Validation of the Lithuanian multimorbidity treatment burden questionnaire (MTBQ) and its association with primary care patient characteristics.

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL European Journal of General Practice Pub Date : 2023-12-01 Epub Date: 2023-11-27 DOI:10.1080/13814788.2023.2284257
Olga Vasiliauskienė, Dovydas Vasiliauskas, Polly Duncan, Ausrine Kontrimiene, Lina Jaruseviciene, Aiste Cesnuleviciene, Gediminas Urbonas, Ida Liseckiene
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Abstract

Background: The increasing prevalence of multimorbidity among older people in Lithuania and other Central-Eastern European countries leads to a greater patient treatment burden and puts additional pressure on healthcare services.

Objectives: This study aimed to validate the Lithuanian version of the Multimorbidity Treatment Burden Questionnaire (MTBQ).

Methods: The Lithuanian version of the MTBQ was tested (2021-2022) with 789 patients from seven Lithuanian primary care centres who had two or more long-term conditions. The questionnaire translation's reliability, validity and dimensionality of the were assessed with Spearman's rank correlation, Cronbach's alpha, and factor reduction analysis. Treatment burden and its associations with sociodemographic and other indicators were analysed.

Results: Lithuanian version of MTBQ had good internal reliability (Cronbach's alpha 0.711), validity, factor reduction applicability, and interpretability. The MTBQ scores of the questionnaire had a negative association with the quality-of-life scale (r=-0.327, 95% CI [-0.389, -0.264]) and positive associations with the self-rated health scores (r = 0.230, 95% CI [0.163, 0.297]) and with the number of comorbidities (r = 0.164, 95% CI [0.097, 0.233]). Distribution of treatment burden was identified (none (19,4%), low (46,6%), medium (25%), high (9%)). High treatment burden was found to be associated with having five or more long-term diseases, taking five or more medications, having anxiety or depression and living in a rural area.

Conclusion: The study's findings show that the MTBQ is applicable in assessing the treatment burden of multimorbid patients in Lithuania. Furthermore, the study demonstrates that Lithuanian patients with multimorbidity have average treatment burden scores similar to or higher than participants in previous MTBQ validation studies.

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立陶宛多病治疗负担问卷(mbq)的验证及其与初级保健患者特征的关联。
背景:立陶宛和其他中东欧国家老年人中多病的日益流行导致患者治疗负担加重,并给医疗保健服务带来额外压力。目的:本研究旨在验证立陶宛版本的多病治疗负担问卷(MTBQ)。方法:立陶宛版的MTBQ(2021-2022)在立陶宛七个初级保健中心的789名患有两种或两种以上长期疾病的患者中进行了测试。采用Spearman’s秩相关、Cronbach’s alpha和因子缩减分析对问卷翻译的信度、效度和维度进行评估。分析了治疗负担及其与社会人口和其他指标的关系。结果:立陶宛版本的MTBQ具有良好的内部信度(Cronbach's alpha 0.711)、效度、因子约简适用性和可解释性。问卷MTBQ得分与生活质量量表呈负相关(r=-0.327, 95% CI[-0.389, -0.264]),与自评健康评分呈正相关(r= 0.230, 95% CI[0.163, 0.297]),与合并症数呈正相关(r= 0.164, 95% CI[0.097, 0.233])。确定了治疗负担的分布(无负担(19.4%)、低负担(46.6%)、中等负担(25%)、高负担(9%))。研究发现,高治疗负担与患有五种及以上长期疾病、服用五种及以上药物、患有焦虑或抑郁以及生活在农村地区有关。结论:本研究结果表明,MTBQ可用于评估立陶宛多病患者的治疗负担。此外,该研究表明,立陶宛多病患者的平均治疗负担评分与以前的MTBQ验证研究的参与者相似或更高。
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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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