Reliability and Validity of Self-Report Questionnaires as Indicators of Fatigue in RYR1-Related Disorders

Autor: Ruhi Vasavada, Katherine G. Meilleur, Minal S. Jain, Jeffery Elliott, Bart Drinkard, M. Waite, Tokunbor A. Lawal, Jessica W Witherspoon, Carsten G. Bönnemann, Monique O Shelton, Joshua J. Todd, Muslima S Razaqyar, Irene C Chrismer, Darren Michael, Anna Kuo, Alicia Richarte
Rok vydání: 2019
Předmět:
Zdroj: Journal of Neuromuscular Diseases. 6:133-141
ISSN: 2214-3602
2214-3599
DOI: 10.3233/jnd-180335
Popis: RYR1-related disorders (RYR1-RD), are a spectrum of genetic neuromuscular disorders. Affected individuals frequently experience fatigue yet appropriate tools to assess RYR1-RD-associated fatigue remain underdeveloped.This study assessed the reliability and validity of two self-report questionnaires, the multidimensional fatigue inventory (MFI-20) and adult/pediatric functional assessment of chronic illness-fatigue (FACIT-F/Peds-FACIT-F) as potential fatigue measures in RYR1-RD affected individuals.Participants (n = 37) were enrolled in an RYR1-RD combined natural history study and clinical trial. At baseline, participants completed fatigue questionnaires, six-minute walk test (6MWT), cardiopulmonary exercise test (CPET) and saliva collection for fatigue biomarker index (FBI) quantification.All questionnaires exhibited good test-retest reliability (n = 18, ICC 0.80). MFI-20 (n = 37), and FACIT-F (n = 28) also showed good internal consistency (Cronbach's α 0.80). All MFI-20 subscales, except mental fatigue, and FACIT-F demonstrated evidence of criterion validity when correlated against percent predicted 6MWT distance (MFI-20 n = 37; r = -0.34 to -0.47, all p 0.05, mental fatigue, r = -0.16, p = 0.35; FACIT-F n = 28, r = 0.41, p = 0.03). This was not the case for percent predicted VO2 peak (all p 0.05). FBI correlated with MFI-20 general fatigue dimension only (r = -0.35, p = 0.03). Comparison of standardized questionnaire scores revealed that RYR1-RD affected individuals experience significantly greater fatigue than the general population.MFI-20 and FACIT-F are valid and reliable tools for assessing RYR1-RD-associated fatigue, a symptom centrally implicated in this rare disorder.
Databáze: OpenAIRE