Design and Psychometric Evaluation of the Quality of Life in Patients With Anal Fistula Questionnaire

Ferrer-Márquez, Manuel; Espínola-Cortés, Natalia; Reina-Duarte, Ángel; Granero‐Molina, José; Fernández‐Sola, Cayetano; Hernández‐Padilla, José Manuel

doi:10.1097/dcr.0000000000000877

Cited by 27 publications

(37 citation statements)

References 27 publications

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“…39 The study demonstrated the potential assumptions made by clinicians with regard to the impact of fistula surgery on patients' QoL. More recently, Ferrer-Marquez et al 40 developed a QoL questionnaire in patients with (non-Crohn's) anal fistula; however, major limitations of this study were the testing on a small sample (n=54) of Spanish-speaking patients, and crucially patients were not included in the initial development of the questionnaire. There is no objective patient-centred disease scoring tool for Crohn's perianal fistula and this results in an inability to quantify adequately the effect of Crohn's fistulas on psychosocial well-being and has led to calls to address the unmet need for a disease-specific PROM.…”

Section: Discussionmentioning

confidence: 87%

Development and initial psychometric validation of a patient-reported outcome measure for Crohn’s perianal fistula: the Crohn’s Anal Fistula Quality of Life (CAF-QoL) scale

Adegbola

Dibley

Sahnan

et al. 2020

Gut

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IntroductionCrohn’s perianal fistulas are challenging for patients and clinicians. Many do not respond to available treatments and despite recommendations by a global consensus, there are currently no specific patient-derived quality of life tools to measure response to treatment. We present a new validated patient-reported outcome measure (PROM) for this complicated disease phenotype.MethodsA draft questionnaire was generated using unstructured qualitative patient interviews on the experience of living with Crohn’s perianal fistula, a nationwide multidisciplinary consensus exercise, a systematic review of outcomes assessing medical/surgical/combined treatment and a patient and public involvement day. Psychometric properties were assessed including construct validity (by comparison with the Hospital Anxiety and Depression Scale (HADS) and the UK Inflammatory Bowel Disease Questionnaire (UK-IBDQ)), and reliability and responsiveness was assessed by test–retest analysis.ResultsData from 211 patients contributed to development of a final 28-item questionnaire. The Crohn’s Anal Fistula Quality of Life (CAF-QoL) demonstrated good internal consistency (Cronbach’s alpha 0.88), excellent stability (intraclass correlation 0.98) and good responsiveness and construct validity, with positive correlation with the UK-IBDQ and HADS.ConclusionThe CAF-QoL scale is ready for use as a PROM in research and clinical practice. It complements objective clinical evaluation of fistula by capturing impact on the patient.

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Section: Discussionmentioning

confidence: 87%

Development and initial psychometric validation of a patient-reported outcome measure for Crohn’s perianal fistula: the Crohn’s Anal Fistula Quality of Life (CAF-QoL) scale

Adegbola

Dibley

Sahnan

et al. 2020

Gut

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“…In particular, survivors who received ≥30 Gy of pelvic radiotherapy for the treatment of their primary cancer were especially at risk. Anorectal disease has been shown to affect quality of life in the noncancer population through physical and biopsychosocial impact, 31 including depression and poor selfperception. Survivors more frequently had anorectal strictures than siblings.…”

Section: Discussionmentioning

confidence: 99%

“…Among 54 patients diagnosed with a fistula-in-ano in 2015-2016, Ferrer-Marquez et al 31 noted no improvement in quality-of-life impairment 1 month after a baseline survey was initially administered. Anorectal disease has been shown to affect quality of life in the noncancer population through physical and biopsychosocial impact, 31 including depression and poor selfperception. 32 Finally, in a retrospective study from 2012, Polese et al 27 reported that patients who developed benign strictures after colorectal resection and anastomosis endorsed poorer quality of life 6 or more months after the operation in comparison with controls.…”

Section: Discussionmentioning

confidence: 99%

Late‐onset anorectal disease and psychosocial impact in survivors of childhood cancer: A report from the Childhood Cancer Survivor Study

Madenci

Dieffenbach

Liu

et al. 2019

Cancer

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BACKGROUND:The prevalence and associated psychosocial morbidity of late-onset anorectal disease after surgery and radiotherapy for the treatment of childhood cancer are not known. METHODS: A total of 25,530 survivors diagnosed between 1970 and 1999 (median age at cancer diagnosis, 6.1 years; age at survey, 30.2 years) and 5036 siblings were evaluated for late-onset anorectal disease, which was defined as a self-reported fistula-in-ano, self-reported anorectal stricture, or pathology-or medical record-confirmed anorectal subsequent malignant neoplasm (SMN) 5 or more years after the primary cancer diagnosis. Piecewise exponential models compared the survivors and siblings and examined associations between cancer treatments and late-onset anorectal disease. Multiple logistic regression with generalized estimating equations was used to evaluate associations between late-onset anorectal disease and emotional distress, as defined by the Brief Symptom Inventory 18 (BSI-18), and health-related quality of life, as defined by the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36). RESULTS: By 45 years after the diagnosis, 394 survivors (fistula, n = 291; stricture, n = 116; anorectal SMN, n = 26) and 84 siblings (fistula, n = 73; stricture, n = 23; anorectal neoplasm, n = 1) had developed late-onset anorectal disease (adjusted rate ratio [RR] for survivors vs siblings, 1.2; 95% confidence interval [CI], 1.0-1.5). Among survivors, pelvic radiotherapy with ≥30 Gy within 5 years of the cancer diagnosis was associated with late-onset anorectal disease (adjusted RR for 30-49.9 Gy vs none, 1.6; 95% CI, 1.1-2.3; adjusted RR for ≥50 Gy vs none, 5.4; 95% CI, 3.1-9.2). Late-onset anorectal disease was associated with psychosocial impairment in all BSI-18 and SF-36 domains. CONCLUSIONS: Late-onset anorectal disease was more common among childhood cancer survivors who received higher doses of pelvic radiotherapy and was associated with substantial psychosocial morbidity. Cancer 2019;125:3873-3881.

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“…The validity of the scale is trustworthy when the following criteria are con rmed. In content validity method, I-CVI > 0.78 and S-CVI/Ave > 0.9 were accepted [47]. The range of correlation coe cient among factors is 0.1-0.6, and the correlation coe cient between factor to and the range of BCS is 0.3-0.8.…”

Section: Validitymentioning

confidence: 99%

Development and validation of a scale evaluating pregnant women's breastfeeding competency in third trimester: Breastfeeding Competency Scale(BCS)

Wang

et al. 2020

Preprint

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Background: Breastfeeding plays an important role in the early stages of humans and throughout the development process. Breastfeeding competency is a self-assessment of pregnant women's overall competency to breastfeeding which could predict behaviors of pregnant women’ breastfeeding. However, a valid and reliable scale to assess the breastfeeding competency has not yet been developed and validated. This study was designed to develop and validate an assessment scale designed to assess the pregnant women's breastfeeding competency in third trimester: Breastfeeding Competency Scale(BCS).Methods: The BCS was developed and validated over three phases between September 2018–September 2019 which include item statistics, exploratory factor analysis(EFA), content validation, internal consistency assessment, split-half reliability and confirmatory factor analysis.Results: Item statistics and exploratory factor analysis resulted in 38 items, 4 factors that explained 66.489% of total variance. The Cronbach’s α coefficient in total scale and 4 factors were 0.970, 0.960, 0.940, 0.822, 0.931 respectively. The split-half reliability of BCS was 0.894, 0.890. Confirmatory factor analytic model showed the 4-factor model matching the data well.Conclusions: The BCS was a new instrument with certain validity and reliability for assessing the breastfeeding competency of pregnant women in third trimester.

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Design and Psychometric Evaluation of the Quality of Life in Patients With Anal Fistula Questionnaire

Abstract: The Quality of Life in Patients with Anal Fistula Questionnaire has proven to be a valid, reliable, and concise tool that could contribute to the evaluation of quality of life among patients with an anal fistula. See Video Abstract at http://links.lww.com/DCR/A368.

Cited by 27 publications

References 27 publications

Development and initial psychometric validation of a patient-reported outcome measure for Crohn’s perianal fistula: the Crohn’s Anal Fistula Quality of Life (CAF-QoL) scale

Development and initial psychometric validation of a patient-reported outcome measure for Crohn’s perianal fistula: the Crohn’s Anal Fistula Quality of Life (CAF-QoL) scale

Late‐onset anorectal disease and psychosocial impact in survivors of childhood cancer: A report from the Childhood Cancer Survivor Study

Development and validation of a scale evaluating pregnant women's breastfeeding competency in third trimester: Breastfeeding Competency Scale(BCS)

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