TY - JOUR KW - Humans KW - Mycobacterium Infections, Nontuberculous KW - Mycobacterium ulcerans KW - Observer Variation KW - Range of Motion, Articular KW - Surveys and Questionnaires AU - Stienstra Y AU - Dijkstra P AU - Van Wezel M AU - Van Roest MH G AU - Beets M AU - Zijlstra I AU - Johnson C AU - Ampadu E AU - Gbovi J AU - Zinsou C AU - Etuaful S AU - Klutse E AU - Van der Graaf W AU - Werf T AB -

The reliability and validity of the earlier developed Buruli ulcer functional limitation score (BUFLS) questionnaire was assessed. Of 638 former Buruli ulcer patients (of 678 individuals examined), sufficient items on daily activities (>or= 13 of the 19) were applicable to calculate a score. To determine the validity, the functional limitation scores of the 638 individuals were compared with the global impression of the limitations, range of motion (ROM), and the social impact (change of occupation or education) of Buruli ulcer. To determine inter-observer reliability, the functional limitation score was reassessed in 107 participants within one and three weeks after the first interview by another interviewer and interpreter. Both global impression and ROM correlated well with the functional limitation scores (rho = 0.66 and rho = 0.61). The inter-observer reliability of 107 participants as measured by an intra-class correlation coefficient of 0.86 was very good. The functional limitation scores measured in the second assessment were significantly higher than in the first assessment. This should be taken into account when the functional limitation score is used for the individual patient. The BUFLS can be used as for between group comparisons of endpoints in clinical trials and in the planning of resources.

BT - The American journal of tropical medicine and hygiene C1 - http://www.ncbi.nlm.nih.gov/pubmed/15827284?dopt=Abstract DA - 2005 Apr IS - 4 J2 - Am. J. Trop. Med. Hyg. LA - eng N2 -

The reliability and validity of the earlier developed Buruli ulcer functional limitation score (BUFLS) questionnaire was assessed. Of 638 former Buruli ulcer patients (of 678 individuals examined), sufficient items on daily activities (>or= 13 of the 19) were applicable to calculate a score. To determine the validity, the functional limitation scores of the 638 individuals were compared with the global impression of the limitations, range of motion (ROM), and the social impact (change of occupation or education) of Buruli ulcer. To determine inter-observer reliability, the functional limitation score was reassessed in 107 participants within one and three weeks after the first interview by another interviewer and interpreter. Both global impression and ROM correlated well with the functional limitation scores (rho = 0.66 and rho = 0.61). The inter-observer reliability of 107 participants as measured by an intra-class correlation coefficient of 0.86 was very good. The functional limitation scores measured in the second assessment were significantly higher than in the first assessment. This should be taken into account when the functional limitation score is used for the individual patient. The BUFLS can be used as for between group comparisons of endpoints in clinical trials and in the planning of resources.

PY - 2005 SP - 449 EP - 52 T2 - The American journal of tropical medicine and hygiene TI - Reliability and validity of the Buruli ulcer functional limitation score questionnaire. UR - http://www.ajtmh.org/content/72/4/449.full.pdf+html VL - 72 SN - 0002-9637 ER -