Hunt Andrew P, Pagnussat Aline Souza, Lehn Alexander, Moore Daniel, Schweitzer Daniel, Laakso E-Liisa, Hennig Ewald, Morris Meg E, Kerr Graham, Stewart Ian
School of Biomedical Sciences, Faculty of Health, Queensland University of Technology (QUT), Brisbane, Queensland, Australia.
Department of Physical Therapy, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil.
Mov Disord Clin Pract. 2025 Mar;12(3):325-332. doi: 10.1002/mdc3.14281. Epub 2024 Nov 27.
People living with Parkinson's disease (PD) commonly experience heat sensitivity-worsening symptoms and restricted daily activities in heat.
This study aimed to develop a scale of heat sensitivity for people with PD.
Through a search of the scientific literature and online forums, we developed 41 items relating to experiences of heat for people with PD to assess heat sensitivity. A panel of experts was then consulted to review the scale items critically. After two rounds of review, the scale was refined to 36 items with an overall scale content validity index of 0.89. Via an online survey, 247 people with PD responded to the items.
The items were examined with exploratory factor analysis to determine the underlying factors therein. After several iterations, a simple structure was achieved with 29 items loading uniquely onto one of four factors: daily activities, sweating and exercise, heat-related illness, and symptoms and medications. The model had acceptable to excellent fit statistics (root mean square error of approximation = 0.073 [90% confidence interval 0.067-0.081], root mean square of the residuals = 0.03, comparative fit index = 0.93, and Tucker-Lewis index = 0.91), and each factor showed high reliability (Cronbach's α ≥0.89). Factor and total scale scores were significantly higher among those reporting sensitivity to heat and poor health status.
This new heat sensitivity scale for people living with PD can enable health professionals and clients to assess the severity and impact of heat sensitivity.
帕金森病（PD）患者通常会经历热敏感性，症状在高温时会恶化，并且日常活动在高温环境中受到限制。
本研究旨在为帕金森病患者开发一种热敏感性量表。
通过检索科学文献和在线论坛，我们制定了41项与帕金森病患者热体验相关的条目，以评估热敏感性。随后咨询了一个专家小组，对量表条目进行严格审查。经过两轮审查，量表精简为36项，总体量表内容效度指数为0.89。通过在线调查，247名帕金森病患者对这些条目进行了回应。
对这些条目进行探索性因素分析，以确定其中潜在的因素。经过几次迭代，得到了一个简单结构，其中29项独特地加载到四个因素之一上：日常活动、出汗与运动、与热相关的疾病以及症状与药物。该模型具有可接受至优秀的拟合统计量（近似均方根误差 = 0.073 [90% 置信区间 0.067 - 0.081]，残差均方根 = 0.03，比较拟合指数 = 0.93，塔克 - 刘易斯指数 = 0.91），并且每个因素都显示出高可靠性（克朗巴哈α系数≥0.89）。在报告对热敏感和健康状况较差的人群中，因素得分和总量表得分显著更高。
这种新的帕金森病患者热敏感性量表能够使医疗专业人员和患者评估热敏感性的严重程度及其影响。
