Psychometric properties of a questionnaire (HEMO-FISS-QoL) to evaluate the burden associated with haemorrhoidal disease and anal fissures

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
L AbramowitzA Zkik

Abstract

Current questionnaires designed to evaluate the burden of haemorrhoidal disease ignore symptoms such as bleeding, pain and itching. A specific questionnaire is needed to evaluate the global impact of anal disorders on patients' daily lives. We developed a questionnaire (HEMO-FISS-QoL) to assess the symptom burden of anal disorders and administered it to 256 patients (mean age 46.2 years; men 60.4%) with haemorrhoidal disease (67.2%), anal fissure (29.3%) or both (3.5%). Psychometric properties were evaluated by testing the acceptability, construct validity and reliability of the questionnaire. Principal components and multi-trait analyses were used to identify dimensions and to assess construct validity. Backward Cronbach alpha curves and a graded response model were used to reduce the number of items and modalities. External validity was evaluated against SF-12 and the Psychological Global Well-Being Index (PGWBI) using Spearman's correlation coefficient. Principal component analysis defined four dimensions: physical disorders, psychology, defaecation and sexuality. The number of questions was reduced from 38 to 23. The HEMO-FISS-QoL scores correlated well with those of the SF-12 and PGWBI (P < 0.001). Cronbach's coefficients ...Continue Reading

References

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Feb 9, 2018·Diseases of the Colon and Rectum·Emily Steinhagen

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Citations

Jan 13, 2019·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·J Jongen, V Kahlke
May 10, 2020·International Journal of Colorectal Disease·Gregoire LongchampFrédéric Ris
Jul 9, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J JinA G Hill
Oct 29, 2020·International Journal of Colorectal Disease·Jean-Michel Didelot, Romain Didelot
May 15, 2021·Techniques in Coloproctology·A PicciarielloD F Altomare
Sep 26, 2020·Annals of Coloproctology·Nadia FathallahVincent de Parades

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Methods Mentioned

BETA
PCA

Software Mentioned

FISS
SAS
HEMO

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