Assessing the sensibility and utility of a short-form version of the HIV Disability Questionnaire in clinical practice settings in Canada, Ireland and the USA: a mixed methods study.

Autor:	O'Brien KK; Department of Physical Therapy, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada kelly.obrien@utoronto.ca.; Institute of Health Policy, Management and Evaluation (IHPME), Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; Rehabilitation Sciences Instiute (RSI), University of Toronto, Toronto, Ontario, Canada., Solomon P; School of Rehabilitation Science, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada., Carusone SC; McMaster Collaborative for Health and Aging, School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.; Casey House, Toronto, Ontario, Canada., Erlandson KM; University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA., Bergin C; Department of Genitourinary and Infectious Diseases (GUIDE) Clinic, St James's Hospital, Dublin, Ireland.; School of Medicine, Trinity College Dublin, Dublin, Ireland., Bayoumi AM; Institute of Health Policy, Management and Evaluation (IHPME), Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; MAP Centre, St Michael's Hospital, Toronto, Ontario, Canada.; Department of Medicine, University of Toronto, Toronto, Ontario, Canada., Hanna SE; Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada., Harding R; Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Cicely Saunders Institute, King's College London, London, UK., Brown DA; Therapies Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK., Vera JH; Department of Global Health and Infection, Brighton and Sussex Medical School, Brighton, UK.; Brighton and Sussex University Hospitals NHS Trust, Brighton, UK., Boffito M; Chelsea and Westminster Hospital NHS Foundation Trust, London, UK., Murray C; Casey House, Toronto, Ontario, Canada., Aubry R; Department of Physical Therapy, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada., O'Shea N; Department of Genitourinary and Infectious Diseases (GUIDE) Clinic, St James's Hospital, Dublin, Ireland., St Clair-Sullivan N; Brighton and Sussex University Hospitals NHS Trust, Brighton, UK., Boyd M; University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA., Swinton M; Department of Physical Therapy, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada., Torres B; Department of Physical Therapy, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada., Davis AM; Department of Physical Therapy, University of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.; Institute of Health Policy, Management and Evaluation (IHPME), Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2022 Sep 29; Vol. 12 (9), pp. e062008. Date of Electronic Publication: 2022 Sep 29.
DOI:	10.1136/bmjopen-2022-062008
Abstrakt:	Objectives: The Short-Form HIV Disability Questionnaire (SF-HDQ) was developed to measure the presence, severity and episodic nature of health challenges across six domains. Our aim was to assess the sensibility, utility and implementation of the SF-HDQ in clinical practice. Design: Mixed methods study design involving semistructured interviews and questionnaire administration. Participants: We recruited adults living with HIV and HIV clinicians in Canada, Ireland and the USA. Methods: We electronically administered the SF-HDQ followed by a Sensibility Questionnaire (face and content validity, ease of usage, format) and conducted semistructured interviews to explore the utility and implementation of the SF-HDQ in clinical practice. The threshold for sensibility was a median score of > 5/7 (adults living with HIV) and > 4/7 (HIV clinicians) for ≥80% of items. Qualitative interview data were analysed using directed content analysis. Results: Median sensibility scores were > 5 (adults living with HIV; n=29) and > 4 (HIV clinicians; n=16) for 18/19 (95%) items. Interview data indicated that the SF-HDQ represents the health-related challenges of living with HIV and other concurrent health conditions; captures the daily episodic nature of HIV; and is easy to use. Clinical utility included measuring health challenges and change over time, guiding referral to specialists and services, setting goals, facilitating communication and fostering a multidisciplinary approach to care. Considerations for implementation included flexible, person-centred approaches to administration, and communicating scores based on personal preferences. Conclusions: The SF-HDQ possesses sensibility and utility for use in clinical settings with adults living with HIV and HIV clinicians in three countries. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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