Dyspnoea-12 and Multidimensional Dyspnea Profile : Systematic Review of Use and Properties
Williams, Marie T. ; Lewthwaite, Hayley ; Paquet, Catherine ; Johnston, Kylie ; Olsson, Max LU
; Belo, Letícia Fernandes
; Pitta, Fabio
; Morelot-Panzini, Capucine
and Ekström, Magnus
LU
(2022)
In Journal of Pain and Symptom Management
63(1).
p.75-87
- Abstract
Context: The Dyspnoea-12 (D-12) and Multidimensional Dyspnea Profile (MDP) were specifically developed for assessment of multiple sensations of breathlessness. Objectives: This systematic review aimed to identify the use and measurement properties of the D-12 and MDP across populations, settings and languages. Methods: Electronic databases were searched for primary studies (2008-2020) reporting use of the D-12 or MDP in adults. Two independent reviewers completed screening and data extraction. Study and participant characteristics, instrument use, reported scores and minimal clinical important differences (MCID) were evaluated. Data on internal consistency (Cronbach's α) and test-retest reliability (intraclass correlation coefficient,... (More)
Context: The Dyspnoea-12 (D-12) and Multidimensional Dyspnea Profile (MDP) were specifically developed for assessment of multiple sensations of breathlessness. Objectives: This systematic review aimed to identify the use and measurement properties of the D-12 and MDP across populations, settings and languages. Methods: Electronic databases were searched for primary studies (2008-2020) reporting use of the D-12 or MDP in adults. Two independent reviewers completed screening and data extraction. Study and participant characteristics, instrument use, reported scores and minimal clinical important differences (MCID) were evaluated. Data on internal consistency (Cronbach's α) and test-retest reliability (intraclass correlation coefficient, ICC) were pooled using random effects models between settings and languages. Results: A total 75 publications reported use of D-12 (n = 35), MDP (n = 37) or both (n = 3), reflecting 16 chronic conditions. Synthesis confirmed two factor structure, internal consistency (Cronbach's α mean, 95% CI: D-12 Total = 0.93, 0.91-0.94; MDP Immediate Perception [IP] = 0.88, 0.85-0.90; MDP Emotional Response [ER] = 0.86, 0.82-0.89) and 14 day test-rest reliability (ICC: D-12 Total = 0.91, 0.88-0.94; MDP IP = 0.85, 0.70-0.93; MDP ER = 0.84, 0.73-0.90) across settings and languages. MCID estimates for clinical interventions ranged between -3 and -6 points (D-12 Total) with small variability in scores over 2 weeks (D-12 Total 2.8 (95% CI: 2.0 to 3.7), MDP-A1 0.8 (0.6 to 1.1) and six months (D-12 Total 2.9 (2.0 to 3.7), MDP-A1 0.8 (0.6 to 1.1)). Conclusion: D-12 and MDP are widely used, reliable, valid and responsive across various chronic conditions, settings and languages, and could be considered standard instruments for measuring dimensions of breathlessness in international trials.
(Less)
- author
- Williams, Marie T.
; Lewthwaite, Hayley
; Paquet, Catherine
; Johnston, Kylie
; Olsson, Max
LU
; Belo, Letícia Fernandes
; Pitta, Fabio
; Morelot-Panzini, Capucine
and Ekström, Magnus
LU
- organization
- publishing date
- 2022
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- assessment, breathlessness, dyspnea, psychometric, Systematic review
- in
- Journal of Pain and Symptom Management
- volume
- 63
- issue
- 1
- pages
- 75 - 87
- publisher
- Elsevier
- external identifiers
-
- scopus:85112492916
- pmid:34273524
- ISSN
- 0885-3924
- DOI
- 10.1016/j.jpainsymman.2021.06.023
- language
- English
- LU publication?
- yes
- id
- ab94b428-03b0-49be-8ae0-42f3be016ff2
- date added to LUP
- 2021-09-17 09:45:49
- date last changed
- 2024-04-06 09:14:04
@article{ab94b428-03b0-49be-8ae0-42f3be016ff2,
abstract = {{<p>Context: The Dyspnoea-12 (D-12) and Multidimensional Dyspnea Profile (MDP) were specifically developed for assessment of multiple sensations of breathlessness. Objectives: This systematic review aimed to identify the use and measurement properties of the D-12 and MDP across populations, settings and languages. Methods: Electronic databases were searched for primary studies (2008-2020) reporting use of the D-12 or MDP in adults. Two independent reviewers completed screening and data extraction. Study and participant characteristics, instrument use, reported scores and minimal clinical important differences (MCID) were evaluated. Data on internal consistency (Cronbach's α) and test-retest reliability (intraclass correlation coefficient, ICC) were pooled using random effects models between settings and languages. Results: A total 75 publications reported use of D-12 (n = 35), MDP (n = 37) or both (n = 3), reflecting 16 chronic conditions. Synthesis confirmed two factor structure, internal consistency (Cronbach's α mean, 95% CI: D-12 Total = 0.93, 0.91-0.94; MDP Immediate Perception [IP] = 0.88, 0.85-0.90; MDP Emotional Response [ER] = 0.86, 0.82-0.89) and 14 day test-rest reliability (ICC: D-12 Total = 0.91, 0.88-0.94; MDP IP = 0.85, 0.70-0.93; MDP ER = 0.84, 0.73-0.90) across settings and languages. MCID estimates for clinical interventions ranged between -3 and -6 points (D-12 Total) with small variability in scores over 2 weeks (D-12 Total 2.8 (95% CI: 2.0 to 3.7), MDP-A1 0.8 (0.6 to 1.1) and six months (D-12 Total 2.9 (2.0 to 3.7), MDP-A1 0.8 (0.6 to 1.1)). Conclusion: D-12 and MDP are widely used, reliable, valid and responsive across various chronic conditions, settings and languages, and could be considered standard instruments for measuring dimensions of breathlessness in international trials.</p>}},
author = {{Williams, Marie T. and Lewthwaite, Hayley and Paquet, Catherine and Johnston, Kylie and Olsson, Max and Belo, Letícia Fernandes and Pitta, Fabio and Morelot-Panzini, Capucine and Ekström, Magnus}},
issn = {{0885-3924}},
keywords = {{assessment; breathlessness; dyspnea; psychometric; Systematic review}},
language = {{eng}},
number = {{1}},
pages = {{75--87}},
publisher = {{Elsevier}},
series = {{Journal of Pain and Symptom Management}},
title = {{Dyspnoea-12 and Multidimensional Dyspnea Profile : Systematic Review of Use and Properties}},
url = {{http://dx.doi.org/10.1016/j.jpainsymman.2021.06.023}},
doi = {{10.1016/j.jpainsymman.2021.06.023}},
volume = {{63}},
year = {{2022}},
}