PMID- 34188463 OWN - NLM STAT- MEDLINE DCOM- 20210811 LR - 20210811 IS - 1178-2005 (Electronic) IS - 1176-9106 (Print) IS - 1176-9106 (Linking) VI - 16 DP - 2021 TI - Reliability and Validity of the Japanese Version of the Barthel Index Dyspnea Among Patients with Respiratory Diseases. PG - 1863-1871 LID - 10.2147/COPD.S313583 [doi] AB - PURPOSE: Japan has only a few respiratory disease-specific activity of daily living scales that are accepted outside of Japan, and they are not widely used. The Barthel Index dyspnea (BI-d), an improved version of the Barthel Index (BI), may be popular in Japan. The purpose of this study was to develop the Japanese version of BI-d (J-BI-d) and investigate its reliability and validity. PATIENTS AND METHODS: The J-BI-d was developed using the basic guidelines for scale translation. The study included patients with chronic respiratory disease, receiving outpatient care at two centers between January 2019 and February 2020. Scores on the J-BI-d, modified Medical Research Council scale (mMRC scale), BI, respiratory function tests, and 6-minute walk distance (6MWD) test were measured. To verify the test-retest reliability, the J-BI-d was re-administered, and the intraclass correlation coefficient (ICC) was obtained. Internal consistency was verified by Cronbach's alpha reliability coefficient, and criterion-related validity was verified through a correlation analysis of the J-BI-d with mMRC scale and 6MWD test. Divergent validity was verified through correlation analysis between the J-BI-d and BI. RESULTS: Data for 57 participants (mean age 74.4 +/- 8.3 years) were analyzed, and reliability testing was performed with 42 of them. The mean time to retest was 8.1 +/- 3.0 days, and the ICC (2, 1) was 0.76 (95% CI: 0.62-0.85), indicating high reliability. Cronbach's alpha reliability coefficient was 0.81, indicating high internal consistency. Correlation coefficients of the J-BI-d with 6MWD test (r = -0.46, p < 0.01) and mMRC scale (rho = 0.76, p < 0.01) indicated high criterion-related validity. The J-BI-d and BI had a weak negative correlation (r = -0.29, p < 0.05), indicating high divergent validity. CONCLUSION: The results of this study demonstrate high reliability and appropriate validity of the J-BI-d in patients with chronic respiratory disease. CI - (c) 2021 Yamaguchi et al. FAU - Yamaguchi, Takumi AU - Yamaguchi T AUID- ORCID: 0000-0002-6196-989X AD - Department of Rehabilitation, Kobe City Hospital Organization, Kobe City Medical Center West Hospital, Kobe, Hyogo, 653-0013, Japan. AD - Kobe University Graduate School of Health Sciences, Kobe, Hyogo, 654-0142, Japan. FAU - Yamamoto, Akio AU - Yamamoto A AUID- ORCID: 0000-0001-5561-9992 AD - Kobe University Graduate School of Health Sciences, Kobe, Hyogo, 654-0142, Japan. AD - Department of Faculty of Nursing, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, 569-0095, Japan. FAU - Oki, Yutaro AU - Oki Y AUID- ORCID: 0000-0001-8787-4509 AD - Kobe University Graduate School of Health Sciences, Kobe, Hyogo, 654-0142, Japan. FAU - Sakai, Hideki AU - Sakai H AD - Department of Rehabilitation, Kobe City Hospital Organization, Kobe City Medical Center West Hospital, Kobe, Hyogo, 653-0013, Japan. FAU - Misu, Shogo AU - Misu S AUID- ORCID: 0000-0003-0015-7078 AD - Department of Rehabilitation, Kobe City Hospital Organization, Kobe City Medical Center West Hospital, Kobe, Hyogo, 653-0013, Japan. AD - Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women's University, Kobe, Hyogo, 658-0001, Japan. FAU - Iwata, Yusuke AU - Iwata Y AD - Kobe University Graduate School of Health Sciences, Kobe, Hyogo, 654-0142, Japan. FAU - Kaneko, Masahiro AU - Kaneko M AD - Department of Respiratory Medicine, Kobe City Hospital Organization Kobe City Medical Center West Hospital, Kobe, Hyogo, 653-0013, Japan. FAU - Sawada, Kaku AU - Sawada K AD - Department of Internal Medicine, Keiwakai Nishioka hospital, Sapporo, Hokkaido, 062-0034, Japan. FAU - Oki, Yukari AU - Oki Y AD - Kobe University Graduate School of Health Sciences, Kobe, Hyogo, 654-0142, Japan. FAU - Mitani, Yuji AU - Mitani Y AD - Kobe University Graduate School of Health Sciences, Kobe, Hyogo, 654-0142, Japan. FAU - Ono, Kumiko AU - Ono K AUID- ORCID: 0000-0003-4185-4339 AD - Kobe University Graduate School of Health Sciences, Kobe, Hyogo, 654-0142, Japan. FAU - Ishikawa, Akira AU - Ishikawa A AD - Kobe University Graduate School of Health Sciences, Kobe, Hyogo, 654-0142, Japan. LA - eng PT - Journal Article DEP - 20210621 PL - New Zealand TA - Int J Chron Obstruct Pulmon Dis JT - International journal of chronic obstructive pulmonary disease JID - 101273481 SB - IM MH - Aged MH - Aged, 80 and over MH - Dyspnea/diagnosis/etiology MH - Humans MH - Japan MH - *Pulmonary Disease, Chronic Obstructive/diagnosis MH - Reproducibility of Results MH - Surveys and Questionnaires PMC - PMC8232896 OTO - NOTNLM OT - Japanese OT - activities of daily living OT - chronic obstructive pulmonary disease OT - dyspnea OT - interstitial lung disease OT - reliability and validity COIS- The authors declare that they have no conflicts of interest. EDAT- 2021/07/01 06:00 MHDA- 2021/08/12 06:00 PMCR- 2021/06/21 CRDT- 2021/06/30 06:35 PHST- 2021/04/09 00:00 [received] PHST- 2021/06/01 00:00 [accepted] PHST- 2021/06/30 06:35 [entrez] PHST- 2021/07/01 06:00 [pubmed] PHST- 2021/08/12 06:00 [medline] PHST- 2021/06/21 00:00 [pmc-release] AID - 313583 [pii] AID - 10.2147/COPD.S313583 [doi] PST - epublish SO - Int J Chron Obstruct Pulmon Dis. 2021 Jun 21;16:1863-1871. doi: 10.2147/COPD.S313583. eCollection 2021.