Responsibility for DevelopmentDescription <strong>of</strong> Tool65-item questionnaire; evaluates theCOPD patient perception <strong>of</strong> functionalperformance across 6 doma<strong>in</strong>s <strong>of</strong> activity:body care, household ma<strong>in</strong>tenance, physicalexercise, recreation, spiritual activities,and social activities.164-item paper and pencil selfadm<strong>in</strong>isteredquestionnaire, measur<strong>in</strong>gdyspnea <strong>in</strong>tensity <strong>with</strong> activities andchanges <strong>in</strong> functional ability related to79 activities <strong>of</strong> daily liv<strong>in</strong>g.Modification <strong>of</strong> the PFSDQ to aquestionnaire <strong>with</strong> 40 items.<strong>The</strong> Registered Nurses Association <strong>of</strong> Ontario (RNAO), <strong>with</strong> fund<strong>in</strong>Present <strong>Dyspnea</strong> ScalesFunctionalPerformanceInventory (FPI)Pulmonary FunctionalStatus and <strong>Dyspnea</strong>Questionnaire (PFSDQ)Pulmonary FunctionalStatus and <strong>Dyspnea</strong>Questionnaire(PFSDQ-M)<strong>The</strong> ManchesterRespiratory Activities<strong>of</strong> Daily Liv<strong>in</strong>gQuestionnaireAQ20London Chest Activity<strong>of</strong> Daily Liv<strong>in</strong>g (LCADL)ScaleSourceLeidy, 1999Leidy & Knebel ,1999Lareau, Carrieri-Kolman, Janson-Bjerklie & Roos,1994Lareau, Meek &Roos, 1998Yohanes, Roomi,W<strong>in</strong>n & Connolly,2000Yohannes,Greenwood &Connolly, 2002Hajiro, Nishimura,Jones, Tsuk<strong>in</strong>o,Ikeda, Koyama etal., 1999Garrod, Bestall,Paul, Wedzicha &Jones, 2000Garrod, Paul &Wedzicha, 2002Reliability and ValidityN=154. <strong>Sign</strong>ificant correlations between FPItotal score and Functional StatusQuestionnaire (FSQ), Duke Activity StatusIndex, Bronchitis-Emphysema SymptomChecklist, Basic Need Satisfaction Inventory,and Cantril’s Ladder <strong>of</strong> Life satisfaction.(Leidy, 1999).N=22. Correlated significantly <strong>with</strong> % <strong>of</strong>predicted FEV 1 , 12-MWD, diary data fordyspnea, fatigue and difficulty <strong>with</strong> activity,and FSQ basic and <strong>in</strong>termediate activities <strong>of</strong>daily liv<strong>in</strong>g (Leidy & Knebel, 1999).Content and <strong>in</strong>itial construct validitysupported by cl<strong>in</strong>ical experts and f<strong>in</strong>d<strong>in</strong>gsrelated to expected theoretical constructs.Internal consistency reliable.Reliability supported by <strong>in</strong>ternal consistencyfor change <strong>with</strong> activities, dyspnea <strong>with</strong>activities and fatigue <strong>with</strong> activities. Goodstability on test-retest scores.Discrim<strong>in</strong>ated between normal subjects andthose <strong>with</strong> COPD. Responded to changesfollow<strong>in</strong>g pulmonary rehab. N=188 subjects<strong>with</strong> COPD and 55 <strong>with</strong>out (Yohanes et al.,2000).Good test-retest reliability (Yohannes et al.,2002).<strong>Sign</strong>ificant correlation <strong>with</strong> St. George’sRespiratory Questionnaire and ChronicRespiratory Disease Questionnaire, forimprovement follow<strong>in</strong>g therapy.High <strong>in</strong>ternal consistency, significant correlations<strong>with</strong> St. George’s respiratory questionnaireactivity and impact components; significantrelationship <strong>with</strong> Shuttle walk test.Test-retest <strong>in</strong> pulmonary rehab; scoresshowed significant relationship <strong>with</strong> oneanother, as well as significant improvement<strong>with</strong> rehab. N=59.CommentsInternally consistent and reproducible. Valid and ableto discrim<strong>in</strong>ate between patients <strong>with</strong> severe andmoderate levels <strong>of</strong> perceived severity and activitylimitation.Cl<strong>in</strong>ically validCan be used cl<strong>in</strong>ically and <strong>in</strong> research studies toassess dyspnea and changes <strong>in</strong> the functional ability<strong>of</strong> patients <strong>with</strong> pulmonary disease.Reliable, valid and responsive to changes <strong>in</strong> lungfunction over time.Reliable and valid self report scale for assessment <strong>of</strong>physical disability <strong>in</strong> COPD.Acceptable and repeatable as a postal questionnaire.Authors comment that it has the potential to be usedboth <strong>in</strong> hospital practice and follow-up <strong>of</strong> elderlypatients <strong>with</strong> chronic obstructive airway disease <strong>in</strong> thecommunity.Conclude that it may be useful <strong>in</strong> studies <strong>with</strong> limitedtime for health related quality <strong>of</strong> life assessments.Conclude that the LCADL as an outcome measure <strong>in</strong>COPD is reliable, valid and responsive to change.Subjects are asked to rate their abilityto perform 21 tasks <strong>in</strong> 4 doma<strong>in</strong>s <strong>of</strong>mobility, <strong>in</strong> the kitchen, domestictasks and leisure activities.20-item questionnaire. Authorscomment that it should take 2m<strong>in</strong>utes to complete.15-item questionnaire <strong>with</strong> questions<strong>in</strong> 4 doma<strong>in</strong>s <strong>of</strong> self-care, domestic,physical and leisure and 1 generalquestion.98
<strong>Nurs<strong>in</strong>g</strong> Best Practice Guidel<strong>in</strong>eDescription <strong>of</strong> ToolSelf, face to face or telephone<strong>in</strong>terview guide <strong>with</strong> 76 items <strong>in</strong> 3doma<strong>in</strong>s <strong>of</strong> symptoms, activity andimpacts. Takes 10 m<strong>in</strong>utes to complete.Present <strong>Dyspnea</strong> Scales<strong>The</strong> St. George’sRespiratoryQuestionnairePulmonary FunctionStatus Scale (PFSS)University <strong>of</strong> C<strong>in</strong>c<strong>in</strong>nati<strong>Dyspnea</strong>QuestionnaireSourceHajiro et al., 1998Weaver, Narsavage& Guilfoyle, 1998Lee, Friesen,Lambert &Loudon, 1998Reliability and ValidityInternal consistency high, significantcorrelation between SGRQ and CRQ.<strong>Sign</strong>ificant correlation <strong>with</strong> Sickness ImpactPr<strong>of</strong>ile and 12 m<strong>in</strong>. walk test, and significanttest-retest correlation coefficient.High <strong>in</strong>ternal consistency. Sections highlycorrelated but provide separate and dist<strong>in</strong>ct<strong>in</strong>formation.CommentsHas been used for research. Cl<strong>in</strong>ical use not reported.Concludes that the PFSS has solid psychometricproperties that make it acceptable for use <strong>in</strong> cl<strong>in</strong>icalpractice as well as research.Concludes that questionnaire may be particularlyuseful for assess<strong>in</strong>g patients who rely extensively onspeak<strong>in</strong>g ability for their livelihood.53-item self-adm<strong>in</strong>istered questionnaire<strong>with</strong> 3 doma<strong>in</strong>s <strong>of</strong> daily activities/socialfunction<strong>in</strong>g, psychological function<strong>in</strong>g,and sexual function<strong>in</strong>g. Reported totake 15-20 m<strong>in</strong>utes to complete.30-item questionnaire <strong>with</strong> questions<strong>in</strong> 3 sections: breathlessness <strong>with</strong>physical activity, breathlessness <strong>with</strong>speak<strong>in</strong>g activity, and breathlessnesswhen speak<strong>in</strong>g dur<strong>in</strong>g a physical activity.May be self or <strong>in</strong>terviewer adm<strong>in</strong>istered.99