Skip to main content

Advertisement

SpringerLink
Log in

Reliability, validity, and cross-cultural adaptation of the Turkish version of the Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional Questionnaire

  • Original Article
  • Published:
Clinical Rheumatology Aims and scope Submit manuscript

Abstract

Up to 98% of rheumatoid arthritis (RA) patients experienced fatigue. It is an important physical and cognitive symptom which has overwhelming, uncontrollable, and unpredictable affects throughout their whole life. RA fatigue composes of complex and multi-dimensional components which are pain, stress, depression, inflammation, and disability. The acknowledgement of fatigue is important, and fatigue should be measured in all RA trials alongside the core set. The aim of this study was to determine reliability and validity of Turkish version of Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional Questionnaire in RA patients. One hundred RA patients were evaluated in the study. Exclusion criteria were determined as patients with cognitive impairment, illiterate patients, unable to understand and speak Turkish, under the age of 18, and over the age of 75. To validate Turkish version of Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional Questionnaire (BRAF-MDQ) (BRAF-MDQ-T), all participants answered BRAF-MDQ-T, Multidimensional Assessment of Fatigue (MAF) scale, and Short Form-36 vitality (SF-36 VT). BRAF-MDQ-T was applied again 7 days later for test–retest reliability. Validity, internal consistency, and test–retest results were based on a sample of 100 patients. Internal consistency reliability of BRAF-MDQ-T was Cronbach α = 0.95 which was excellent. The correlation between the total scores of the BRAF-MDQ-T scale and the total scores of MAF-T was statistically significant (r = 0.82, p < 0.001). The correlation between the total scores of the BRAF-MDQ-T scale and the subscale scores of SF–36 VT was statistically significant (r = − 0.64, p < 0.001). The BRAF-MDQ-T is a valid and reliable scale for the assessment of fatigue in Turkish rheumatoid arthritis patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. van Lankveld W, Näring G, van't Pad BP, van de Putte L (2000) The negative effect of decreasing the level of activity in coping with pain in rheumatoid arthritis: an increase in psychological distress and disease impact. J Behav Med 23(4):377–391. https://doi.org/10.1023/A:1005552901946

    Article  PubMed  Google Scholar 

  2. Gabriel SE, Crowson CS, Kremers HM, Doran MF, Turesson C, O’Fallon WM, Matteson EL et al (2003) Survival in rheumatoid arthritis: a population based analysis of trends over 40 years. Arthritis Rheum 48(1):54–58. https://doi.org/10.1002/art.10705

    Article  PubMed  Google Scholar 

  3. Wolfe F, Hawley DJ, Wilson K (1996) The prevalence and meaning of fatigue in rheumatic disease. J Rheumatol 23(8):1407–1417

    CAS  PubMed  Google Scholar 

  4. Pollard L, Choy E, Gonzalez J, Khoshaba B, Scott D (2006) Fatigue in rheumatoid arthritis reflects pain, not disease activity. Rheumatology 45(7):885–889

    Article  CAS  PubMed  Google Scholar 

  5. Hewlett S, Chalder T, Choy E et al (2010) Fatigue in rheumatoid arthritis: time for a conceptual model. Rheumatology:1004–1006

  6. Kirwan JR, Minnock P, Adebajo A et al (2007) Patient perspective: fatigue as a recommended patient centered outcome measure in rheumatoid arthritis. J Rheumatol 34(5):1174–1177

    PubMed  Google Scholar 

  7. Aletaha D, Landewe R, Karonitsch T et al (2008) Reporting disease activity in clinical trials of patients with rheumatoid arthritis: EULAR/ACR collaborative recommendations. Arthritis Rheum 59(10):1371–1377

    Article  CAS  PubMed  Google Scholar 

  8. Suurmeijer TP, Waltz M, Moum T et al (2001) Quality of life profiles in the first years of rheumatoid arthritis: results from the EURIDISS longitudinal study. Arthritis Rheum 45(2):111–121

    Article  CAS  PubMed  Google Scholar 

  9. Belza BL, Henke CJ, Yelin EH, Epstein WV, Gilliss CL (1993) Correlates of fatigue in older adults with rheumatoid arthritis. Nurs Res 42(2):93–99

    Article  CAS  PubMed  Google Scholar 

  10. Norcross JC, Guadagnoli E, Prochaska JO (1984) Factor structure of the Profile of Mood States (POMS): two partial replications. J Clin Psychol 40:1270–1277

    Article  CAS  PubMed  Google Scholar 

  11. Yellen SB, Cella DF, Webster K, Blendowski C, Kaplan E (1997) Measuring fatigue and other anemia-related symptoms with the Functional Assessment of Cancer Therapy (FACT) measurement system. J Pain Symptom Manag 13(2):63–74. https://doi.org/10.1016/S0885-3924(96)00274-6

    Article  CAS  Google Scholar 

  12. Ware JE Jr (2000) SF-36 health survey update. Spine 25(24):3130–3139. https://doi.org/10.1097/00007632-200012150-00008

    Article  PubMed  Google Scholar 

  13. Nicklin J, Cramp F, Kirwan J et al (2010) Measuring fatigue in rheumatoid arthritis: a cross-sectional study to evaluate the Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional questionnaire, visual analogue scales, and numerical rating scales. Arthritis Care Res 62:1559–1568

    Article  Google Scholar 

  14. Kurimoto S, Yamamoto M, Shinohara T, Tatebe M, Katsuyuki I, Hirata H (2013) Favorable effects of explanatory illustrations attached to a self-administered questionnaire for upper extremity disorders. Qual of Life Res 22(5):1145–1149. https://doi.org/10.1007/s11136-012-0233-4

    Article  Google Scholar 

  15. Hewlett S, Kirwan J, Bode C, Cramp F, Carmona L, Dures E, Englbrecht M, Fransen J, Greenwood R, Hagel S, van de Laar M, Molto A, Nicklin J, Petersson IF, Redondo M, Schett G, Gossec L (2017) The revised Bristol Rheumatoid Arthritis Fatigue measures and the Rheumatoid Arthritis Impact of Disease scale: validation in six countries. Rheumatology 57(2):300–308. https://doi.org/10.1093/rheumatology/kex370

    Article  PubMed Central  Google Scholar 

  16. Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 25(24):3186–3191. https://doi.org/10.1097/00007632-200012150-00014

    Article  CAS  PubMed  Google Scholar 

  17. Nicklin J, Cramp F, Kirwan J, Urban M, Hewlett S (2010) Collaboration with patients in the design of patient reported outcome measures: capturing the experience of fatigue in rheumatoid arthritis. Arthritis Care Res 62(11):1552–1558

    Article  Google Scholar 

  18. Hewlett S, Dures E, Almeida C (2011) Measures of fatigue: Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional Questionnaire (BRAF MDQ), Bristol Rheumatoid Arthritis Fatigue Numerical Rating Scales (BRAF NRS) for Severity, Effect, and Coping, Chalder Fatigue Questionnaire (CFQ), Checklist Individual Strength (CIS20R and CIS8R), Fatigue Severity Scale (FSS), Functional Assessment Chronic Illness Therapy (Fatigue) (FACIT F), Multi-Dimensional Assessment of Fatigue (MAF), Multi-Dimensional Fatigue Inventory (MFI), Pediatric Quality Of Life (PedsQL) Multi-Dimensional Fatigue Scale, Profile of Fatigue (ProF), Short Form 36 Vitality Subscale (SF 36 VT), and Visual Analog Scales (VAS). Arthritis Care Res 63(11):263–286

    Article  Google Scholar 

  19. Yildirim Y, Ergin G (2013) A validity and reliability study of the Turkish Multidimensional Assessment of Fatigue (MAF) scale in chronic musculoskeletal physical therapy patients. J Back and Musculoskelet Rehabil 26(3):307–316. https://doi.org/10.3233/BMR-130385

    Article  Google Scholar 

  20. Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care:473–483

  21. Dittner AJ, Wessely SC, Brown RG (2004) The assessment of fatigue. A practical guide for clinicians and researchers. J Psychosom Res 56(2):157–170. https://doi.org/10.1016/S0022-3999(03)00371-4

    Article  CAS  PubMed  Google Scholar 

  22. Jump RL, Fifield J, Tennen H, Reisine S, Giuliano AJ (2004) History of affective disorder and the experience of fatigue in rheumatoid arthritis. Arthritis Rheum 51:239–245

    Article  PubMed  Google Scholar 

  23. Selvi Y, Güleç M, Aydın A, Beşiroğlu L (2011) Psychometric evaluation of the Turkish language version of the profile of mood states (POMS). Journal of Mood Disorders 1(4):152–161. https://doi.org/10.5455/jmood.20110902072033

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey

    Fulden Sari & Deran Oskay

  2. Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Gazi University, Ankara, Turkey

    Abdurrahman Tufan

Authors
  1. Fulden Sari
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Deran Oskay
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Abdurrahman Tufan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Fulden Sari.

Ethics declarations

Disclosures

None.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Electronic supplementary material

ESM 1

(DOCX 31 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sari, F., Oskay, D. & Tufan, A. Reliability, validity, and cross-cultural adaptation of the Turkish version of the Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional Questionnaire. Clin Rheumatol 37, 1465–1470 (2018). https://doi.org/10.1007/s10067-018-4008-3

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10067-018-4008-3

Keywords

Search

Navigation