Development and validation of the Multimorbidity Treatment Burden Questionnaire (MTBQ)

医学 多发病率 家庭医学 公共卫生 卫生服务研究 流行病学 老年学 护理部 慢性病 病理
作者
Polly Duncan,Mairead Murphy,Mei‐See Man,Katherine Chaplin,Daisy Gaunt,Chris Salisbury
出处
期刊:BMJ Open [BMJ]
卷期号:8 (4): e019413-e019413 被引量:134
标识
DOI:10.1136/bmjopen-2017-019413
摘要

To develop and validate a new scale to assess treatment burden (the effort of looking after one's health) for patients with multimorbidity.Mixed-methods.UK primary care.Content of the Multimorbidity Treatment Burden Questionnaire (MTBQ) was based on a literature review and views from a patient and public involvement group. Face validity was assessed through cognitive interviews. The scale was piloted and the final version was tested in 1546 adults with multimorbidity (mean age 71 years) who took part in the 3D Study, a cluster randomised controlled trial. For each question, we examined the proportion of missing data and the distribution of responses. Factor analysis, Cronbach's alpha, Spearman's rank correlations and longitudinal regression assessed dimensional structure, internal consistency reliability, construct validity and responsiveness, respectively. We assessed interpretability by grouping the global MTBQ scores into zero and tertiles (>0) and comparing participant characteristics across these categories.Cognitive interviews found good acceptability and content validity. Factor analysis supported a one-factor solution. Cronbach's alpha was 0.83, indicating internal consistency reliability. The MTBQ score had a positive association with a comparator treatment burden scale (rs 0.58, P<0.0001) and with self-reported disease burden (rs 0.43, P<0.0001), and a negative association with quality of life (rs-0.36, P<0.0001) and self-rated health (rs-0.36, P<0.0001). Female participants, younger participants and participants with mental health conditions were more likely to have high treatment burden scores. Changes in MTBQ score over 9-month follow-up were associated, as expected, with changes in measures of quality of life (EuroQol five dimensions, five level questionnaire) and patient-centred care (Patient Assessment of Chronic Illness Care).The MTBQ is a 10-item measure of treatment burden for patients with multimorbidity that has demonstrated good content validity, construct validity, reliability and responsiveness. It is a useful research tool for assessing the impact of interventions on treatment burden.ISRCTN06180958.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
2秒前
2秒前
nanfeng发布了新的文献求助10
4秒前
zrx完成签到,获得积分10
4秒前
xiamu发布了新的文献求助10
4秒前
5秒前
6秒前
无限映波完成签到,获得积分10
7秒前
22发布了新的文献求助10
7秒前
共享精神应助科研通管家采纳,获得10
8秒前
慕青应助科研通管家采纳,获得10
8秒前
8秒前
yar应助科研通管家采纳,获得10
8秒前
思源应助科研通管家采纳,获得20
8秒前
小马甲应助科研通管家采纳,获得10
8秒前
smottom应助科研通管家采纳,获得30
8秒前
脑洞疼应助科研通管家采纳,获得10
9秒前
天天快乐应助科研通管家采纳,获得10
9秒前
9秒前
YamDaamCaa应助科研通管家采纳,获得30
9秒前
9秒前
9秒前
小马甲应助科研通管家采纳,获得10
9秒前
9秒前
琦趣q完成签到,获得积分10
9秒前
俗人完成签到,获得积分10
9秒前
bei完成签到,获得积分20
10秒前
11秒前
11秒前
changye完成签到,获得积分20
11秒前
11秒前
健忘曼冬完成签到,获得积分10
12秒前
jiang发布了新的文献求助10
12秒前
雪落六年yyds完成签到 ,获得积分10
12秒前
慕青应助null采纳,获得10
14秒前
15秒前
16秒前
16秒前
16秒前
方仔发布了新的文献求助10
16秒前
高分求助中
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
Effective Learning and Mental Wellbeing 300
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3975339
求助须知:如何正确求助?哪些是违规求助? 3519670
关于积分的说明 11199199
捐赠科研通 3256002
什么是DOI,文献DOI怎么找? 1798043
邀请新用户注册赠送积分活动 877386
科研通“疑难数据库(出版商)”最低求助积分说明 806305