Symptoms, impacts, and suitability of the Pulmonary Arterial Hypertension-Symptoms and Impact (PAH-SYMPACT™) questionnaire in patients with sarcoidosis-associated pulmonary hypertension (SAPH): a qualitative interview study
Abstract Background Sarcoidosis-associated pulmonary hypertension (SAPH) is a prevalent and serious complication of sarcoidosis. No SAPH-specific self-report instruments for assessing SAPH symptoms and their impact on patients are available to date. This study sought to determine whether the Pulmona...
Guardado en:
Autores principales: | , , , , , |
---|---|
Formato: | article |
Lenguaje: | EN |
Publicado: |
BMC
2021
|
Materias: | |
Acceso en línea: | https://doaj.org/article/b05789a527004990b985ff1c37b6a516 |
Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
id |
oai:doaj.org-article:b05789a527004990b985ff1c37b6a516 |
---|---|
record_format |
dspace |
spelling |
oai:doaj.org-article:b05789a527004990b985ff1c37b6a5162021-11-14T12:37:25ZSymptoms, impacts, and suitability of the Pulmonary Arterial Hypertension-Symptoms and Impact (PAH-SYMPACT™) questionnaire in patients with sarcoidosis-associated pulmonary hypertension (SAPH): a qualitative interview study10.1186/s12890-021-01694-11471-2466https://doaj.org/article/b05789a527004990b985ff1c37b6a5162021-11-01T00:00:00Zhttps://doi.org/10.1186/s12890-021-01694-1https://doaj.org/toc/1471-2466Abstract Background Sarcoidosis-associated pulmonary hypertension (SAPH) is a prevalent and serious complication of sarcoidosis. No SAPH-specific self-report instruments for assessing SAPH symptoms and their impact on patients are available to date. This study sought to determine whether the Pulmonary Arterial Hypertension-Symptoms and Impact (PAH-SYMPACT™) questionnaire is suitable for use in patients with SAPH. Methods Patients diagnosed with SAPH participated in qualitative one-on-one telephone interviews to better understand SAPH symptoms and their impacts on patients’ lives and to determine the appropriateness of the PAH-SYMPACT™ for use in patients with SAPH. The interviews comprised concept elicitation, completion of the PAH-SYMPACT™, and cognitive debriefing. Interview transcripts were analyzed by content analysis. Results Eleven patients with SAPH were interviewed between August 2019 and June 2020. In the concept elicitation, all 11 participants endorsed shortness of breath and nine participants (82%) rated it as their “most bothersome or severe” symptom. Impacts endorsed by all 11 participants were difficulty walking uphill or up stairs and difficulty in performing daily activities. Cognitive debriefing indicated that the PAH-SYMPACT™ items were relevant and understandable to most participants and reflected their experiences of SAPH. Participants indicated that no key symptoms or impacts of SAPH were missing. They also reported that the PAH-SYMPACT™ instructions and response options were clear, and that it would be feasible to complete the 11 symptom items and one oxygen use item as part of their daily schedule. Conclusions This study suggests the PAH-SYMPACT™ is suitable for assessing symptoms and their impact in patients with SAPH. However, larger longitudinal studies are needed to confirm that it is fit for use in this patient population and that it can be used to reliably detect temporal changes in patients’ symptom status. Trial registration Not applicable.Brooke M. CurrieEvan W. DaviesAmélie BeaudetLarissa StassekLeah KleinmanRobert P. BaughmanBMCarticleHealth-related quality of lifePAH-SYMPACT™Patient-reported outcomeQualitative interviewsSarcoidosisSarcoidosis-associated pulmonary hypertensionDiseases of the respiratory systemRC705-779ENBMC Pulmonary Medicine, Vol 21, Iss 1, Pp 1-10 (2021) |
institution |
DOAJ |
collection |
DOAJ |
language |
EN |
topic |
Health-related quality of life PAH-SYMPACT™ Patient-reported outcome Qualitative interviews Sarcoidosis Sarcoidosis-associated pulmonary hypertension Diseases of the respiratory system RC705-779 |
spellingShingle |
Health-related quality of life PAH-SYMPACT™ Patient-reported outcome Qualitative interviews Sarcoidosis Sarcoidosis-associated pulmonary hypertension Diseases of the respiratory system RC705-779 Brooke M. Currie Evan W. Davies Amélie Beaudet Larissa Stassek Leah Kleinman Robert P. Baughman Symptoms, impacts, and suitability of the Pulmonary Arterial Hypertension-Symptoms and Impact (PAH-SYMPACT™) questionnaire in patients with sarcoidosis-associated pulmonary hypertension (SAPH): a qualitative interview study |
description |
Abstract Background Sarcoidosis-associated pulmonary hypertension (SAPH) is a prevalent and serious complication of sarcoidosis. No SAPH-specific self-report instruments for assessing SAPH symptoms and their impact on patients are available to date. This study sought to determine whether the Pulmonary Arterial Hypertension-Symptoms and Impact (PAH-SYMPACT™) questionnaire is suitable for use in patients with SAPH. Methods Patients diagnosed with SAPH participated in qualitative one-on-one telephone interviews to better understand SAPH symptoms and their impacts on patients’ lives and to determine the appropriateness of the PAH-SYMPACT™ for use in patients with SAPH. The interviews comprised concept elicitation, completion of the PAH-SYMPACT™, and cognitive debriefing. Interview transcripts were analyzed by content analysis. Results Eleven patients with SAPH were interviewed between August 2019 and June 2020. In the concept elicitation, all 11 participants endorsed shortness of breath and nine participants (82%) rated it as their “most bothersome or severe” symptom. Impacts endorsed by all 11 participants were difficulty walking uphill or up stairs and difficulty in performing daily activities. Cognitive debriefing indicated that the PAH-SYMPACT™ items were relevant and understandable to most participants and reflected their experiences of SAPH. Participants indicated that no key symptoms or impacts of SAPH were missing. They also reported that the PAH-SYMPACT™ instructions and response options were clear, and that it would be feasible to complete the 11 symptom items and one oxygen use item as part of their daily schedule. Conclusions This study suggests the PAH-SYMPACT™ is suitable for assessing symptoms and their impact in patients with SAPH. However, larger longitudinal studies are needed to confirm that it is fit for use in this patient population and that it can be used to reliably detect temporal changes in patients’ symptom status. Trial registration Not applicable. |
format |
article |
author |
Brooke M. Currie Evan W. Davies Amélie Beaudet Larissa Stassek Leah Kleinman Robert P. Baughman |
author_facet |
Brooke M. Currie Evan W. Davies Amélie Beaudet Larissa Stassek Leah Kleinman Robert P. Baughman |
author_sort |
Brooke M. Currie |
title |
Symptoms, impacts, and suitability of the Pulmonary Arterial Hypertension-Symptoms and Impact (PAH-SYMPACT™) questionnaire in patients with sarcoidosis-associated pulmonary hypertension (SAPH): a qualitative interview study |
title_short |
Symptoms, impacts, and suitability of the Pulmonary Arterial Hypertension-Symptoms and Impact (PAH-SYMPACT™) questionnaire in patients with sarcoidosis-associated pulmonary hypertension (SAPH): a qualitative interview study |
title_full |
Symptoms, impacts, and suitability of the Pulmonary Arterial Hypertension-Symptoms and Impact (PAH-SYMPACT™) questionnaire in patients with sarcoidosis-associated pulmonary hypertension (SAPH): a qualitative interview study |
title_fullStr |
Symptoms, impacts, and suitability of the Pulmonary Arterial Hypertension-Symptoms and Impact (PAH-SYMPACT™) questionnaire in patients with sarcoidosis-associated pulmonary hypertension (SAPH): a qualitative interview study |
title_full_unstemmed |
Symptoms, impacts, and suitability of the Pulmonary Arterial Hypertension-Symptoms and Impact (PAH-SYMPACT™) questionnaire in patients with sarcoidosis-associated pulmonary hypertension (SAPH): a qualitative interview study |
title_sort |
symptoms, impacts, and suitability of the pulmonary arterial hypertension-symptoms and impact (pah-sympact™) questionnaire in patients with sarcoidosis-associated pulmonary hypertension (saph): a qualitative interview study |
publisher |
BMC |
publishDate |
2021 |
url |
https://doaj.org/article/b05789a527004990b985ff1c37b6a516 |
work_keys_str_mv |
AT brookemcurrie symptomsimpactsandsuitabilityofthepulmonaryarterialhypertensionsymptomsandimpactpahsympactquestionnaireinpatientswithsarcoidosisassociatedpulmonaryhypertensionsaphaqualitativeinterviewstudy AT evanwdavies symptomsimpactsandsuitabilityofthepulmonaryarterialhypertensionsymptomsandimpactpahsympactquestionnaireinpatientswithsarcoidosisassociatedpulmonaryhypertensionsaphaqualitativeinterviewstudy AT ameliebeaudet symptomsimpactsandsuitabilityofthepulmonaryarterialhypertensionsymptomsandimpactpahsympactquestionnaireinpatientswithsarcoidosisassociatedpulmonaryhypertensionsaphaqualitativeinterviewstudy AT larissastassek symptomsimpactsandsuitabilityofthepulmonaryarterialhypertensionsymptomsandimpactpahsympactquestionnaireinpatientswithsarcoidosisassociatedpulmonaryhypertensionsaphaqualitativeinterviewstudy AT leahkleinman symptomsimpactsandsuitabilityofthepulmonaryarterialhypertensionsymptomsandimpactpahsympactquestionnaireinpatientswithsarcoidosisassociatedpulmonaryhypertensionsaphaqualitativeinterviewstudy AT robertpbaughman symptomsimpactsandsuitabilityofthepulmonaryarterialhypertensionsymptomsandimpactpahsympactquestionnaireinpatientswithsarcoidosisassociatedpulmonaryhypertensionsaphaqualitativeinterviewstudy |
_version_ |
1718429124393959424 |