PMID- 22555278 OWN - NLM STAT- MEDLINE DCOM- 20121024 LR - 20220317 IS - 1468-3296 (Electronic) IS - 0040-6376 (Linking) VI - 67 IP - 9 DP - 2012 Sep TI - The development and validation of the King's Brief Interstitial Lung Disease (K-BILD) health status questionnaire. PG - 804-10 LID - 10.1136/thoraxjnl-2012-201581 [doi] AB - RATIONALE: Health status is impaired in patients with interstitial lung disease (ILD). There is a paucity of tools that assess health status in ILD. The objective of this study was to develop and validate the King's Brief Interstitial Lung Disease questionnaire (K-BILD), a new health status measure for patients with ILD. METHODS: Patients with ILD were recruited from outpatient clinics. The development of the questionnaire consisted of three phases: item generation; item reduction, allocation to domains by factor analysis, Rasch analysis to create unidimensional scales and validation; and repeatability testing. RESULTS: 173 patients with ILD (49 with idiopathic pulmonary fibrosis) completed a preliminary 71-item questionnaire. 56 items were removed due to redundancy, low factor loadings or poor fit to the Rasch model. The final version of the K-BILD questionnaire consisted of 15 items and three domains (breathlessness and activities, chest symptoms and psychological). Internal consistency assessed with Cronbach's alpha coefficient was 0.94 for the K-BILD total score. Concurrent validity of the K-BILD questionnaire was high compared with St George's Respiratory Questionnaire (r=0.90) and moderate with lung function (vital capacity, r=0.50). The K-BILD questionnaire was repeatable over 2 weeks (n=44), with intraclass correlation coefficients for domains and total score 0.86-0.94. The K-BILD construct validity for patients with idiopathic pulmonary fibrosis was similar to that of other ILDs. CONCLUSION: The K-BILD questionnaire is a brief, valid, self-completed health status measure for ILD. It could be used in the clinic to assess ILD from the patients' perspective. FAU - Patel, Amit S AU - Patel AS AD - Division of Asthma, Allergy and Lung Biology, King's College London, Denmark Hill, London SE5 9RS, UK. FAU - Siegert, Richard J AU - Siegert RJ FAU - Brignall, Katherine AU - Brignall K FAU - Gordon, Patrick AU - Gordon P FAU - Steer, Sophia AU - Steer S FAU - Desai, Sujal R AU - Desai SR FAU - Maher, Toby M AU - Maher TM FAU - Renzoni, Elisabetta A AU - Renzoni EA FAU - Wells, Athol U AU - Wells AU FAU - Higginson, Irene J AU - Higginson IJ FAU - Birring, Surinder S AU - Birring SS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20120503 PL - England TA - Thorax JT - Thorax JID - 0417353 SB - IM MH - Chi-Square Distribution MH - Female MH - *Health Status MH - Humans MH - London MH - Lung Diseases, Interstitial/*physiopathology MH - Male MH - Predictive Value of Tests MH - Severity of Illness Index MH - *Surveys and Questionnaires EDAT- 2012/05/05 06:00 MHDA- 2012/10/25 06:00 CRDT- 2012/05/05 06:00 PHST- 2012/05/05 06:00 [entrez] PHST- 2012/05/05 06:00 [pubmed] PHST- 2012/10/25 06:00 [medline] AID - thoraxjnl-2012-201581 [pii] AID - 10.1136/thoraxjnl-2012-201581 [doi] PST - ppublish SO - Thorax. 2012 Sep;67(9):804-10. doi: 10.1136/thoraxjnl-2012-201581. Epub 2012 May 3.