Rheumatology Division, Sao Paulo Federal University, Sao Paulo, Brazil.
Rheumatol Int. 2012 Mar;32(3):655-62. doi: 10.1007/s00296-010-1627-7. Epub 2010 Dec 5.
The objective of this study is to develop and validate a questionnaire for evaluating patients' specific knowledge regarding fibromyalgia. The development of items and questions of the questionnaire was done using four focus group that included physicians, physical therapists, a nurse, and patients with fibromyalgia. Other 30 consecutive patients were recruited to evaluate the questionnaire's reproducibility (intra- and inter-observer). In order to construct validity, the questionnaire was applied to healthcare professionals with knowledge on fibromyalgia and 20 other patients. To investigate sensitivity to change, the questionnaire was applied to 56 patients before and after an educational program (intervention group) or a waiting list (control group). Eighteen questions fulfilled the inclusion criteria and were understandable for more than 90% of the participants. The intraclass correlation coefficients for inter-observer and intra-observer reproducibility ranged from 0.65 to 0.90 and from 0.86 to 0.96, respectively (P < 0.01). For construct validation, healthcare professionals obtained significant higher scores than the patients (P < 0.01). On the sensitivity to change evaluation, the intervention group obtained higher scores than the control group after the educational program (P < 0.01).
The Fibromyalgia Knowledge Questionnaire was developed and it is reliable, valid, and sensitive to changes, for evaluating disease-specific knowledge in patients with fibromyalgia.
本研究的目的是开发和验证一种用于评估患者对纤维肌痛特定知识的问卷。问卷的项目和问题的开发是使用包括医生、物理治疗师、护士和纤维肌痛患者在内的四个焦点小组进行的。另外 30 名连续患者被招募来评估问卷的可重复性(内部和观察者间)。为了进行构效关系验证,该问卷应用于对纤维肌痛有知识的医疗保健专业人员和 20 名其他患者。为了调查对变化的敏感性,在教育计划(干预组)或等待名单(对照组)之前和之后,对 56 名患者应用了该问卷。18 个问题符合纳入标准,超过 90%的参与者理解。观察者间和观察者内可重复性的组内相关系数分别为 0.65 至 0.90 和 0.86 至 0.96(P < 0.01)。对于构效关系验证,医疗保健专业人员的得分明显高于患者(P < 0.01)。在对变化敏感性的评估中,教育计划后干预组的得分高于对照组(P < 0.01)。
纤维肌痛知识问卷已经开发出来,它具有可靠性、有效性和对变化的敏感性,可用于评估纤维肌痛患者的疾病特异性知识。