Responsiveness of the Short-form Health Survey and the Parkinson's Disease Questionnaire in Patients with Parkinson's Disease

Overview

Journal Health Qual Life Outcomes

Publisher Biomed Central

Specialty Public Health

Date 2017 Apr 20

PMID 28420397

Citations 7

Authors

Xiao-Jing Tu

Wen-Juh Hwang

Shih-Pin Hsu

Hui-Ing Ma

Affiliations

Soon will be listed here.

Abstract

Background: The responsiveness of a measurement instrument is important for understanding its ability to detect changes in the progression of a disease. We examined and compared the internal and external responsiveness of the 36-item Short-Form Health Survey (SF-36) and the 39-item Parkinson's Disease Questionnaire (PDQ-39) in patients with Parkinson's Disease (PD).

Methods: Seventy-four patients with PD were evaluated using the SF-36 and PDQ-39 at baseline and again after one year. In addition, their motor signs, motor difficulties of daily living, and depressive symptoms were assessed as external criteria. The internal responsiveness was examined using effect size, standardized response mean, and the Wilcoxon signed rank test. The external responsiveness was examined using receiver operating characteristic curves, correlation analyses, and regression models.

Results: Both instruments were partially sensitive to changes during the 1-year follow-up and able to discriminate between patients with improved versus deteriorated motor signs. In addition, both were similarly responsive to changes in the motor difficulties of daily living; the SF-36 appeared to be more sensitive than the PDQ-39 to changes in depressive symptoms.

Conclusions: The SF-36 and the PDQ-39 were acceptably internally and externally responsive during the 1-year follow-up.

Citing Articles

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Li Z, Zhuang J, Jiang Y, Xiao G, Jie K, Wang T BMJ Open. 2019; 9(9):e028869.

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References

Deyo R, Centor R . Assessing the responsiveness of functional scales to clinical change: an analogy to diagnostic test performance. J Chronic Dis. 1986; 39(11):897-906. DOI: 10.1016/0021-9681(86)90038-x. View

Den Oudsten B, Van Heck G, de Vries J . The suitability of patient-based measures in the field of Parkinson's disease: a systematic review. Mov Disord. 2007; 22(10):1390-1401. DOI: 10.1002/mds.21539. View

Terwee C, Dekker F, Wiersinga W, Prummel M, Bossuyt P . On assessing responsiveness of health-related quality of life instruments: guidelines for instrument evaluation. Qual Life Res. 2003; 12(4):349-62. DOI: 10.1023/a:1023499322593. View

Husted J, Cook R, Farewell V, Gladman D . Methods for assessing responsiveness: a critical review and recommendations. J Clin Epidemiol. 2000; 53(5):459-68. DOI: 10.1016/s0895-4356(99)00206-1. View

Fitzpatrick R, Peto V, Jenkinson C, Greenhall R, Hyman N . Health-related quality of life in Parkinson's disease: a study of outpatient clinic attenders. Mov Disord. 1997; 12(6):916-22. DOI: 10.1002/mds.870120613. View

Brown C, Cheng E, Hays R, Vassar S, Vickrey B . SF-36 includes less Parkinson Disease (PD)-targeted content but is more responsive to change than two PD-targeted health-related quality of life measures. Qual Life Res. 2009; 18(9):1219-37. PMC: 2759458. DOI: 10.1007/s11136-009-9530-y. View

Simpson J, Lekwuwa G, Crawford T . Predictors of quality of life in people with Parkinson's disease: evidence for both domain specific and general relationships. Disabil Rehabil. 2014; 36(23):1964-70. DOI: 10.3109/09638288.2014.883442. View

Ma H, Hwang W, Chen-Sea M . Reliability and validity testing of a Chinese-translated version of the 39-item Parkinson's Disease Questionnaire (PDQ-39). Qual Life Res. 2005; 14(2):565-9. DOI: 10.1007/s11136-004-0687-0. View

Shyu Y, Lu J, Chen S . Psychometric testing of the SF-36 Taiwan version on older stroke patients. J Clin Nurs. 2008; 18(10):1451-9. DOI: 10.1111/j.1365-2702.2008.02449.x. View

10.

Ware Jr J, Sherbourne C . The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992; 30(6):473-83. View

11.

Fuh J, Wang S, Lu S, Juang K, Lee S . Psychometric evaluation of a Chinese (Taiwanese) version of the SF-36 health survey amongst middle-aged women from a rural community. Qual Life Res. 2001; 9(6):675-83. DOI: 10.1023/a:1008993821633. View

12.

Goetz C, Tilley B, Shaftman S, Stebbins G, Fahn S, Martinez-Martin P . Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing results. Mov Disord. 2008; 23(15):2129-70. DOI: 10.1002/mds.22340. View

13.

Martinez-Martin P, Jeukens-Visser M, Lyons K, Rodriguez-Blazquez C, Selai C, Siderowf A . Health-related quality-of-life scales in Parkinson's disease: critique and recommendations. Mov Disord. 2011; 26(13):2371-80. DOI: 10.1002/mds.23834. View

14.

Revicki D, Cella D, Hays R, Sloan J, Lenderking W, Aaronson N . Responsiveness and minimal important differences for patient reported outcomes. Health Qual Life Outcomes. 2006; 4:70. PMC: 1586195. DOI: 10.1186/1477-7525-4-70. View

15.

Yang S, Sajatovic M, Walter B . Psychosocial interventions for depression and anxiety in Parkinson's disease. J Geriatr Psychiatry Neurol. 2012; 25(2):113-21. DOI: 10.1177/0891988712445096. View

16.

Wiebe S, Guyatt G, Weaver B, Matijevic S, Sidwell C . Comparative responsiveness of generic and specific quality-of-life instruments. J Clin Epidemiol. 2003; 56(1):52-60. DOI: 10.1016/s0895-4356(02)00537-1. View

17.

Keus S, Bloem B, Hendriks E, Bredero-Cohen A, Munneke M . Evidence-based analysis of physical therapy in Parkinson's disease with recommendations for practice and research. Mov Disord. 2006; 22(4):451-60. DOI: 10.1002/mds.21244. View

18.

Abudi S, Bar-Tal Y, Ziv L, Fish M . Parkinson's disease symptoms--patients' perceptions. J Adv Nurs. 1997; 25(1):54-9. DOI: 10.1046/j.1365-2648.1997.1997025054.x. View

19.

Den Oudsten B, Lucas-Carrasco R, Green A . Perceptions of persons with Parkinson's disease, family and professionals on quality of life: an international focus group study. Disabil Rehabil. 2011; 33(25-26):2490-508. DOI: 10.3109/09638288.2011.575527. View

20.

Horvath K, Aschermann Z, Acs P, Deli G, Janszky J, Komoly S . Minimal clinically important difference on the Motor Examination part of MDS-UPDRS. Parkinsonism Relat Disord. 2015; 21(12):1421-6. DOI: 10.1016/j.parkreldis.2015.10.006. View