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Croatian medical journal, Vol.57 No.5 Listopad 2016.

Izvorni znanstveni članak
https://doi.org/10.3325/cmj.2016.57.425

Development and the initial validation of a new selfadministered questionnaire for an early detection of health status changes in smokers at risk for chronic obstructive pulmonary disease (MARKO questionnaire)

Žarko Vrbica ; Department of Pulmonology and Immunology, General HospitalDubrovnik, Dubrovnik, Croatia
Marina Labor ; Department of Pulmonology University Hospital Center Osijek, Osijek, Croatia
Adrijana Košćec Đuknić ; University of Zagreb Centre for Croatian Studies, Borongaj Campus Zagreb, Croatia
Biserka Radošević-Vidaček ; Institute for Medical Research and Occupational Health, Zagreb, Croatia
Ivan Gudelj ; Department of Pulmonology University Hospital Center Split,Split, Croatia
Slavica Labor ; Department of Pulmonology University Hospital Center Osijek, Osijek, Croatia
Iva Jurić ; Department of Internal Medicine, University Hospital Center Osijek, Osijek, Croatia
Peter MA Calverley ; University of Liverpool, Liverpool, UK
Davor Plavec   ORCID icon orcid.org/0000-0003-2020-8119 ; Research Department, Children’s Hospital Srebrnjak, Zagreb, Croatia

Puni tekst: engleski, pdf (132 KB) str. 425-433 preuzimanja: 81* citiraj
APA 6th Edition
Vrbica, Ž., Labor, M., Košćec Đuknić, A., Radošević-Vidaček, B., Gudelj, I., Labor, S., ... Plavec, D. (2016). Development and the initial validation of a new selfadministered questionnaire for an early detection of health status changes in smokers at risk for chronic obstructive pulmonary disease (MARKO questionnaire). Croatian medical journal, 57 (5), 425-433. https://doi.org/10.3325/cmj.2016.57.425
MLA 8th Edition
Vrbica, Žarko, et al. "Development and the initial validation of a new selfadministered questionnaire for an early detection of health status changes in smokers at risk for chronic obstructive pulmonary disease (MARKO questionnaire)." Croatian medical journal, vol. 57, br. 5, 2016, str. 425-433. https://doi.org/10.3325/cmj.2016.57.425. Citirano 25.09.2018.
Chicago 17th Edition
Vrbica, Žarko, Marina Labor, Adrijana Košćec Đuknić, Biserka Radošević-Vidaček, Ivan Gudelj, Slavica Labor, Iva Jurić, Peter MA Calverley i Davor Plavec. "Development and the initial validation of a new selfadministered questionnaire for an early detection of health status changes in smokers at risk for chronic obstructive pulmonary disease (MARKO questionnaire)." Croatian medical journal 57, br. 5 (2016): 425-433. https://doi.org/10.3325/cmj.2016.57.425
Harvard
Vrbica, Ž., et al. (2016). 'Development and the initial validation of a new selfadministered questionnaire for an early detection of health status changes in smokers at risk for chronic obstructive pulmonary disease (MARKO questionnaire)', Croatian medical journal, 57(5), str. 425-433. doi: https://doi.org/10.3325/cmj.2016.57.425
Vancouver
Vrbica Ž, Labor M, Košćec Đuknić A, Radošević-Vidaček B, Gudelj I, Labor S i sur. Development and the initial validation of a new selfadministered questionnaire for an early detection of health status changes in smokers at risk for chronic obstructive pulmonary disease (MARKO questionnaire). Croat Med J. [Internet]. 15.10.2016. [pristupljeno 25.09.2018.];57(5):425-433. doi: https://doi.org/10.3325/cmj.2016.57.425
IEEE
Ž. Vrbica, et al., "Development and the initial validation of a new selfadministered questionnaire for an early detection of health status changes in smokers at risk for chronic obstructive pulmonary disease (MARKO questionnaire)", Croatian medical journal, vol.57, br. 5, str. 425-433, listopad 2016. [Online]. doi: https://doi.org/10.3325/cmj.2016.57.425

Sažetak
Aim To develop and do an initial validation of a new simple
tool (self-administered questionnaire) that would be sensitive
and specific enough to detect early changes in smokers
leading to future development of chronic obstructive pulmonary
disease (COPD).
Methods 224 consecutive participants (50.9% women), with
mean ± standard deviation age of 52.3 ± 6.7 years, 37.5 ± 16.7
pack-years smoking history (85.8% active smokers), and no
prior diagnosis of COPD were recruited. The MARKO questionnaire
was self-administered twice; at the general practitioner’s
office and after 2-4 weeks at the tertiary care hospital.
Participants were assessed for COPD by a pulmonologist
after filling in a quality of life (QoL) questionnaires, historytaking,
physical examination, lung function test, 6-minute
walk test, and laboratory tests. They were divided into four
subgroups: “healthy” smokers, symptomatic smokers, and
smokers with mild and moderately severe COPD.
Results Psychometric analyses indicated that the 18-item
questionnaire had a very good internal consistency (Cronbach’s
alpha = 0.91) and test-retest reliability for a four week
period (ρc = 0.89, 95% confidence interval [CI] 0.85-0.92, Lin’s
concordance). A significant correlations of MARKO scores
were found with two QoL questionnaires; r = 0.69 (P < 0.001)
and r = 0.81 (P < 0.001). Receiver operating characteristic
curve analysis showed an area under the curve of 0.753
(95% CI 0.691-0.808, P < 0.001), with a sensitivity of 71.83%
and specificity of 64.24% to discriminate “healthy” smokers
from other subgroups.
Conclusion Based on psychometric analyses and high convergent
validity correlation with already validated QoL questionnaires,
the newly developed MARKO questionnaire was
shown to be a reliable self-administered short health status
assessment tool.

Hrčak ID: 170453

URI
https://hrcak.srce.hr/170453

Posjeta: 154 *