Table 3– COPD assessment test (CAT) convergent and longitudinal validity
InstrumentStudies nConvergent validity#Longitudinal validity with study details
Pearson’s correlation rangeSpearman’s correlation rangePearson’s correlation rangeType of intervention/eventDuration weeks
Disease-specific questionnaires
 SGRQ-C70.69–0.820.640.63Exacerbation recovery4
 CCQ4NANA0.60Exacerbation recovery6
0.68–0.780.64–0.760.13Pulmonary rehabilitation8
 SGRQ50.72–0.740.65–0.840.36Pulmonary rehabilitation8
 CRQ5§-0.48– -0.33NA-0.50– -0.38Pulmonary rehabilitation6–8
General quality of life questionnaires
 SF-36 (general health)10.58NA
 SF-12 (physical component)2-0.60-0.65
 SF-12 (mental component)2-0.34-0.58
 SF-6D1-0.53NA
Clinical and physiological measures
 mMRC110.29–0.610.42–0.610.20Pulmonary rehabilitation8
 6MWT4-0.37– -0.27-0.37– -0.24
 FEV1 % predicted10-0.55– -0.17-0.56– -0.23
  • COPD: chronic obstructive pulmonary disease; SGRQ: St George’s Respiratory Questionnaire; SGRQ-C: SGRQ for COPD; CCQ: Clinical COPD Questionnaire; CRQ: Chronic Respiratory Questionnaire; SF: Short Form; mMRC: modified Medical Research Council dyspnoea scale; 6MWT: 6-min walk test; FEV1: forced expiratory volume in 1 s; NA: not applicable. #: correlation between the total CAT score and the score of another instrument that measures a similar construct. : correlation between the change in total CAT score and the change in score of another instrument over time with an intervention/event. §: Jones [12], Kon [24] and Al Moamary [31] had individual CRQ domain scores correlated to the total CAT score; therefore, individual correlations of the different domains were averaged to give a total CRQ correlation to the total CAT score.