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English TBQ validation

Researchers adapted and validated an English Treatment Burden Questionnaire for chronic illness across US/UK/Canada/Australia using PatientsLikeMe.

Source

Adaptation and validation of the Treatment Burden Questionnaire (TBQ) in English using an internet platform

Tran VT, Harrington M, Montori VM, et al. · BMC medicine · 2014

doi.org/10.1186/1741-7015-12-109Read the full paper ↗198 citationscc by

What they did

After pretesting and wording changes, 3,000 PatientsLikeMe members were invited; 610 completed the English TBQ; factor structure, construct validity, and reliability were assessed.

What they found

TBQ showed a dominant first factor (87% variance), high item completion, and validity as a cross-condition treatment-burden measure—the first such English instrument in these countries.

The limits

What it doesn't show

Online chronic-illness volunteers may not represent all clinic populations, and burden scores are self-report.

Key terms

Treatment burden
Workload and impact of health-care tasks on patients’ lives.
TBQ
Treatment Burden Questionnaire summing item burden scores.
PatientsLikeMe
Online patient network used for recruitment and feedback.
Construct validity
Evidence the scale relates to expected concepts such as adherence/QoL.
Test–retest reliability
Stability of scores over repeated administration.
Factor structure
How items cluster; here one dominant factor explained most variance.

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Quiz yourself

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Main product of this study?

Common questions

How many completed validation?

610 of 3,000 invited (20.3%).

Where were patients from?

Mainly USA, also Canada, UK, Australia and others.

What was added in English adaptation?

Items on financial burden and provider relationships.

Key result?

First validated English TBQ for multi-condition treatment burden.

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