Health Outcomes Research in Medicine
Volume 1, Issue 1 , Pages e5-e16 , July 2010

COPD and Asthma Fatigue Scale (CAFS): Development and Psychometric Assessment

  • Dennis A. Revicki, PhD

      Affiliations

    • United BioSource Corporation, Bethesda, Maryland
    • Corresponding Author InformationCorresponding Author: Dennis A. Revicki, PhD, Center for Health Outcomes Research, United BioSource Corporation, 7101 Wisconsin Avenue, Suite 600, Bethesda, MD 20814.
  • ,
  • David M. Meads, MSc

      Affiliations

    • Health Outcomes Research, Galen Research, Manchester, UK
  • ,
  • Stephen P. McKenna, PhD

      Affiliations

    • Health Outcomes Research, Galen Research, Manchester, UK
    • School of Psychology, University of Central Lancashire, UK
  • ,
  • Rupert Gale, MA

      Affiliations

    • Novartis Research Center, Horsham, UK
  • ,
  • G. Alistair Glendenning, MSc

      Affiliations

    • Novartis Research Center, Horsham, UK
  • ,
  • Robin F. Pokrzywinski, MHA

      Affiliations

    • United BioSource Corporation, Bethesda, Maryland

References 

  1. National Heart, Lung, and Blood Institute. Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Bethesda, MD: National Asthma Education and Prevention Program, National Heart, Lung and Blood Institute, National Institutes of Health; 2007;
  2. Revicki D, Weiss KB. Clinical assessment of asthma symptom control: review of current assessment instruments. J Asthma. 2006;43(7):481–487
  3. 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
  4. Hyland ME, Bott J, Singh S, Kenyon CA. Domains, constructs and the development of the breathing problems questionnaire. Qual Life Res. 1994;3(4):245–256
  5. Jones PW, Quirk FH, Baveystock CM, Littlejohns P. A self-complete measure of health status for chronic airflow limitation. The St. George’s Respiratory Questionnaire. Am Rev Respir Dis. 1992;145(6):1321–1327
  6. Juniper EF, Buist AS, Cox FM, Ferrie PJ, King DR. Validation of a standardized version of the Asthma Quality of Life Questionnaire. Chest. 1999;115(5):1265–1270
  7. Juniper EF, Guyatt GH, Epstein RS, Ferrie PJ, Jaeschke R, Hiller TK. Evaluation of impairment of health related quality of life in asthma: development of a questionnaire for use in clinical trials. Thorax. 1992;47(2):76–83
  8. Lareau SC, Meek PM, Press D, Anholm JD, Roos PJ. Dyspnea in patients with chronic obstructive pulmonary disease: does dyspnea worsen longitudinally in the presence of declining lung function?. Heart Lung. 1999;28(1):65–73
  9. Leidy NK, Knebel A. Clinical validation of the Functional Performance Inventory in patients with COPD. Respir Care. 1999;44(8):932–939
  10. Bousquet J, Knani J, Dhivert H, et al. Quality of life in asthma. I. Internal consistency and validity of the SF-36 questionnaire. Am J Respir Crit Care Med. 1994;149(2 Pt 1):371–375
  11. Brooks CM, Richards JM, Bailey WC, Martin B, Windsor RA, Soong SJ. Subjective symptomatology of asthma in an outpatient population. Psychosom Med. 1989;51(1):102–108
  12. Graydon JE, Ross E. Influence of symptoms, lung function, mood, and social support on level of functioning of patients with COPD. Res Nurs Health. 1995;18(6):525–533
  13. Guyatt GH, Townsend M, Berman LB, Pugsley SO. Quality of life in patients with chronic airflow limitation. Br J Dis Chest. 1987;81(1):45–54
  14. Janson-Bjerklie S, Carrieri VK, Hudes M. The sensations of pulmonary dyspnea. Nurs Res. 1986;35(3):154–159
  15. Kinsman RA, Fernandez E, Schocket M, Dirks JF, Covino NA. Multidimensional analysis of the symptoms of chronic bronchitis and emphysema. J Behav Med. 1983;6(4):339–357
  16. Prigatano GP, Wright EC, Levin D. Quality of life and its predictors in patients with mild hypoxemia and chronic obstructive pulmonary disease. Arch Intern Med. 1984;144(8):1613–1619
  17. Small S, Lamb M. Fatigue in chronic illness: the experience of individuals with chronic obstructive pulmonary disease and with asthma. J Adv Nurs. 1999;30(2):469–478
  18. Al-shair K, Kolsum U, Berry P, et al. Development, dimensions, reliability and validity of the novel Manchester COPD fatigue scale. Thorax. 2009;64(11):950–955
  19. Baghai-Ravary R, Quint JK, Goldring JJ, Hurst JR, Donaldson GC, Wedzicha JA. Determinants and impact of fatigue in patients with chronic obstructive pulmonary disease. Respir Med. 2009;103(2):216–223
  20. Kapella MC, Larson JL, Patel MK, Covey MK, Berry JK. Subjective fatigue, influencing variables, and consequences in chronic obstructive pulmonary disease. Nurs Res. 2006;55(1):10–17
  21. Reishtein JL. Relationship between symptoms and functional performance in COPD. Res Nurs Health. 2005;28(1):39–47
  22. Reardon JZ, Lareau SC, ZuWallack R. Functional status and quality of life in chronic obstructive pulmonary disease. Am J Med. 2006;119(10 Suppl. 1):32–37
  23. Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989;46(10):1121–1123
  24. Mendoza TR, Wang XS, Cleeland CS, et al. The rapid assessment of fatigue severity in cancer patients: use of the Brief Fatigue Inventory. Cancer. 1999;85(5):1186–1196
  25. Smets EM, Garssen B, Bonke B, De Haes JC. The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. J Psychosom Res. 1995;39(3):315–325
  26. Breslin E, van der Schans C, Breukink S, et al. Perception of fatigue and quality of life in patients with COPD. Chest. 1998;114(4):958–964
  27. Lewko A, Bidgood PL, Garrod R. Evaluation of psychological and physiological predictors of fatigue in patients with COPD. BMC Pulm Med. 2009;9:47
  28. McKenna SP, Meads DM, Doward LC, et al. Development and validation of the Living with Chronic Obstructive Pulmonary Disease (LCOPD) Questionnaire. [Under Submission]. 2008.
  29. Meads DM, McKenna SP, Doward LC, et al. Development and validation of the Asthma Life Impact Scale (ALIS). Respir Med. 2010;104(5):633–643
  30. Wilson CB, Jones PW, O’Leary CJ, Cole PJ, Wilson R. Validation of the St. George’s Respiratory Questionnaire in bronchiectasis. Am J Respir Crit Care Med. 1997;156(2 Pt 1):536–541
  31. Reeve BR, Fayers P. Applying item response theory modeling for evaluating questionnaire item and scale properties. In:  Fayers P,  Hays RD editor. Assessing Quality of Life in Clinical Trials. 2nd edition. New York: Oxford University Press; 2005;p. 55–73
  32. Nunnally JC, Bernstein IH. Psychometric Theory. 3rd edition. New York: McGraw-Hill; 1994;
  33. Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16:297–334
  34. Deyo RA, Diehr P, Patrick DL. Reproducibility and responsiveness of health status measures. Statistics and strategies for evaluation. Control Clin Trials. 1991;12(4 Suppl):142S-158S
  35. Fisk JD, Ritvo PG, Ross L, Haase DA, Marrie TJ, Schlech WF. Measuring the functional impact of fatigue: initial validation of the fatigue impact scale. Clin Infect Dis. 1994;18(Suppl 1):S79–S83
  36. Theander K, Unosson M. Fatigue in patients with chronic obstructive pulmonary disease. J Adv Nurs. 2004;45(2):172–177
  37. Hays RD, Revicki DA. Reliability and validity, including responsiveness. In:  Fayers P,  Hays RD editor. Assessing Quality of Life in Clinical Trials. 2nd edition. New York: Oxford University Press; 2005;25-39

 This study was supported by funding from Novartis.

 None of the authors have any conflicts of interest to disclose.

PII: S1877-1319(10)00008-X

doi: 10.1016/j.ehrm.2010.06.001

Health Outcomes Research in Medicine
Volume 1, Issue 1 , Pages e5-e16 , July 2010