Lesson Development of a questionnaire and a survey sheet in clinical epidemiology

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Lesson "Development of a questionnaire and a survey sheet in clinical epidemiology" aims to determine the purpose of the investigation, scope, subjects and investigation units, determine the survey content and set up the questionnaire., thereby answering questions about clinical epidemiology.

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Nội dung Text: Lesson Development of a questionnaire and a survey sheet in clinical epidemiology

Aug, 5, 2014 Development of a questionnaire and a survey sheet in clinical epidemiology Hirohide Yokokawa, M.D., Ph.D. Department of General Medicine, Juntendo University School of Medicine
Contents How to collect information? Questionnaire for participants (What is good questionnaire?) Survey sheet to copy from medical files Example of an actual questionnaire Example of an actual survey sheet
Data will be collected by “Questionnaire” and “Survey sheet”. Questionnaire Survey sheet
Questionnaire development for clinical survey. If a questionnaire has previously been used in similar trials to the one being planned, its use may bring an added advantage. The results will be comparable to the previous survey.
However, we have to pay attention to the copyright, and we have to examine whether the questionnaire fits or not to the planned study. Newly developed questionnaires/ questions are often required.
Points of developing a questionnaire Reliability; Assessed by the agreement between answers to the same questionnaire collected at different times. At different times
Validity (Accuracy); Assessed by the agreement (or correlation) between answers to the developed questionnaire/ question and the “Gold standard”. Comparison
Survey sheet for medical file Medical file must not be brought out of a hospital. We copy medical records in medical files to survey sheets. (Researchers fill the sheet)
Layout of survey sheet The survey sheet should have enough space for staffs to mark or fill in. Order of items in the survey sheet should be in the same order as in the medical file. Needs to confirm that included items are without deficiency and excess.
Diabetes Control among Vietnamese Patients in Ho Chi Minh City: An Observational Cross-Sectional Study Hirohide Yokokawa, MD, PhD, Aya Goto, MD, MPH, PhD, Nguyen Thy Khue, MD, PhD, Tran Quang Nam, MD, MSc Tran The Trung, MD, MSc, Vo Tuan Khoa, MD, MSc, Nguyen Thi Boi Ngoc, MD, Pham Nghiem Minh, MD, Nguyen Quang Vinh, MD, MSc, Akira Okayama, MD, PhD, Seiji Yasumura, MD, PhD
Investigators of the study University of Medicine and Pharmacy, Fukushima Medical University Ho Chi Minh City School of Medicine Nguyen Thy Khue, MD,PhD Hirohide Yokokawa, MD, PhD Tran The Trung, MD, MSc Aya Goto, MD, MPH, PhD Tram Quang Nam, MD, MSc Seiji Yasumura, MD, PhD People Hospital Medic Center 115 Akira Okayama, MD, PhD (Special adviser) Tram Quang Nam, MD, MSc Nguyen Thy Khue, MD, PhD Vo Tuan Khoa, MD, MSc Tran Viet Thang, MD Nguyen Thi Boi Ngoc, MD Do Hoang Oanh , MD This research was founded by Nguyen Quang Vinh, MD, MSc (Special adviser) Health Promotion Foundation Pham Nghiem Minh, MD (Data management)
Aim The purpose of this study was to investigate: a.the characteristics of diabetic outpatients in the diabetic medical practices of an urban area in Vietnam b.the factors associated with diabetic control among these patients c.the capacities of these patients in the self- management of diabetes mellitus
Method Research Design Cross sectional study Study Period From December 17, 2007 to January 17, 2008 (Pilot survey was conducted in November 2007 to finalize the study protocol and rehearse survey procedures )
November, 2007 Pilot survey Revision of the survey protocol and questionnaires December 17, 2007 Main survey to January 17, 2008 January to March, Data checking and entering 2008 March to June, 2008 Analyzing, Discussion and Evaluation
Research Basic Characteristics Variables Diabetes related Measurements Family Histories First visit or not Past Histories Duration of diabetes & medication Type of diabetes Medical Histories Smoking & Alcohol status Diabetic HbA1c Body Mass Index（BMI） control Fasting blood glucose Waist circumference Treatment of diabetes mellitus Blood pressure Lipid-related measurements Total-Cholesterol Systolic Blood Pressure HDL-Cholesterol Diastolic Blood Pressure LDL-Cholesterol Triglycerides Diabetes-related distress General well-being Lifestyle regimen adherence Medical regimen adherence Perceived diabetic control
Questionnaire development We reviewed previous reports and found a useful one with confirmed validity. We contacted the author to obtain an approval to use their original questionnaire in our survey. However, no response.
We made a new questionnaire by referring to the previous report. Rubin RR, Diabetes Care. 2006;29: 1249-1255.
Questionnaire for Patients Patient Name; Place; (1.People Hospital 115 2.Medic) Administration: 1. Patient 2. Staff Patient ID; Ⅰ. Please indicate for each of the five statements which is closest to how you have been feeling over the last two weeks. Notice that higher numbers mean better well-being. Example: If you have felt cheerful and in good spirits more than half of the time during the last two weeks, put a tick in the box with the number 3. All of Most of More than Less than Some At no Over the last two weeks the time the time half of the half of the of the time time time time I have felt cheerful and in 5 4 3 2 1 0 good spirits. I have felt calm and relaxed. 5 4 3 2 1 0 I have felt active and 5 4 3 2 1 0 vigorous. I woke up feeling fresh and 5 4 3 2 1 0 rested My daily life has been filled 5 4 3 2 1 0 with things that interest me.
Câu hỏi dành riêng cho bệnh nhân Step 1. Translation of Tên bệnh nhân: ---------------------------------------- English original Nơi thực hiện: BV 115 Hình thức: 1. BN tự điền 2. Người phỏng vấn ghi giúp questionnaire to Mã số: 1- - Vietnamese I. Hãy trả lời từng câu bằng cách khoanh tròn. Nếu chưa chắc chắn, vui lòng đưa ra câu trả lời phù hợp với tình trạng của Ông/Bà nhất trong vòng 2 tuần qua. Lưu ý: số Step 2. Back-translation càng lớn thì tình trạng càng tốt. of translated Vietnamese Thí dụ: Nếu Ông/Bà cảm thấy vui vẻ và phấn chấn hơn phân nửa thời gian trong vòng 2 tuần qua thì vui lòng khoanh tròn ô số 3 questionnaire to English Lúc Hầu Hơn quá Không Đôi Không nào hết nửa thời đến lúc khi Trong vòng 2 tuần qua cũng thời gian phân nào vậy gian nửa thời Step 3. Comparison of gian 1. Ông/Bà cảm thấy vui vẻ và 5 4 3 2 1 0 these translated phấn chấn tinh thần. 2. Ông/Bà cảm giác bình thản và thư thái 5 4 3 2 1 0 questionnaires 3. Ông/Bà cảm thấy mình 5 4 3 2 1 0 linh hoạt và sôi nổi. 4. Ông/Bà cảm giác khỏe khoắn và yên tâm khi thức 5 4 3 2 1 0 Step 4. Revision of the dậy mỗi sáng 5. Cuộc sống thường ngày 5 4 3 2 1 0 translated Vietnamese của Ông/Bà luôn tràn đầy những điều thú vị version
We checked “Reliability” among diabetic inpatients by repeated the survey twice (2 weeks interval) at People Hospital 115.