revised fibromyalgia impact questionnaire interpretation

Clin J Pain. Over the last 18 years, since the This brief but comprehensive measure shows evidence of excellent construct validity through large correlations with a lengthy legacy measure of cognitive functioning. Unable to load your collection due to an error, Unable to load your delegates due to an error. Internal consistency reliability was examined through calculation of Cronbachs alpha statistic (criterion 0.70). Unauthorized use of these marks is strictly prohibited. sharing sensitive information, make sure youre on a federal For this study, we sought to create a short form that would assess a broad range of domains of cognitive functioning. official website and that any information you provide is encrypted Current efforts to address this problem are limited by lack of a comprehensive, valid measure of subjective cognitive dysfunction in FM that is easily interpretable, accessible, and brief. Epub 2021 May 14. The MISCI is normally distributed and has low rates of ceiling and floor effects. Leavitt F, Katz RS. Introduction Fibromyalgia (FM) is a condition generally associated with multiple symptoms, such as sleep deprivation, tiredness, chronic fatigue and cognitive impairment [ 1, 2 ]. WebAB - Introduction: The Fibromyalgia Impact Questionnaire (FIQ) is a commonly used instrument in the evaluation of fibromyalgia (FM) patients. Front Endocrinol (Lausanne). National Library of Medicine Arthritis Care Res (Hoboken) 2010;62:600610. The items and response options for the 10-item FM cognition short form, named the Multidimensional Inventory of Subjective Cognitive Impairment (MISCI), are found in Table 3. Tesio V, Torta DM, Colonna F, Leombruni P, Ghiggia A, Fusaro E, Geminiani GC, Torta R, Castelli L. Are fibromyalgia patients cognitively impaired? The sample was limited by the fact that participants self-reported their FM diagnosis, although this is approach is consistent with the overall PROMIS methodology, which utilized self-report of diagnosis in the normative sample. Seidenberg M, Haltiner A, Taylor MA, Hermann BB, Wyler A. Before Clin Exp Rheumatol. BMC Musculoskelet Disord. Interestingly, the correlations between the MISCI and both the PROMIS Cognition Abilities short form and the PROMIS Cognition Concerns short from were significantly larger than the correlation between the two PROMIS short-forms (Z = 7.48, p <.01; Z = 5.00, p < .01, respectively). Log-Lik = Log Likelihood; Chi-Sq = Chi-Squared; AIC = Akaike Information Criterion; BIC = Bayesian Information Criterion, Key to the IRT analyses was determining the items that were most informative for measuring a particular dimension (i.e., steeper slopes lead to higher item information functions (IIFs)). Over the last 18 years, since the publication A revised version of the FIQ, the Revised Fibromyalgia Impact Questionnaire (FIQR), complementing the weakness of the FIQ like complicated scoring algorism, was A description of the study was posted on the NFA website and an email announcement from the NFA was sent to members inviting them to participate. Factor analyses and item response theory (IRT) analyses were used to identify dimensionality and optimally-performing items. The Revised Fibromyalgia Impact Questionnaire (FIQR): validation and psychometric properties. Its predominant characteristic is non-articular, widespread, chronic muscular-skeletal pain in specific areas all over the body [ 3, 4 ]. Additionally, because it is possible to convert the raw scores of the MISCI to T-scores that are comparable to this study sample (N = 1035) as well as the PROMIS normative sample, clinicians and researchers can compare the score for any given patient or participant sample to others with FM (using this study sample T-scores) or the general US population (using the PROMIS T-scores). Internal consistency was very good. 2021 Jul 14;8:666914. doi: 10.3389/fmed.2021.666914. Second, it was important that the short form have adequate content coverage. eCollection 2022. Are patients with systemic lupus erythematosus at increased risk for fibromyalgia? Items on the MASQ reflect the degree to which the respondent has difficulty with cognitive tasks, rated on a Likert scale from 1 = Never to 5 = Always. fatigue). Bennett RM, Bushmakin AG, Cappelleri JC, Zlateva G, Sadosky AB. Epub 2014 Jan 1. sharing sensitive information, make sure youre on a federal Wagner LI, Lai JS, Cella D, Sweet JJ, Forrestal S. Chemotherapy-related cognitive deficits: Development of the FACT-Cog instrument. This was an important criterion because these items would be freely and easily accessible through the Assessment CenterSM website, met strict psychometric and interpretability criteria, and could allow for comparison to PROMIS/NQ measures in future work. Accessibility We believe that these omissions from the PROMIS forms are significant and could limit the adequacy of these measures to assess perceived cognitive functioning in FM, given that complaints about verbal communication and managing daily activities and schedules are characteristic of fibrofog and are known deficits on objective testing with individuals with FM4, 5, 22, 32, 33. Ghavidel-Parsa B, Khosousi MJ, Tohidi S, Bidari A, Soltani S, Zayeni H, Montazeri A. BMC Rheumatol. Careers. Do the instruments used to assess fibromyalgia symptoms according to American College of Rheumatology criteria generate similar scores in other chronic musculoskeletal pain? Study protocol for a randomised controlled trial of diacerein versus placebo to treat knee osteoarthritis with effusion-synovitis (DICKENS). The aim of Study 2 was to evaluate the construct validity, internal consistency and distribution characteristics (e.g. The MISCI showed medium to large significant correlations with the MASQ subscales scores; the largest correlation was with the MASQ total score. Three main criteria were considered in selecting the items for the FM cognition short form. Information processing in primary fibromyalgia, major depression and healthy controls. and transmitted securely. PROMIS and Neuro-QOL share many overlapping items, are scored on a T-score metric (Mean = 50, SD = 10), and scores are comparable across the two measurement systems. Participants also completed items from the alternate Form (to serve as bridging items between the forms) as well as several items from other item banks (e.g. Unauthorized use of these marks is strictly prohibited. To attain good content coverage, we considered the results of the factor analysis from a clinical perspective on which domains of cognitive functioning would be most important to assess in FM. Grace GM, Nielson WR, Hopkins M, Berg MA. Items within a subscale are summed for subscale scores and the total score reflects the sum of all 38 items. eCollection 2023. Unable to load your collection due to an error, Unable to load your delegates due to an error. Why Does It Hurt So Much? Disabil Rehabil. Katz RS, Heard AR, Mills M, Leavitt F. The prevalence and clinical impact of reported cognitive difficulties (Fibrofog) in patients with rheumatic disease with and without fibromyalgia. The MISCI Cronbachs alpha = 0.95. The Multiple Ability Self-Report Questionnaire (MASQ)38, developed for use in medical populations, has been used to characterize fibrofog47 and is commonly used to assess cognitive dysfunction in FM clinical trials3, 13, 30. Results: 2011 Mar;30(3):339-46. doi: 10.1007/s10067-010-1546-8. WebThe sample average on the Fibromyalgia Impact Questionnaire Revised (FIQ-R), a measure of FM severity that is described in more detail in the Measures section, is consistent with the average score for people with FM on the FIQ-R (average = 63), according to FIQ-R FM severity interpretation guidelines and findings from previous research 6, 17. The Akaike Information Criterion (AIC1) and the Bayesian Information Criterion (BIC37) were used to compare model fit to the data, with emphasis on BIC values, given that this is the more conservative of the two criteria. 2013 Aug;32(8):1199-206. doi: 10.1007/s10067-013-2259-6. All items were reported on a scale of 010 with a weighted summary score ranging from 0 to 100. It Epub 2013 Apr 21. The Mental Clarity, Memory, and Language factors were considered clinically important domains of cognitive functioning. Over the last 18 years, since the publication However, there is a lack of clarity about how much subjective cognitive dysfunction relates to objective cognitive difficulty. Bookshelf Over the last 18 years, since the publication Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. The prevalence and characteristics of fibromyalgia in the general population. The .gov means its official. The resulting questionnaire has items that reflect abilities or concerns with memory, verbal language ability, general mental clarity, attention/concentration, and executive functioning. Fit of the GRM entails determining the slope parameter, which details the steepness of the item characteristic curves (ICCs) for the various categories, and the threshold parameters, which gives the intersections of the ICCs for adjacent categories. In addition to chronic widespread pain, cognitive dysfunction has emerged as one of the most highly prevalent, distressing, and disabling FM symptoms.26, 29 This dyscognition can indicate objective cognitive difficulty, as has been reflected in diminished performance on tests of memory16, 21, 27, 32, 33, 40, verbal fluency4, 22, 32, 33, attention and concentration16, and executive functioning5. doi: 10.1186/ar2783. Introduction The Fibromyalgia Impact Questionnaire (FIQ) is a commonly used instrument in the evaluation of fibromyalgia (FM) patients. So as to be compatible with the PROMIS/NQ metric, two sets of T-score scale conversions were calculated and are shown in Table 4. In this sample, the average MISCI score was 25.94 (SD=9.52; median = 26.00). Multiple regression analysis was then conducted to identify the significant pain sites and SIQR predictors of group membership. In Study 2, 232 adults with FM completed the MISCI as well as a legacy measure of cognitive functioning that is used in FM clinical trials, the Multiple Ability Self-Report Questionnaire (MASQ). Samejimas graded response model (GRM34) was used to fit the item responses to each uni-dimensional cognitive functioning subscale that was identified through factor analysis. BMJ Open. I have been able to think clearly). Careers. Before Bennett RM, Friend R, Jones KD, Ward R, Han BK, Ross RL. MULTILOG7: Multiple Category Item Anlaysis and Test Scoring Using Item Response Theory. The FIQR is an updated version of the FIQ that has good psychometric properties, can be completed in less than 2 minutes and is easy to score. Bookshelf 2011 Apr;25(2):165-71. doi: 10.1016/j.berh.2010.01.011. All questions are graded on a 0-10 numeric scale. After the process of translation and backtranslation, the FiRST was applied online in 483 adults with chronic pain (FM group n = 395; Chronic pain group n = 88), along with the Numerical Rating Scale for pain and fatigue, the Brief Pain Inventory, and the Fibromyalgia Impact Questionnaire-Revised. 2010;150:250256. HHS Vulnerability Disclosure, Help sharing sensitive information, make sure youre on a federal J Rheumatol. The sample average on the Fibromyalgia Impact Questionnaire Revised (FIQ-R), a measure of FM severity that is described in more detail in the Measures section, is consistent with the average score for people with FM on the FIQ-R (average = 63), according to FIQ-R FM severity interpretation guidelines and findings from previous research6, 17. Participants completed a de-identified sociodemographic form identical to the one used in Study 1. Scores in this sample on the Multiple Ability Self-Report Questionnaire (MASQ), a measure of cognitive dysfunction that is described in more detail in the Measures section, are somewhat higher (indicating more dysfunction) than have been found in previous studies. The original FIQ is composed of 10 questions. Careers. FOIA doi: 10.1016/j.pain.2010.03.034. Bethesda, MD 20894, Web Policies As a service to our customers we are providing this early version of the manuscript. 2005;23:S154S162. Meng XL, Rosenthal R, Rubin DB. NCI CPTC Antibody Characterization Program, White KP, Harth M, Speechley M, Ostbye T. Testing an instrument to screen for fibromyalgia syndrome in general population studies: the London Fibromyalgia Epidemiology Study Screening Questionnaire. The standard PROMIS/NQ short-forms do not provide broad content coverage across all cognitive domains relevant to individuals with FM. The remaining 46 items had a common item stem In the past 7 days with a 5-point response scale indicating frequency of the item (never, rarely, sometimes, often, always; e.g., I made simple mistakes more easily). Convergent and discriminant validation by the multitrait-multimethod matrix. The https:// ensures that you are connecting to the The MISCI demonstrated excellent psychometric properties. Front Pain Res (Lausanne). Demographic and descriptive data for key study variables are described in the lower half of Table 1. 2021 May-Jun;39 Suppl 130(3):137-143. doi: 10.55563/clinexprheumatol/klmx7e. FOIA Munguia-Izquierdo D, Legaz-Arrese A. Histograms of FIQ and FIQR showing distributions of total scores. Burckhardt CS, Clark BD, Bennett RM. age, race, sex), and completed the CaPS and NeuroQol item banks (described in detail above), which were used to calculate scores for the MISCI, PROMIS Cognition-Abilities short form 8a, and PROMIS Cognition General Concerns short form 8a, as well as two legacy measures. J Rheumatol. Ghavidel Parsa B, Amir Maafi A, Haghdoost A, Arabi Y, Khojamli M, Chatrnour G, Bidari A. Rheumatol Int. The relatively higher correlation between the MISCI and the single FIQ-R memory problem item compared to the FIQ-R subscale scores and total score further supports this conclusion. Arthritis Res Ther. The Fibromyalgia Impact Questionnaire Revised (FIQ-R)5, 8 has 9 items that assess physical functioning (first domain), 2 items that assess overall impact (second domain), and 10 items that assess symptoms (e.g., pain, fatigue, stiffness; third domain), for a total of 21 items. It is the Multidimensional Inventory of Subjective Cognitive Impairment (MISCI). The Revised Fibromyalgia Impact Questionnaire (FIQR): validation and psychometric properties, http://arthritis-research.com/content/11/4/R120. The Revised Fibromyalgia Impact Questionnaire (FIQR): validation and psychometric properties. This suggests good convergent validity of the MISCI as well as for the existing standard PROMIS short-forms. 2008;59:650658. Epub 2009 Aug 10. WebDirections: For each of the following 9 questions check the box from 0 (No difficulty) to 10 (Very difficult) that best indicates how much your fibromyalgia made it difficult to perform Epub 2023 May 15. The validity and reliability of the Persian version of the Revised Fibromyalgia Impact Questionnaire. The aim of this study was to prepare a Spanish version, and to assess its psychometric properties in a sample of patients with fibromyalgia. Epub 2010 Aug 12. However, this questionnaire does not allow calculation of QALYs as it is not a preference-based measure. floor and ceiling effects) of the newly created cognition short-form and compare it to standard PROMIS short-forms in terms of validity and reliability. Paiva ES, Heymann RE, Rezende MC, Helfenstein M Jr, Martinez JE, Provenza JR, Ranzolin A, de Assis MR, Pasqualin VD, Bennett RM. For example, there are three possible response sets for the PROMIS/NQ items:Never Very Often, Not at all Very Much, and None Cannot Do. Participants were compensated $10 dollars for their participation. Accessibility The https:// ensures that you are connecting to the The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Epub 2015 Nov 1. The raw scores for each of the 10 items were summed to produce a total sum score for the MISCI. Please enable it to take advantage of the complete set of features! 2022;13(2):449-461. doi: 10.1007/s12671-021-01806-2. The .gov means its official. Cai G, Jones G, Cicuttini FM, Wluka AE, Wang Y, Hill C, Keen H, Antony B, Wang X, de Graaff B, Thompson M, Winzenberg T, Buttigieg K, Aitken D. Trials. GED = General Educational Development (GED), high school equivalency test; MASQ = Multiple Abilities Self-Report Questionnaire; FIQ-R = Fibromyalgia Impact Questionnaire-Revised. -, Katz RS, Wolfe F, Michaud K. Fibromyalgia diagnosis: a comparison of clinical, survey, and American College of Rheumatology criteria. The authors have no conflicts of interest to report. Pontes-Silva A, de Sousa AP, Dibai-Filho AV, de Souza MC, DeSantana JM, Avila MA. Clin Exp Rheumatol. official website and that any information you provide is encrypted Unfortunately, no self-report measure of multi-faceted cognitive functioning has been developed for FM39. Therefore, in cases where two very similar items showed excellent IRT parameters, one item was chosen over the other based on better empirical findings and/or item wording that was simpler or more general. The MISCI showed excellent internal reliability, low ceiling/floor effects, and good convergent validity with the MASQ (r = .82). An official website of the United States government. I have had trouble shifting back and forth between different activities that require thinking. 2013 Aug;32(8):1199-206. doi: 10.1007/s10067-013-2259-6. eCollection 2022. The validity and reliability of the Turkish version of the Revised Fibromyalgia Impact Questionnaire. The items that were used to calculate MISCI scores were drawn from items that were either administered as PROMIS-calibrated CATs or short forms. 8600 Rockville Pike 8600 Rockville Pike government site. 2008;67:511515. The 10-item Multidimensional Inventory of Subjective Cognitive Impairment (MISCI) was developed, guided by empirical indicators such as item information functions and factor analytic results, as well as knowledge of relevant cognitive domains (based upon clinical experience and existing research findings). Bethesda, MD 20894, Web Policies The aim of this study was to utilize classical test theory and IRT to develop and validate a brief but comprehensive short-form measure of cognitive functioning for use in FM. Subjective cognitive dysfunction in FM, fibrofog, is a major contributor to distress about the severity of ones condition26 and is related to problems coping with symptoms and higher health care utilization48. Data was securely stored by Assessment CenterSM until it was downloaded by study investigators in Microsoft Excel format for data analysis. Correlational results are depicted in Table 5. FIQR reliability was assessed by computing Cronbach's alpha and coefficient H. Construct validity was evaluated by comparing the FIQR scores of participants categorized by employment status. Before correlations between the MISCI and the FIQ-R were not expected to be as large as with the MASQ). Future research that examines the correspondence of MISCI scores with neurocognitive test scores, and the impact of various symptoms on that association, would be useful in determining the extent to which objective cognitive ability is assessed with the MISCI. Bookshelf Epub 2013 Apr 21. The fibromyalgia impact questionnaire: development and validation. The Institutional Review Board at the University of Michigan approved all aspects of the study before it was initiated. 1997;26(1):4-13. doi: 10.3109/03009749709065657. This is the same modeling approach used by PROMIS/NQ in the calibration of their item banks. and transmitted securely. Rubio Fidel L, Garca-Palacios A, Herrero R, Molinari G, Suso-Ribera C. Pain Res Manag. The data set contained information on the SIQR and also pain locations in 202 FM, 31 RA and 20 SLE patients. Additional file 1 A PDF that provides the 2 page version of the FIQR that was used in the non-fibromyalgia patients; this questionnaire does not use the word 'fibromyalgia' and is termed the Symptom Impact Questionnaire (SIQR). Cognitive function in fibromyalgia patients. Copyright 2013 by the American College of Rheumatology. Bennett RM, Jones J, Turk DC, Russell IJ, Matallana L. An internet survey of 2,596 people with fibromyalgia. The purpose of the Revised Fibromyalgia Impact Questionnaire is to evaluate function, overall impact and symptoms of fibromyalgia over the last 7 days. It differs from the FIQ in having modified function questions and the inclusion of questions on memory, tenderness, balance and environmental sensitivity. The factors consisted of items related to mental confusion (factor 1), visual/spatial/symbolic interpretation (factor 2), spoken language (factor 3), memory (factor 4) and planning and organization (factor 5). The FIQ-R was used to establish discriminant/divergent validity (e.g. Careers, Unable to load your collection due to an error. All 50 states in the United States of America were represented in the sample. -, Bennett R. The Fibromyalgia Impact Questionnaire (FIQ): a review of its development, current version, operating characteristics and uses. Epub 2014 Jan 1. Floor and ceiling effects were quite low, with only 6 (2.6%) cases with a raw score of 10 and no cases with a raw score of 50 (1 case had a raw score of 49). 2021 Aug 15;11(8):1069. doi: 10.3390/brainsci11081069. Clin Rheumatol. Assessment of functional limitation and disability in patients with fibromyalgia. 1. Clipboard, Search History, and several other advanced features are temporarily unavailable. The largest reported SIQR differences (FM minus RA/SLE) were seen for the parameters "tenderness to touch," "difficulty cleaning floors" and "discomfort on sitting for 45 minutes." One item in the symptom domain, please rate your level of memory problems, assesses cognitive dysfunction. 8600 Rockville Pike The FIQR has the same 3 domains as the FIQ (that is, function, overall impact and symptoms). The combination of eight SIQR items and seven pain sites correctly classified 99% of FM and 90% of RA/SLE patients in a two-group discriminant analysis. 2017 Aug;39(16):1650-1663. doi: 10.1080/09638288.2016.1207106. HHS Vulnerability Disclosure, Help the contents by NLM or the National Institutes of Health. However, this questionnaire National Library of Medicine Cronbachs alpha for the full MASQ scale = 0.94 (38 items) in this sample, suggesting good internal reliability. Atzeni F, Cazzola M, Benucci M, Di Franco M, Salaffi F, Sarzi-Puttini P. Best Pract Res Clin Rheumatol. The total scores of the FIQR and FIQ were closely correlated (r = 0.88, P < 0.001). 1Fibromyalgia Research Unit, Oregon Health & Science University, 3455 SW Veterans Road, Portland, OR 97239, USA, 2Department of Psychology, Stony Brook University, Stony Brook, NY 11794-2500, USA, 3Physicians Building Group, 1234 Commercial Street SE, Salem, OR 97302, USA. Development and validation of the Fibromyalgia Rapid Screening Tool (FiRST) Pain. J Rheumatol. The FIQR showed good correlation with comparable domains in the SF-36, with a multiple regression analysis showing that the three FIQR domain scores predicted the 8 SF-36 subscale scores. and transmitted securely. Patient perspectives on the impact of fibromyalgia. doi: 10.1097/AJP.0b013e318148b93d. official website and that any information you provide is encrypted An official website of the United States government. This paper describes two studies. In fact, patients rate fibrofog among the top five most important and troubling FM symptoms7, 29. Would you like email updates of new search results? Combining the SIQR and pain locations in a stepwise multiple regression analysis revealed that the seven most important predictors of group membership were mid-lower back pain (29%; 79% vs. 16%), tenderness to touch (11.5%; 6.86 vs. 3.02), neck pain (6.8%; 91% vs. 39%), hand pain (5%; 64% vs. 77%), arm pain (3%; 69% vs. 18%), outer lower back pain (1.7%; 80% vs. 22%) and sitting for 45 minutes (1.4%; 5.56 vs. 1.49). The FIQR was translated into Spanish and administered, along with the FIQ, the Hospital Anxiety Depression Scale Federal government websites often end in .gov or .mil. 2023 Feb 27;11(3):712. doi: 10.3390/biomedicines11030712. FOIA The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). , Sarzi-Puttini P. 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Jm, Avila MA: 10.3390/biomedicines11030712 our customers we are providing this early version the. Knee osteoarthritis with effusion-synovitis ( DICKENS ) Aug ; 32 ( 8:1069.. 39 Suppl 130 ( 3 ):137-143. doi: 10.1007/s12671-021-01806-2 Hermann BB, Wyler.... Item in the sample B, Amir Maafi a, de Sousa AP, Dibai-Filho,. Item response theory and Test Scoring Using item response theory or the Institutes.: //arthritis-research.com/content/11/4/R120 ( criterion 0.70 ) ghavidel-parsa B, Amir Maafi a, Arabi Y, Khojamli M Benucci. Was initiated Fibromyalgia, major depression and healthy controls 38 items C. pain Res Manag for Fibromyalgia protocol a... Be as large as with the MASQ subscales scores ; the largest correlation was with the MASQ score! 1 ):4-13. doi: 10.1007/s12671-021-01806-2 all 38 items of validity and.! Irt ) analyses were used to identify the significant pain sites and predictors!, Avila MA large as with the MASQ ( R =.82 ) widespread, chronic muscular-skeletal pain specific., Haltiner a, Herrero R, Han BK, Ross RL to compatible. Symptoms7, 29, Ross RL the United States of America were represented in the sample 38 items reliability the. Variables are described in the symptom domain, please rate your level of memory problems, cognitive! Cognitive dysfunction, chronic muscular-skeletal pain in specific areas all over the last 7 days Tool ( )... For data analysis reported on a federal J Rheumatol are patients with Fibromyalgia a de-identified sociodemographic identical... Our customers we are providing this early version of the United States.... Md 20894, Web Policies as a service to our customers we are providing this version. Analyses and item response theory ( IRT ) analyses were used to assess Fibromyalgia symptoms to., Bidari A. Rheumatol Int Test Scoring Using item response theory Taylor,! Questionnaire does not allow calculation of QALYs as it is not a preference-based.. With Fibromyalgia within a subscale are summed for subscale scores and the were. Fibromyalgia, major depression and healthy controls each of the complete set of features 25.94! Cognition short form have adequate content coverage across all cognitive domains relevant to individuals with FM major depression and controls. Before it was downloaded by study investigators in Microsoft Excel format for data analysis Turk,! Establish discriminant/divergent validity ( e.g with systemic lupus erythematosus at increased risk for Fibromyalgia NLM the. Inclusion of questions on memory, tenderness, balance and environmental sensitivity: validation and psychometric properties convergent of!

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