PMID- 34273524 OWN - NLM STAT- MEDLINE DCOM- 20220228 LR - 20220228 IS - 1873-6513 (Electronic) IS - 0885-3924 (Linking) VI - 63 IP - 1 DP - 2022 Jan TI - Dyspnoea-12 and Multidimensional Dyspnea Profile: Systematic Review of Use and Properties. PG - e75-e87 LID - S0885-3924(21)00422-X [pii] LID - 10.1016/j.jpainsymman.2021.06.023 [doi] AB - 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 alpha) 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 alpha 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. CI - Copyright (c) 2021 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Williams, Marie T AU - Williams MT AD - Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia. Electronic address: Marie.williams@unisa.edu.au. FAU - Lewthwaite, Hayley AU - Lewthwaite H AD - Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia; Department of Kinesiology and Physical Education, McGill University, Montreal, Quebec, Canada; College of Engineering, Science and Environment, School of Environmental & Life Sciences, University of Newcastle, Ourimbah, New South Wales, Australia. FAU - Paquet, Catherine AU - Paquet C AD - Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia; Faculte des Sciences de l'Administration, Universite Laval, Quebec (Quebec) , Canada. FAU - Johnston, Kylie AU - Johnston K AD - Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia. FAU - Olsson, Max AU - Olsson M AD - Lund University, Faculty of Medicine, Department of Clinical Sciences Lund, Respiratory Medicine and Allergology, Lund, Sweden. FAU - Belo, Leticia Fernandes AU - Belo LF AD - Laboratory of Research in Respiratory Physiotherapy (LFIP), Department of Physiotherapy, State University of Londrina (UEL), Londrina, Brazil. FAU - Pitta, Fabio AU - Pitta F AD - Laboratory of Research in Respiratory Physiotherapy (LFIP), Department of Physiotherapy, State University of Londrina (UEL), Londrina, Brazil. FAU - Morelot-Panzini, Capucine AU - Morelot-Panzini C AD - Sorbonne Universite, INSERM, UMRS1158 Neurophysiologie Respiratoire Experimentale et Clinique, Paris, France; Groupe Hospitalo-Universitaire APHP-Sorbonne Universite, site Pitie-Salpetriere, Service de Pneumologie, Departement R3S, Paris, France. FAU - Ekstrom, Magnus AU - Ekstrom M AD - Lund University, Faculty of Medicine, Department of Clinical Sciences Lund, Respiratory Medicine and Allergology, Lund, Sweden. LA - eng PT - Journal Article PT - Review PT - Systematic Review DEP - 20210715 PL - United States TA - J Pain Symptom Manage JT - Journal of pain and symptom management JID - 8605836 SB - IM MH - Adult MH - *Dyspnea/diagnosis/psychology MH - *Emotions MH - Humans MH - Language MH - Psychometrics/methods MH - Reproducibility of Results MH - Surveys and Questionnaires OTO - NOTNLM OT - Systematic review OT - assessment OT - breathlessness OT - dyspnea OT - psychometric EDAT- 2021/07/18 06:00 MHDA- 2022/03/01 06:00 CRDT- 2021/07/17 20:13 PHST- 2021/04/28 00:00 [received] PHST- 2021/06/22 00:00 [revised] PHST- 2021/06/26 00:00 [accepted] PHST- 2021/07/18 06:00 [pubmed] PHST- 2022/03/01 06:00 [medline] PHST- 2021/07/17 20:13 [entrez] AID - S0885-3924(21)00422-X [pii] AID - 10.1016/j.jpainsymman.2021.06.023 [doi] PST - ppublish SO - J Pain Symptom Manage. 2022 Jan;63(1):e75-e87. doi: 10.1016/j.jpainsymman.2021.06.023. Epub 2021 Jul 15.