The HPQ—Development and First Administration of a Questionnaire for Hypoparathyroid Patients

JBMR Plus

Heide Siggelkow¹  Martina Blaschke¹  Deborah Wilde¹  Lara Wilken¹  Christoph Herrmann‐Lingen²  Mira‐Lynn Chavanon²  Bettina Stamm³  Andreas Leha⁴  Christina Heppner⁵ 

[1] Clinic of Gastroenterology and Gastrointestinal Oncology University Medical Center Goettingen Goettingen Germany;Department of Psychosomatic Medicine and Psychotherapy University Medical Center Goettingen Goettingen Germany;ENDOKRINOLOGIKUM Saarbrücken Saarbrücken Germany;Institute for Medical Statistics University Medical Center Goettingen Goettingen Germany;MVZ Endokrinologikum Goettingen Goettingen Germany;

关键词: HYPOPARATHYROIDISM;    QUALITY OF LIFE;    QUESTIONNAIRE;    SYMPTOM SCALE;   

DOI  :  10.1002/jbm4.10245

来源: DOAJ

【 摘 要 】

ABSTRACT Hypoparathyroidism patients suffer a variety of complaints often leading to reduced quality of life. Currently, no specific standard instrument exists to measure corresponding disease manifestations. We therefore aimed to develop a disease‐characteristic questionnaire for hypoparathyroid patients. We used an analytical‐empirical approach for questionnaire construction based on retrospective analysis of four well‐established but non‐disease‐specific questionnaires (Symptom Checklist 90, revised [SCL‐90‐R]; Giessen Complaint List [GBB]; Short‐Form‐36 Health Survey [SF‐36]; von Zerssen Symptom List [B‐L Zerssen]) and two additional unpublished or local questionnaires (SHGdQ and GPQ) in a German hypoparathyroidism self‐help group (n = 60). Retrospective data were compared with corresponding general population norms. The new questionnaire was administered prospectively over 1 year to patients with postoperative hypoparathyroidism and two control groups to validate specificity. Exploratory factor analysis (EFA) and reliability testing were applied to identify relevant scales and reduce overlapping items. In the self‐help group, SCL‐90‐R revealed elevated symptom load in four complaint areas (p = 0.003 to p < 0.001). The SF‐36 mental summary score (p < 0.001) and further scales were lowered. In the GBB, four of five scales (p = 0.009 to p < 0.001) were elevated. In the B‐L Zerssen, 6 of 24 items revealed complaint areas. Based on these findings, the new 40‐item “Hypoparathyroid Patient Questionnaire” (HPQ 40) was developed, tested prospectively, and further analyzed. EFA revealed five scales (pain and cramps, gastrointestinal symptoms, depression and anxiety, neurovegetative symptoms, loss of vitality), all with Cronbach's alpha >0.7. The questionnaire was revised accordingly and shortened to 28 questions to avoid redundancy. We present a new disease‐characteristic questionnaire for hypoparathyroidism patients. Prospective testing revealed five major complaint areas and promising psychometric properties. This questionnaire can be tested for usefulness in further clinical trials. © 2019 The Authors. JBMR Plus published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research. © 2019 The Authors. JBMR Plus published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research.

【 授权许可】

Unknown