PMID- 19882906 OWN - NLM STAT- MEDLINE DCOM- 20091216 LR - 20151119 IS - 1343-3490 (Print) IS - 1343-3490 (Linking) VI - 47 IP - 10 DP - 2009 Oct TI - [Development of an activity of daily living scale for patients with COPD: the Activity of Daily Living Dyspnea scale]. PG - 858-64 AB - BACKGROUND AND OBJECTIVE: Patients with COPD often experience restriction in their activities of daily living (ADL) due to dyspnea. This type of restriction is unique to patients with COPD and cannot be adequately evaluated by the generic ADL scales. This study developed an ADL scale (the Activity of Daily Living Dyspnea scale [ADL-D scale]) for patients with COPD and investigated its validity and internal consistency. METHODS: Patients with stable COPD were recruited and completed a pilot 26-item questionnaire. Patients also performed the Incremental Shuttle Walk Test (ISWT), and completed the St George's Respiratory Questionnaire (SGRQ), and Medical Research Council (MRC) dyspnea grade. RESULTS: There were 83 male participants who completed the pilot questionnaire. Following the pilot, 8 items that were not undertaken by the majority of subjects, and 3 items judged to be of low clinical importance by physical therapists were removed from the pilot questionnaire. The final ADL-D scale contained 15 items. Scores obtained with the ADL-D scale were significantly correlated with the MRC dyspnea grades, distance walked on the ISWT and SGRQ scores. The ADL-D scores were significantly different across the five grades of the MRC dyspnea grade. The ADL-D scale showed high consistency (Chronbach's alpha coefficient of 0.96). CONCLUSIONS: The ADL-D scale is a useful scale for assessing impairments in ADL in Japanese male patients with COPD. FAU - Yoza, Yoshiyasu AU - Yoza Y AD - Department of Health Science, School of Kumamoto Health Science University. FAU - Ariyoshi, Koya AU - Ariyoshi K FAU - Honda, Sumihisa AU - Honda S FAU - Taniguchi, Hiroyuki AU - Taniguchi H FAU - Senjyu, Hideaki AU - Senjyu H LA - jpn PT - English Abstract PT - Journal Article PL - Japan TA - Nihon Kokyuki Gakkai Zasshi JT - Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society JID - 9808802 SB - IM MH - *Activities of Daily Living MH - Aged MH - Dyspnea/physiopathology MH - Humans MH - Male MH - Pilot Projects MH - Pulmonary Disease, Chronic Obstructive/*physiopathology MH - Reproducibility of Results MH - Surveys and Questionnaires MH - Weights and Measures EDAT- 2009/11/04 06:00 MHDA- 2009/12/17 06:00 CRDT- 2009/11/04 06:00 PHST- 2009/11/04 06:00 [entrez] PHST- 2009/11/04 06:00 [pubmed] PHST- 2009/12/17 06:00 [medline] PST - ppublish SO - Nihon Kokyuki Gakkai Zasshi. 2009 Oct;47(10):858-64.