Self-administered versus interview-based questionnaires among patients with intermittent claudication

Do they give different results? A cross-sectional study

Authors

  • Francisco Lozano Spanish National Health Service
  • José María Lobos Spanish National Health Service
  • José Ramón March Spanish National Health Service
  • Eduardo Carrasco Spanish National Health Service
  • Marcello Barbosa Barros Spanish National Health Service
  • José Ramón González-Porras Spanish National Health Service

Keywords:

Intermittent claudication, Quality of life, Questionnaires, Validation studies, Peripheral arterial disease

Abstract

CONTEXT AND OBJECTIVE: Many clinical investigations use generic and/or specific questionnaires to obtain information about participants and patients. There is disagreement about whether the administration method can affect the results. The aim here was to determine whether, among patients with intermittent claudication (IC), there are differences in the Walking Impairment Questionnaire (WIQ) and European Quality of Life-5 Dimension (EQ-5D) scores with regard to: 1) the questionnaire administration method (self-administration versus face-to-face interview); and 2) the type of interviewer (vascular surgeon, VS, versus general practitioner, GP). DESIGN AND SETTING: Cross-sectional observational multicenter epidemiological study carried out within the Spanish National Health Service. METHODS: 1,641 evaluable patients with IC firstly completed the WIQ and EQ-5D questionnaires and then were interviewed by their doctor on the same day. Pearson correlations and Chi-square tests were used. RESULTS: There was a strong correlation (r > 0.800; P < 0.001) between the two methods of administering the WIQ and EQ-5D questionnaires, and between the VS and GP groups. Likewise, there was a high level of concordance (P > 0.05) between the different dimensions of the WIQ-distance and EQ-5D (self- administration versus face-to-face) in the VS and GP groups. CONCLUSION: There was no difference between the different methods of administering the WIQ and EQ-5D questionnaires, among the patients with IC. Similarly, the two types of interviewers (VS or GP) were equally valid. Therefore, it seems unnecessary to expend effort to administer these questionnaires by interview, in studies on IC.

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Author Biographies

Francisco Lozano, Spanish National Health Service

MD, PhD. Angiology and Vascular Surgery Department, Hospital Universitario de Salamanca and Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain.

José María Lobos, Spanish National Health Service

MD, PhD. Primary Care Physician, Centro de Salud Villablanca, Madrid, Spain.

José Ramón March, Spanish National Health Service

MD. Angiology and Vascular Surgery Department, Hospital Universitario de Getafe, Madrid, Spain.

Eduardo Carrasco, Spanish National Health Service

MD. Primary Care Physician, Centro de Salud Jesús H. Gómez Tornero, Abarán, Murcia, Spain.

Marcello Barbosa Barros, Spanish National Health Service

MD, PhD. Angiology and Vascular Surgery Department, Hospital Universitario de Valladolid, Valladolid, Spain.

José Ramón González-Porras, Spanish National Health Service

MD, PhD. Hematology Department, Hospital Universitario de Salamanca and Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain.

References

Chetter IC, Spark JI, Dolan P, Scott DJ, Kester RC. Quality of life analysis in patients with lower limb ischaemia: suggestions for European standardisation. Eur J Vasc Endovasc Surg. 1997;13(6):597-604.

Mehta T, Venkata Subramaniam A, Chetter I, McCollum P. Assessing the validity and responsiveness of disease-specific quality of life instruments in intermittent claudication. Eur J Vasc Endovasc Surg. 2006;31(1):46-52.

Ritti-Dias RM, Gobbo LA, Cucato GG, et al. Translation and validation of the walking impairment questionnaire in Brazilian subjects with intermittent claudication. Arq Bras Cardiol. 2009;92(2):136-49.

Collins TC, Suarez-Almazor M, Petersen NJ, O’Malley KJ. A Spanish translation of the Walking Impairment Questionnaire was validated for patients with peripheral arterial disease. J Clin Epidemiol. 2004;57(12):1305-15.

Lozano FS, March JR, González-Porras JR, et al. Validation of the Walking Impairment Questionnaire for Spanish patients. Vasa. 2013;42(5):350-6.

Regensteiner JG, Steiner JF, Panzer RJ, Hiatt WR. Evaluation of walking impairment by questionnaire in patients with peripheral arterial disease. J Vasc Med Biol. 1990;2:142-52.

EuroQol Group. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy. 1990;16(3):199-208.

Coyne KS, Margolis MK, Gilchrist KA, et al. Evaluating effects of method of administration on Walking Impairment Questionnaire. J Vasc Surg. 2003;38(2):296-304.

Cook DJ, Guyatt GH, Juniper E, et al. Interviewer versus self-administered questionnaires in developing a disease-specific, health-related quality of life instrument for asthma. J Clin Epidemiol. 1993;46(6):529-34.

Kaminska M, Jobin V, Mayer P, et al. The Epworth Sleepiness Scale: self-administration versus administration by the physician, and validation of a French version. Can Respir J. 2010;17(2):e27-34.

Desai R, Durham J, Wassell RW, Preshaw PM. Does the mode of administration of the Oral Health Impact Profile-49 affect the outcome score? J Dent. 2014;42(1):84-9.

Lutomski JE, van Exel NJ, Kempen GI, et al. Validation of the Care- Related Quality of Life Instrument in different study settings: findings from The Older Persons and Informal Caregivers Survey Minimum DataSet (TOPICS-MDS). Qual Life Res. 2015;24(5):1281-93.

Wu AW, Jacobson DL, Berzon RA, et al. The effect of mode of administration on medical outcomes study health ratings and EuroQol scores in AIDS. Qual Life Res. 1997;6:3-10.

Puhan MA, Behnke M, Frey M, et al. Self-administration and interviewer- administration of the German Chronic Respiratory Questionnaire: instrument development and assessment of validity and reliability in two randomised studies. Health Qual Life Outcomes. 2004;2:1.

Puhan MA, Ahuja A, Van Natta ML, et al. Interviewer versus self- administered health-related quality of life questionnaires - does it matter? Health Qual Life Outcomes. 2011;9:30.

Evans RA, Singh SJ, Williams JE, Morgan MD. The development of a self-reported version of the chronic heart questionnaire. J Cardiopulm Rehabil Prev. 2011;31(6):365-72.

Mulhern B, Longworth L, Brazier J, et al. Binary choice health state valuation and mode of administration: head-to-head comparison of online and CAPI. Value Health. 2013;16(1):104-13.

Lozano Sánchez FS, March García JR, Carrasco Carrasco E, Lobos Bejarano JM. Perfil de los pacientes con claudicación intermitente en España. Estudio VITAL [Profile of patients with intermittent claudication in Spain. The VITAL Study]. Angiología. 2013;65(4):131-40. Available from: http://saudepublica.bvs.br/pesquisa/resource/pt/ibc-116639. Accessed in 2015 (Oct 16).

Lozano FS, González-Porras JR, March JR, et al. Diabetes mellitus and intermittent claudication: a cross-sectional study of 920 claudicants. Diabetol Metab Syndr. 2014;6(1):21.

Lozano FS, González-Porras JR, March JR, et al. Differences between women and men with intermittent claudication: a cross-sectional study. J Womens Health (Larchmt). 2014;23(10):834-41.

Lozano FS, March JR, González-Porras JR, et al. Relative value of the Ankle-Brachial Index of intermittent claudication. Int J Clin Pract. 2014;68(12):1478-82.

Badia X, Roset M, Montserrat S, Herdman M, Segura A. La versión española del EuroQol: descripción y aplicaciones [The Spanish version of EuroQol: a description and its applications. European Quality of Life scale]. Med Clin (Barc). 1999;112 Suppl 1:79-85.

Herdman M, Badia X, Berra S. El EuroQol-5D: una alternativa sencilla para la medición de la calidad de vida relacionada con la salud en atención primaria [EuroQol-5D: a simple alternative for measuring health-related quality of life in primary care]. Aten Primaria. 2001;28(6):425-30.

Swinscow TDV, Campbell MJ. Correlation and regression. 9th ed. Southampton: BMJ Publishing Group; 1997.

Myers SA, Johanning JM, Stergiou N, et al. Claudication distances and the Walking Impairment Questionnaire best describe the ambulatory limitations in patients with symptomatic peripheral arterial disease. J Vasc Surg. 2008;47(3):550-555.

Nicolaï SP, Kruidenier LM, Rouwet EV, et al. The walking impairment questionnaire: an effective tool to assess the effect of treatment in patients with intermittent claudication. J Vasc Surg. 2009;50(1):89-94.

Frans FA, Zagers MB, Jens S, et al. The relationship of walking distances estimated by the patient, on the corridor and on a treadmill, and the Walking Impairment Questionnaire in intermittent claudication. J Vasc Surg. 2013;57(3):720-727.

Chetter IC, Dolan P, Spark JI, Scott DJ, Kester RC. Correlating clinical indicators of lower-limb ischaemia with quality of life. Cardiovasc Surg. 1997;5(4):361-6.

Bosch JL, Hunink MG. Comparison of the Health Utilities Index Mark 3 (HU13) and the EuroQol EQ-5D in patients treated for intermittent claudication. Qual Life Res. 2000;9(6):591-601.

Sani F, Todman JB. Experimental design and statistics for psychology: a first course. Oxford: Blackwell Publishing; 2006.

Feveile H, Olsen O, Hogh A. A randomized trial of mailed questionnaires versus telephone interviews: response patterns in a survey. BMC Med Res Methodol. 2007;7:27.

Bowling A. Mode of questionnaire administration can have serious effects on data quality. J Public Health (Oxf ). 2005;27(3):281-91.

Mahe G, Ouedraogo N, Vasseur M, et al. Limitations of self-reported estimates of functional capacity using the Walking Impairment Questionnaire. Eur J Vasc Endovasc Surg. 2011;41(1):104-9.

Goldsmith KA, Dyer MT, Schofield PM, Buxton MJ, Sharples LD. Relationship between the EQ-5D index and measures of clinical outcomes in selected studies of cardiovascular interventions. Health Qual Life Outcomes. 2009;7:96.

de Vries M, Ouwendijk R, Kessels AG, et al. Comparison of generic and disease-specific questionnaires for the assessment of quality of life in patients with peripheral arterial disease. J Vasc Surg. 2005;41(2):261-8.

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Published

2016-02-04

How to Cite

1.
Lozano F, Lobos JM, March JR, Carrasco E, Barros MB, González-Porras JR. Self-administered versus interview-based questionnaires among patients with intermittent claudication: Do they give different results? A cross-sectional study. Sao Paulo Med J [Internet]. 2016 Feb. 4 [cited 2025 Mar. 9];134(1):63-9. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/967

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