1998; 7: 227-233.

    Google Scholar 

  12. Juniper EF, Guyatt GH, Cox FM, et al. Development and validation of the Mini Asthma Quality of Life Questionnaire. Eur Respir J 1999; 14: 32-38.

    Google Scholar 

  13. Bayliss MS, Espindle DM, Buchner D, et al. A new tool for monitoring asthma outcomes: The ITG Asthma Short Form. Qual Life Res 2000; 9: 451-466.

    Google Scholar 

  14. Tu S-P, McDonell MB, Spertus JA, et al. A New Self-Administered Questionnaire to Monitor Health-Related Quality of Life in Patients with COPD. Chest 1997; 112(3): 614-622.

    Google Scholar 

  15. Adams RJ, Ruffin RE, Smith BJ. Validity of a modified version of the Marks Asthma Quality of Life Questionnaire. J Asthma 2000; 37(2):131-143.

    Google Scholar 

  16. Hajiro T, Nishimura K, Jones P, et al. A novel, short, and simple questionnaire to measure health-related quality of life in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1999; 159: 1874-1878.

    Google Scholar 

  17. Maille AR, Koning CJM, Zwinderman AH, et al. The development of the 'Quality-of-Life for Respiratory Illness Questionnaire (QOL-RIQ)': A disease-specific quality-of-life questionnaire for patients with mild to moderate chronic non-specific lung disease. Respir Med 1997; 91: 297-309.

    Google Scholar 

  18. Maille AR. Quality of Life in Asthma and COPD. Development of a Disease-Specific Questionnaire. Amsterdam: University of Amsterdam, 2000.

    Google Scholar 

  19. van Stel H F, Maille AR, Colland VT, Everaerd WThAM. Interpretation of change and longitudinal validity of the quality of life for respiratory illness questionnaire (QoL-RIQ) in inpatient pulmonary rehabilitation. Qual Life Res 2003; 12: 133-145.

    Google Scholar 

  20. Smeele IJM. Improving Care for Patients with Asthma and COPD in General Practice. Nijmegen: University of Nijmegen, The Netherlands, 1999.

    Google Scholar 

  21. Jacobs JE, van de Lisdonk E, Smeele I, et al. Management of patients with asthma and COPD: Monitoring quality of life and the relationship to subsequent GP interventions. Fam Pract 2001; 18(6): 579-585.

    Google Scholar 

  22. Jacobs JE, Smeele IJM, van de Lisdonk E, et al. Evaluation of a Computerised Monitoring System for Patients With Asthma and COPD. Abstractbook WONCA, 2000; 104-104.

  23. Lende Rvd, Orie NGM. The MRC-ECCS questionnaire on respiratory symptoms (use in epidemiology). Scand J Resp Dis 1972; 53: 218-226.

    Google Scholar 

  24. Nelson EC, Landgraf JM, Hays RD. The COOP function charts: A system to measure patient function in physicians' offices. In: Lipkin M (ed), Functional Status Measurement in Primary Care. New York: Springer-Verlag, 1990.

    Google Scholar 

  25. Ware Jr JE, Sherbourne CD. The MOS 36-item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection. Med Care 1992; 30(6): 473-483.

    Google Scholar 

  26. Guyatt GH, Bombardier C, Tugwell PX. Measuring disease-specific quality of life in clinical trials. CMAJ 1986; 134: 889-895.

    Google Scholar 

  27. Streiner DL, Norman G. Health Measurement Scales. A Practical Guide to their Development and Use. Oxford: Oxford University Press, 1989.

    Google Scholar 

  28. Coste J, Guillemin F, Pouchet J, Fermanian J. Methodological approaches to shortening composite measurement scales. J Clin Epidemiol 1997; 50: 247-252.

    Google Scholar 

  29. Rutten-van-Molken MP, Custers F, van Doorslaer EK, et al. Comparison of performance of four instruments in evaluating the effects of salmeterol on asthma quality of life. Eur Respir J 1995; 8(6): 888-898.

    Google Scholar 

  30. Jones PW, Quirk FH, Baveystock CM. The St. George's respiratory questionnaire. Respir Med 1991; 85(Suppl B): 25-31.

    Google Scholar 

  31. Ried LD, Nau DP, Grainger-Rousseau TJ. Evaluation of patient's health-related quality of life using a modified and shortened version of the living with asthma questionnaire (ms-LWAQ) and the medical outcomes study, Short-Form 36 (SF-36). Qual Life Res 1999; 8: 491-499.

    Google Scholar 

  32. Stavem K, Jodalen H. Reliability and validity of the COOP/WONCA health status measure in patients with chronic obstructive pulmonary disease. Qual Life Res 2002; 11: 527-533.

    Google Scholar 

  33. Curtis JR, Martin DP, Martin TR. Patient-assessed health outcomes in chronic lung disease. Am J Respir Crit Care Med 1997; 156: 1032-1039.

    Google Scholar 

  34. van Schayck CP, Dompeling E, Rutten MPH. The influence of an inhaled steroid on quality of life in patients with asthma or COPD. Chest 1995; 107: 1199-1205.

    Google Scholar 

  35. Schrier AC. Quality of life in elderly patients with chronic nonspecific lung disease seen in family practice. Chest 1990; 4: 894-899.

    Google Scholar 

  36. van Schayck CP, Folgering H, Otter JJ, et al. Does the continuous use of bronchodilators mask the progression of asthma or chronic bronchitis? Fam Pract 1992; 9(4): 397-404.

    Google Scholar 

  37. van Schayck CP, Rutten MPMH, van Doorslaer EKA, et al. Two-year bronchodilator treatment in patients with mild airflow obstruction: Contradictory effects on lung function and quality of life. Chest 1992; 102: 1384-1391.

    Google Scholar 

  38. Maille AR, Kaptein AA, Haes JCJM, Everaerd WThAM. Assessing quality of life in chronic non-specific lung disease. A review of empirical studies published between 1980 and 1994. Qual Life Res 1996; 5: 287-301.

    Google Scholar 

  39. Deyo RA, Diehr P, Patrick DL. Reproducibility and responsiveness of health status measures. Con Clin Trials 1991; 12: 142S-158S.

    Google Scholar 

  40. McDowwell L, Newell C. Measuring Health: A Guide for Rating Scales and Questionnaires. New York: Oxford University Press, 1987.

    Google Scholar 

  41. Katz JN, Larson MG, Phillips CB, et al. Comparative measurement sensitivity of short and longer health status instruments. Med Care 1992; 30(10): 917-925.

    Google Scholar 

  42. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale: Lawrence Erlbaum Associates, 1988.

    Google Scholar 

  43. McHorney CA, Tarlov AR. Individual-patient monitoring in clinical practice: Are available health status surveys adequate? Qual Life Res 1995; 4: 293-307.

    Google Scholar 

  44. Katz PP, Yelin EH, Smith S, Blanc PD. Perceived control of asthma: Development and validation of a questionnaire. Am J Respir Crit Care Med 1997; 155: 577-582.

    Google Scholar 

  45. Hyland ME. Recommendations from quality of life scales are not simple. BMJ 2002; 325(7364): 599-599.

    Google Scholar 

  46. van Weel C. Of patients and their illnesses. The domains of health status in general practice. Eur J Gen Pract 1998; 4: 3.

    Google Scholar 

  47. vd Bos GAM, Triemstra AHM. Quality of life as an instrument for need assessment and outcome assessment of health care in chronic patients. Qual Health Care 1999; 8: 247-252.

    Google Scholar 

  48. Morris J, Perez D, McNoe B. The use of quality of life in clinical practice. Qual Life Res 1998; 7(1): 85-91.

    Google Scholar 

  49. Meadows KA, Rogers D, Greene T. Attitudes to the use of health outcome questionnaires in the routine care of patients with diabetes: A survey of general practitioners and practice nurses. Br J Gen Pract 1998; 48: 1555-1559.

    Google Scholar 

  50. Smith P. The role of the general health questionnaire in general practice consultations. Br J Gen Pract 1998; 48: 1565-1569.

    Google Scholar 

  51. Deyo RA, Patrick DL. Barriers to the use of health status measures in clinical investigation, patient care, and policy research. Med Care 1989; 27(Suppl 3): S254-S268.

    Google Scholar 

  52. Guyatt GH, Kirshner B, Jaeschke R. Measuring health status: What are the necessary measurement properties? J Clin Epidemiol 1992; 45(12): 1341-1345.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Centre for Quality of Care Research, Nijmegen, The Netherlands

    J.E. Jacobs, A.R. Maillé, R.P. Akkermans, C. van Weel & R.P.T.M. Grol

Authors
  1. J.E. Jacobs
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A.R. Maillé
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R.P. Akkermans
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C. van Weel
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. R.P.T.M. Grol
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jacobs, J., Maillé, A., Akkermans, R. et al. Assessing the Quality of Life of Adults with Chronic Respiratory Diseases in Routine Primary Care: Construction and First Validation of the 10-Item Respiratory Illness Questionnaire-Monitoring 10 (RIQ-MON10). Qual Life Res 13, 1117–1127 (2004). https://doi.org/10.1023/B:QURE.0000031338.88928.e9

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/B:QURE.0000031338.88928.e9

Search

Navigation