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Ambrosio L, Hislop-Lennie K, Serrano-Fuentes N, Driessens C, Portillo MC. First validation study of the living with long term conditions scale (LwLTCs) among English-speaking population living with Parkinson's disease. Health Qual Life Outcomes 2023; 21:69. [PMID: 37430315 DOI: 10.1186/s12955-023-02154-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Accepted: 06/26/2023] [Indexed: 07/12/2023] Open
Abstract
INTRODUCTION Parkinson's disease is the second most prevalent neurodegenerative disease, affecting 10 million people worldwide. Health and social care professionals need to have personalised tools to evaluate the process of living with Parkinson's disease and consequently, plan individualised and targeted interventions. Recently, the English version of the Living with Long term conditions (LwLTCs) scale has been developed filling an important gap related to person-centred tools to evaluate the process of living with long term conditions among English-speaking population. However, no validation studies for testing its psychometric properties have been conducted. AIM To analyse the psychometric properties of the LwLTCs scale in a wide English-speaking population living with Parkinson's disease. METHODS Validation study, with an observational and cross-sectional design. The sample was composed of individuals living with Parkinson's disease from non-NHS services in the community. Psychometric properties including feasibility and acceptability, internal consistency, reproducibility, and construct, internal and known-groups validity were tested. RESULTS A total sample of 241 people living with Parkinson's disease were included. 6 individuals did not complete 1 or 2 items on the scale. Ordinal alpha was 0.89 for the total scale. The intraclass correlation coefficient for the total scale was 0.88. The LwLTCs scale is strongly correlated with scales measuring satisfaction with life (rs=0.67), quality of life (rs=0.54), and moderately correlated with social support (rs=0.45). Statistically significant difference just for therapy and co-morbidity, yet no for gender, employment situation, or lifestyle changes. CONCLUSIONS The LwLTCs scale is a valid scale to evaluate how the person is living with Parkinson's disease. Future validation studies to prove the repeatability of the total scale and particularly, domains 3-Self-management, and 4-Integration and internal consistency will be needed. Developing further studies on the English version of the LwLTC in people with other long term conditions is also proposed.
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Affiliation(s)
- Leire Ambrosio
- School of Health Sciences and NIHR Applied Research Collaboration Wessex, University of Southampton, Hampshire, UK.
| | | | | | | | - Mari Carmen Portillo
- School of Health Sciences and NIHR Applied Research Collaboration Wessex, University of Southampton, Hampshire, UK
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Rodriguez‐Blazquez C, Forjaz MJ, Ayala A, Portillo MC, Ambrosio L. Living with Chronic Illness Scale: International validation through the classic test theory and Rasch analysis among Spanish-speaking populations with long-term conditions. Health Expect 2021; 24:2065-2077. [PMID: 34492734 PMCID: PMC8628594 DOI: 10.1111/hex.13351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 06/11/2021] [Accepted: 07/26/2021] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND The Living with Chronic Illness (LW-CI) Scale is a comprehensive patient-reported outcome measure that evaluates the complex process of living with long-term conditions. OBJECTIVE This study aimed to analyse the psychometric properties of the LW-CI scale according to the classic test theory and the Rasch model among individuals living with different long-term conditions. DESIGN This was an observational, international and cross-sectional study. METHODS A total of 2753 people from six Spanish-speaking countries living with type 2 diabetes mellitus, chronic obstructive pulmonary disease, chronic heart failure, Parkinson's disease, hypertension and osteoarthritis were included. The acceptability, internal consistency and validity of the LW-CI scale were analysed using the classical test theory, and fit to the model, unidimensionality, person separation index, item local independency and differential item functioning were analysed using the Rasch model. RESULTS Cronbach's α for the LW-CI scale was .91, and correlation values for all domains of the LW-CI scale ranged from .62 to .68, except for Domain 1, which showed correlation coefficients less than .30. The LW-CI domains showed a good fit to the Rasch model, with unidimensionality, item local independency and moderate reliability providing scores in a true interval scale. Except for two items, the LW-CI scale was free from bias by long-term condition type. DISCUSSION After some adjustments, the LW-CI scale is a reliable and valid measure showing a good fit to the Rasch model and is ready for use in research and clinical practice. Future implementation studies are suggested. PATIENT AND PUBLIC CONTRIBUTION Patient and public involvement was conducted before this validation study - in the pilot study phase.
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Affiliation(s)
- Carmen Rodriguez‐Blazquez
- National Epidemiology Centre, Carlos III Institute of HealthMadridSpain
- Network Center for Biomedical Research in Neurodegenerative Diseases (CIBERNED)MadridSpain
| | - Maria João Forjaz
- National Epidemiology Centre, Carlos III Institute of HealthMadridSpain
- Health Service Research Network on Chronic Diseases (REDISSEC)
| | - Alba Ayala
- Health Service Research Network on Chronic Diseases (REDISSEC)
- University Carlos III of MadridMadridSpain
| | - Mari Carmen Portillo
- School of Health Sciences, NIHR ARC WessexUniversity of SouthamptonSouthamptonUnited Kingdom
| | - Leire Ambrosio
- School of Health Sciences, NIHR ARC WessexUniversity of SouthamptonSouthamptonUnited Kingdom
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Meneses Monroy A, Rodríguez-Blázquez C, Ursúa ME, Caparrós N, Ruiz de Ocenda MI, López L, Caro J, Elizondo N, Ambrosio L. [Validation of the living with osteoarthritis in Spanish population]. Aten Primaria 2021; 53:102044. [PMID: 33836404 PMCID: PMC8056235 DOI: 10.1016/j.aprim.2021.102044] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 10/27/2020] [Accepted: 01/07/2021] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE Present the psychometric results of the Living with Osteoarthritis (LW-OA) in Spanish population. DESIGN Observational, cross-sectional and multicenter study, with retest on a fraction of the sample. LOCATION Public and private centres of primary and secondary healthcare, as well as patient associations from Navarra, La Rioja, Madrid, Valencia and Malaga. PARTICIPANTS The sample was composed by 291 patients with OA with a medical diagnosis in every stage of the disease from primary or secondary healthcare, Spanish nationality and not hospitalized. INTERVENTIONS In addition to LW-OA, a sociodemographic questionnaire was included, as well as scales to evaluate social support perceived from the patient (DUFSS), quality of life (WHOQOL-BREF) and satisfaction with life. MAIN MEASUREMENTS Psychometric properties of the LW-OA were measured, as viability and acceptability, reliability (internal consistency and reproducibility), precision and construct validity (convergent, internal and known-groups). RESULTS 100% of the data were computable. Excellent data quality was obtained. Cronbach's alpha for the scale total was 0.87 and the homogeneity index 0.22. ICC for the scale total was 0.88. As for precision, the SEM was 5.18 (<½DE=7.47). CONCLUSIONS The LW-OA is a valid and feasible measure to evaluate the process of living with OA in Spain.
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Affiliation(s)
- Alfonso Meneses Monroy
- Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, España
| | | | - María Eugenia Ursúa
- Centro de Salud San Juan, Servicio Navarro de Salud, Pamplona, Navarra, España
| | - Neus Caparrós
- Departamento de Derecho, Universidad de La Rioja, La Rioja, Logroño, España
| | | | | | - Jorge Caro
- Servicio Andaluz de Salud, Distrito Sanitario Málaga-Valle del Guadalhorce, Málaga, España
| | - Nerea Elizondo
- Complejo Hospitalario de Navarra, Servicio Navarro de Salud, Pamplona, Navarra, España
| | - Leire Ambrosio
- NIHR Applied Research Collaboration Wessex, School of Health Sciences, University of Southampton, Southampton, Reino Unido.
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Caro-Bautista J, Rodríguez-Blázquez C, Perez-Manchon D, Timonet-Andreu E, Carvajal-Carrascal G, Fuentes-Ramírez A, Corchon S, Aranda-Gallardo M, Ambrosio L. Validation of living with chronic illness scale in a type 2 diabetes mellitus population. Health Qual Life Outcomes 2021; 19:93. [PMID: 33731142 PMCID: PMC7972215 DOI: 10.1186/s12955-021-01715-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2020] [Accepted: 02/23/2021] [Indexed: 12/14/2022] Open
Abstract
Background Worldwide, type 2 diabetes mellitus (T2DM) is one of the most prevalent chronic diseases and one of those producing greatest impact on patients’ day-to-day quality of life. Our study aim is to validate the “Living with Chronic Illness Scale” for a Spanish-speaking T2DM population. Methods In this observational, international, cross-sectional study, 582 persons with T2DM were recruited in primary care and outpatient hospital consultations, in Spain and Colombia, during the period from May 2018 to June 2019. The properties analysed were feasibility/acceptability, internal consistency, reliability, precision and (structural) content-construct validity including confirmatory factor analysis. The COSMIN checklist was used to assess the methodological/psychometric quality of the instrument. Results The scale had an adequate internal consistency and test retest reliability (Cronbach’s alpha = 0.90; intraclass correlation coefficient = 0.96, respectively). In addition, the instrument is precise (standard error of measurement = 3.34, with values < ½SD = 8.52) and correlates positively with social support (DUFSS) (rs = 0.56), quality of life (WHOQOL-BREF) (rs = 0.51–0.30) and ssatisfaction with life (SLS-6) (rs = 0.50–0.38). The original 26-items version of the scale did not support totally the confirmatory factor analysis. The COSMIN checklist is favourable for all the properties analysed, although weaknesses are detected for structural validity. Conclusions The LW-CI-T2DM is a valid, reliable and accurate instrument for use in clinical practice to determine how a person’s life is affected by the presence of diabetes. This instrument correlates well with the associated constructs of social support, quality of life and satisfaction. Additional research is needed to determine how well the questionnaire structure performs when robust factor analysis methods are applied. Supplementary Information The online version contains supplementary material available at 10.1186/s12955-021-01715-x.
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Affiliation(s)
- Jorge Caro-Bautista
- Andalusian Public Health System, District of Primary Health Care of Málaga-Valle del Guadalhorce and Instituto de Investigación Biomédica de Málaga-IBIMA, Málaga, Spain
| | | | | | - Eva Timonet-Andreu
- Department of Cardiology, Costa del Sol Hospital and Instituto de Investigación Biomédica de Málaga-IBIMA, Málaga, Spain
| | | | | | - Silvia Corchon
- Faculty of Nursing and Chiropody, University of Valencia, Valencia, Spain
| | | | - Leire Ambrosio
- School of Health Sciences, NIHR ARC Wessex, University of Southampton, Building 67, University Road, SO171BJ, Southampton, United Kingdom.
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Ambrosio L, Hislop‐Lennie K, Barker H, Culliford D, Portillo MC. Living with Long term condition Scale: A pilot validation study of a new person centred tool in the UK. Nurs Open 2021; 8:1909-1919. [PMID: 33723922 PMCID: PMC8186700 DOI: 10.1002/nop2.859] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 02/07/2021] [Accepted: 03/01/2021] [Indexed: 11/07/2022] Open
Abstract
AIM To cross-culturally adapt and determine the preliminary psychometric properties of the English version of the LwLTC Scale in people living with long-term conditions in the UK. DESIGN Cross-cultural adaptation and cross-sectional study. METHODS Forty-nine patients with five long-term conditions were included in the pilot study. Patients completed the English version of the LwLTC Scale and a bespoke questionnaire related to the scale. Feasibility/acceptability, internal consistency and construct validity were analysed. RESULTS 59.2% of participants were female, with an average age of 65.9 (SD = 12.30). Cronbach's alpha coefficient ranged between 0.50 and 0.84. Content validity showed that the English version of the LwLTC Scale was useful even negative items were identified. CONCLUSION These preliminary psychometric properties are satisfactory and promising. Further psychometric analyses are needed to verify them in a larger and more representative sample size during the main validation study, which is now in process.
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Affiliation(s)
- Leire Ambrosio
- School of Health SciencesUniversity of SouthamptonHampshireUK
- NIHR Applied Research CollaborationWessex University of SouthamptonHampshireUK
| | | | - Hannah Barker
- NIHR Applied Research CollaborationWessex University of SouthamptonHampshireUK
| | - David Culliford
- School of Health SciencesUniversity of SouthamptonHampshireUK
- NIHR Applied Research CollaborationWessex University of SouthamptonHampshireUK
| | - Mari Carmen Portillo
- School of Health SciencesUniversity of SouthamptonHampshireUK
- NIHR Applied Research CollaborationWessex University of SouthamptonHampshireUK
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Ambrosio L, Perez-Manchon D, Carvajal-Carrascal G, Fuentes-Ramirez A, Caparros N, Ruiz de Ocenda MI, Timonet E, Navarta-Sanchez MV, Rodriguez-Blazquez C. Psychometric Validation of the Living with Chronic Illness Scale in Patients with Chronic Heart Failure. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18020572. [PMID: 33445479 PMCID: PMC7828024 DOI: 10.3390/ijerph18020572] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 12/18/2020] [Accepted: 01/01/2021] [Indexed: 01/06/2023]
Abstract
It is necessary to develop self-reported instruments that evaluate the process of living with chronic heart failure (HF) holistically. The Living with Chronic Illness Scale—HF (LW-CI-HF) is the only available tool to evaluate how patients are living with HF. The aim is to analyse the psychometric properties of the LW-CI scale in the HF population. An international, cross-sectional validation study was carried out in 603 patients living with HF from Spain and Colombia. The variables measured were living with HF, perceived social support, satisfaction with life, quality of life and global impression of severity. The LW-CI-HF scale presented good data quality and acceptability. All domains showed high internal consistency with Cronbach’s alpha coefficient ≥ 0.7. The intraclass correlation coefficient for the total score was satisfactory (0.9) in test–retest reliability. The LW-CI-HF correlated 0.7 with social support and quality of life measures. Standard error of measurement was 6.5 for total scale. The LW-CI-HF scale is feasible, reliable and valid. However, results should be taken with caution in order to be used in clinical practice to evaluate the complex process of living with HF. Further research is proposed.
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Affiliation(s)
- Leire Ambrosio
- School of Health Sciences, University of Southampton, Southampton SO17 1BJ, UK
- Correspondence: ; Tel.: +44-(0)23-8059-7591
| | | | - Gloria Carvajal-Carrascal
- Facultad de Enfermería y Rehabilitación, Universidad de La Sabana, Bogotá 53753, Colombia; (G.C.-C.); (A.F.-R.)
| | - Alejandra Fuentes-Ramirez
- Facultad de Enfermería y Rehabilitación, Universidad de La Sabana, Bogotá 53753, Colombia; (G.C.-C.); (A.F.-R.)
| | - Neus Caparros
- Faculty of Legal and Social Science, La Rioja University, 26004 La Rioja, Spain;
| | | | - Eva Timonet
- Department of Cardiology, Costa del Sol Hospital, 29603 Malaga, Spain;
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Mathers J, Moiemen N, Bamford A, Gardiner F, Tarver J. Ensuring that the outcome domains proposed for use in burns research are relevant to adult burn patients: a systematic review of qualitative research evidence. BURNS & TRAUMA 2020; 8:tkaa030. [PMID: 33163540 PMCID: PMC7603423 DOI: 10.1093/burnst/tkaa030] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Revised: 12/31/2019] [Indexed: 11/13/2022]
Abstract
Background There have been several attempts to define core outcome domains for use in research focused on adult burns. Some have been based in expert opinion, whilst others have used primary qualitative research to understand patients' perspectives on outcomes. To date there has not been a systematic review of qualitative research in burns to identify a comprehensive list of patient-centred outcome domains. We therefore conducted a systematic review of qualitative research studies in adult burns. Methods We searched multiple databases for English-language, peer-reviewed, qualitative research papers. We used search strategies devised using the SPIDER tool for qualitative synthesis. Our review utilized an iterative three-step approach: (1) outcome-focused coding; (2) development of descriptive accounts of outcome-relevant issues; and (3) revisiting studies and the broader theoretical literature in order to frame the review findings. Results Forty-one articles were included. We categorized papers according to their primary focus. The category with the most papers was adaptation to life following burn injury (n = 13). We defined 19 outcome domains across the 41 articles: (1) sense of self; (2) emotional and psychological morbidity; (3) sensory; (4) scarring and scar characteristics; (5) impact on relationships; (6) mobility and range of joint motion; (7) work; (8) activities of daily living and self-care; (9) treatment burden; (10) engagement in activities; (11) wound healing and infection; (12) other physical manifestations; (13) financial impact; (14) impact on spouses and family members; (15) analgesia and side effects; (16) cognitive skills; (17) length of hospital stay; (18) access to healthcare; and (19) speech and communication. We suggest that sense of self is a core concern for patients that, to date, has not been clearly conceptualized in the burns outcome domain literature. Conclusions This outcome domain framework identifies domains that are not covered in previous attempts to outline core outcome domains for adult burn research. It does so with reference to existing theoretical perspectives from the sociology and psychology of medicine. We propose that this framework can be used as a basis to ensure that outcome assessment is patient-centred. Sense of self requires further consideration as a core outcome domain.
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Affiliation(s)
- Jonathan Mathers
- Institute of Applied Health Research, University of Birmingham, Birmingham, B15 2TT, UK
| | - Naiem Moiemen
- The Scar Free Foundation Centre for Burns Research, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham, B15 2WB, UK
| | - Amy Bamford
- The Scar Free Foundation Centre for Burns Research, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham, B15 2WB, UK
| | - Fay Gardiner
- The Scar Free Foundation Centre for Burns Research, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham, B15 2WB, UK
| | - Joanne Tarver
- School of Life & Health Sciences, Aston University, Aston Triangle, Birmingham, B4 7ET, UK
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Tallouzi MO, Moore DJ, Bucknall N, Murray PI, Calvert MJ, Denniston AK, Mathers JM. Outcomes important to patients with non-infectious posterior segment-involving uveitis: a qualitative study. BMJ Open Ophthalmol 2020; 5:e000481. [PMID: 32724858 PMCID: PMC7375431 DOI: 10.1136/bmjophth-2020-000481] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Revised: 05/13/2020] [Accepted: 05/15/2020] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVE Uveitis, a group of disorders characterised by intraocular inflammation, causes 10%-15% of total blindness in the developed world. The most sight-threatening forms of non-infectious uveitis are those affecting the posterior segment of the eye, collectively known as posterior segment-involving uveitis (PSIU). Numerous different clinical outcomes have been used in trials evaluating treatments for PSIU, but these may not represent patients' and carers' concerns. Therefore, the aims of this study were to understand the impact of PSIU on adult patients' and carers' lives and to explore what outcomes of treatment are important to them. METHODS AND ANALYSIS Four focus group discussions were undertaken to understand the perspectives of adult patients (=18) and carers (10) with PSIU. Participants were grouped according to whether or not their uveitis was complicated by the sight-threatening condition uveitic macular oedema. Discussions were audio-recorded, transcribed and analysed using the framework analytical approach. Outcomes were identified and grouped into outcome domains. RESULTS Eleven core domains were identified as important to patients and carers undergoing treatment for PSIU, comprising (1) visual function, (2) symptoms, (3) functional ability, (4) impact on relationships, (5) financial impact, (6) psychological morbidity and emotional well-being, (7) psychosocial adjustment to uveitis, (8) doctor/patient/interprofessional relationships and access to healthcare, (9) treatment burden, (10) treatment side effects, and (11) disease control. CONCLUSION The domains identified represent patients' and carers' experience and perspectives and can be used to reflect on outcomes assessed in PSIU. They will directly inform the development of a core outcome set for PSIU clinical trials.
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Affiliation(s)
- Mohammad O Tallouzi
- Institute of Applied Health Research, University of Birmingham, Birmingham, West Midlands, UK
- Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, West Midlands, UK
| | - David J Moore
- Institute of Applied Health Research, University of Birmingham, Birmingham, West Midlands, UK
| | - Nicholas Bucknall
- Patient Involvement Group in Uveitis (PInGU), Birmingham, West Midlands, UK
| | - Philip I Murray
- Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, West Midlands, UK
- Academic Unit of Ophthalmology, Institute of Inflammation and Ageing, University of Birmingham College of Medical and Dental Sciences, Birmingham, West Midlands, UK
| | - Melanie J Calvert
- Institute of Applied Health Research, University of Birmingham, Birmingham, West Midlands, UK
- NIHR Birmingham Biomedical Research Centre, NIHR Surgical Reconstruction and Microbiology Research Centre and NIHR Applied Research Collaboration (ARC) West Midlands at the University Hospitals Birmingham NHS Foundation Trust and the University of Birmingham, Birmingham, West Midlands, UK
| | - Alastair K Denniston
- Ophthalmology Department, University Hospitals Birmingham NHS Foundation Trust, Birmingham, West Midlands, UK
| | - Jonathan M Mathers
- Institute of Applied Health Research, University of Birmingham, Birmingham, West Midlands, UK
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Durán Bermejo D, Vázquez Campo M, Mouriño López Y. Vivencias y sentimientos de los pacientes con Parkinson. ENFERMERIA CLINICA 2020; 30:253-259. [DOI: 10.1016/j.enfcli.2019.03.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Revised: 01/27/2019] [Accepted: 03/03/2019] [Indexed: 11/28/2022]
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[Living with Chronic Illness Scale: Pilot study in patients with several chronic diseases]. Aten Primaria 2018; 52:142-150. [PMID: 30528749 PMCID: PMC7063159 DOI: 10.1016/j.aprim.2018.08.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Revised: 07/31/2018] [Accepted: 08/19/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To present the pilot study of the Living with Chronic Illness Scale (EC-PC) in patients with diabetes mellitus type 2, chronic heart failure, chronic obstructive pulmonary disease and osteoarthritis. DESIGN Observational, cross-sectional and multicenter study. LOCATION Two specialized hospitals in Navarre and Madrid. PARTICIPANTS 64 patients with several chronic diseases, older than 18 years old, that go to primary health centre and/or outpatients. Patients with cognitive deterioration and/or psychiatric disorders were excluded. INTERVENTIONS Evaluations had an average duration of 15 minutes per patient. MAIN MEASUREMENTS Patients completed the EC-PC and a questionnaire related to the scale. Feasibility/acceptability, internal consistency and construct validity was analyzed. RESULTS For the total sample, the EC-PC showed a good viability and acceptability, without missing data and with almost 100% of the computable data. Cronbach's alpha coefficient reached values between 0.64 and 0.76, and the homogeneity index was higher than 0.30 in all domains of the scale. The values of internal validity ranged between 0.04 and 0.30. No significant differences were found (p> 0.05) in the total score of the scale according to gender or the different pathologies. The patients described the scale as simple and useful. CONCLUSIONS The pilot study of the EC-PC in patients with different chronic illnesses showed that it is a brief, easy to use, reliable and valid measure. The EC-PC will serve to know in an individualized way, how the patient is living with his/her chronic process and to prevent possible negative aspects of the daily living with the disease.
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