Skip to main content

Main menu

  • Home
  • Current issue
  • ERJ Early View
  • Past issues
  • For authors
    • Instructions for authors
    • Submit a manuscript
    • Author FAQs
    • Open access
    • COVID-19 submission information
  • Alerts
  • Podcasts
  • Subscriptions
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

User menu

  • Log in
  • Subscribe
  • Contact Us
  • My Cart

Search

  • Advanced search
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

Login

European Respiratory Society

Advanced Search

  • Home
  • Current issue
  • ERJ Early View
  • Past issues
  • For authors
    • Instructions for authors
    • Submit a manuscript
    • Author FAQs
    • Open access
    • COVID-19 submission information
  • Alerts
  • Podcasts
  • Subscriptions

The development and validation of the Bronchiectasis Health Questionnaire

Arietta Spinou, Richard J. Siegert, Wei-jie Guan, Amit S. Patel, Harry R. Gosker, Kai K. Lee, Caroline Elston, Michael R. Loebinger, Robert Wilson, Rachel Garrod, Surinder S. Birring
European Respiratory Journal 2017 49: 1601532; DOI: 10.1183/13993003.01532-2016
Arietta Spinou
1Division of Asthma, Allergy and Lung Biology, Faculty of Life Sciences and Medicine, King's College London, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Richard J. Siegert
2School of Public Health and Psychosocial Studies and School of Rehabilitation and Occupation Studies, Auckland University of Technology, Auckland, New Zealand
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Wei-jie Guan
3State Key Laboratory of Respiratory Diseases, National Clinical Research Centre for Respiratory Disease, Guangzhou Institute of Respiratory Diseases, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Amit S. Patel
4Dept of Respiratory Medicine, King's College Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Harry R. Gosker
5NUTRIM School of Nutrition and Translational Research in Metabolism, Dept of Respiratory Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Harry R. Gosker
Kai K. Lee
4Dept of Respiratory Medicine, King's College Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Caroline Elston
4Dept of Respiratory Medicine, King's College Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michael R. Loebinger
6Host Defence Unit, Royal Brompton Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Robert Wilson
6Host Defence Unit, Royal Brompton Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rachel Garrod
7Dept of Physiotherapy, Faculty of Life Sciences and Medicine, King's College London, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Surinder S. Birring
1Division of Asthma, Allergy and Lung Biology, Faculty of Life Sciences and Medicine, King's College London, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: surinder.birring@nhs.net
  • Article
  • Figures & Data
  • Info & Metrics
  • PDF
Loading

Figures

  • Tables
  • Supplementary Materials
  • FIGURE 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 1

    Summary of the development of the Bronchiectasis Health Questionnaire (BHQ).

  • FIGURE 2
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 2

    The Bronchiectasis Health Questionnaire (BHQ).

  • FIGURE 3
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 3

    Mean±sd Bronchiectasis Health Questionnaire (BHQ) scores for forced expiratory volume in 1 s (FEV1) categories.

  • FIGURE 4
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 4

    The association between exacerbations of bronchiectasis and mean±sd Bronchiectasis Health Questionnaire (BHQ) scores.

  • FIGURE 5
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 5

    Bland–Altman plot (mean±1.96sd) of repeatability of the Bronchiectasis Health Questionnaire (BHQ).

Tables

  • Figures
  • Supplementary Materials
  • TABLE 1

    Patient demographics and clinical characteristics

    Patients n206
    Age years59±15
    Female %65
    BMI kg·m−225±5
    Smoking status %
     Current1
     Ex23
     Never76
    Bronchiectasis aetiology %
     Idiopathic41
     Post-infective27
     Immunodeficiency11
     ABPA8
     Other#13
    Spirometry
     FEV1 % pred (range)75±28 (18.1–150.7)
     FVC % pred91±25
     FEV1/FVC66±14
    Sputum colonisation with microorganisms¶ %
     Pseudomonas aeruginosa26
     Other24
     None61
    Exacerbations in past 12 months %
     013
     112
     215
     317
     411
     510
     >522
    Hospitalisations in last 12 months %
     079
     111
     24
     31
     42
     51
     >52
    Comorbidities+ %
     Asthma25
     Rhinosinusitis23
     Cardiovascular14
     COPD9
     Lung surgery6
     Diabetes mellitus4
     Lung fibrosis/sarcoidosis3
     Malignancy1
    Respiratory symptoms
     VAS Dyspnoea27 (10–53)
     VAS Cough28 (12–53)
     VAS Sputum30 (11–56)
    SGRQ
     SGRQ Total43±20
     SGRQ Activities50±27
     SGRQ Symptoms63±21
     SGRQ Impact33±20
    • Data presented as mean±sd or median (interquartile range), unless otherwise stated. BMI: body mass index; ABPA: allergic bronchopulmonary aspergillosis; FEV1: forced expiratory volume in 1 s; FVC: forced vital capacity; COPD: chronic obstructive pulmonary disease; VAS: visual analogue scale; SGRQ: St George's Respiratory Questionnaire. #: other aetiologies (total n=27) consist of primary ciliary dyskinesia (n=10), Kartagener's syndrome (n=2), inflammatory bowel disease (n=5), rheumatoid arthritis (n=6), Young's syndrome (n=3) and yellow nails syndrome (n=1); ¶: sputum colonisation status does not add up to 100% as participants could be chronically infected with P. aeruginosa and other microorganisms (sputum bacteria colonisation was assessed and defined as at least two positive cultures, a minimum 3 months apart and within 1 year); +: comorbidities do not add up to 100% as participants could have no comorbidities or more than one comorbidities.

  • TABLE 2

    Summary of Rasch analysis

    Rasch statisticsBHQ total score
    Number of items10
    Chi-squared fit statistic28.16
    Degrees of freedom20
    p-value0.11
    Item fit residual (mean±sd)0.01±1.11
    Person fit residual (mean±sd)−0.25±1.11
    PSI0.85
    Cronbach's α0.85
    • BHQ: Bronchiectasis Health Questionnaire; PSI: Person Separation Index. The Chi-squared statistic assesses item–trait interaction; nonsignificance indicates a good fit to the Rasch model (p>0.05). The mean person and item fit residuals are item–person interaction statistics that are z-transformed; a good fit to the Rasch model is when they approximate to a mean±sd of 0±1. The PSI assesses how well BHQ discriminates subjects with differing levels of health status. Cronbach's α coefficient is a measure of internal reliability. A PSI and Cronbach's α coefficient ≥0.7 is considered acceptable.

  • TABLE 3

    The relationship between the Bronchiectasis Health Questionnaire (BHQ) and clinical measures#

    BHQ correlation coefficientp-value
    FEV1 % pred0.2660.001
    FVC % pred0.2520.003
    Exacerbations in last 12 months¶−0.486<0.001
    Hospitalisations in last 12 months¶−0.3280.001
    SGRQ Total−0.819<0.001
    SGRQ Activities−0.704<0.001
    SGRQ Symptoms−0.710<0.001
    SGRQ Impact−0.779<0.001
    VAS Dyspnoea+−0.703<0.001
    VAS Cough+−0.613<0.001
    VAS Sputum+−0.481<0.001
    • Data are presented as Pearson's r unless, otherwise stated. FEV1: forced expiratory volume in 1 s; FVC: forced vital capacity; SGRQ: St George's Respiratory Questionnaire; VAS: visual analogue scale. #: n=206 patients; ¶: exacerbations and hospitalisations related to bronchiectasis; +: Spearman's ρ. All p-values <0.01.

Supplementary Materials

  • Figures
  • Tables
  • Supplementary Material

    Please note: supplementary material is not edited by the Editorial Office, and is uploaded as it has been supplied by the author.

    Supplementary material, appendix 1 ERJ-01532-2016_Supplement_1

    Supplementary material, appendix 2 ERJ-01532-2016_Supplement_2

  • Supplementary Material

    W-J. Guan ERJ-01532-2016_Guan

PreviousNext
Back to top
View this article with LENS
Vol 49 Issue 5 Table of Contents
European Respiratory Journal: 49 (5)
  • Table of Contents
  • Index by author
Email

Thank you for your interest in spreading the word on European Respiratory Society .

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
The development and validation of the Bronchiectasis Health Questionnaire
(Your Name) has sent you a message from European Respiratory Society
(Your Name) thought you would like to see the European Respiratory Society web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Print
Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
The development and validation of the Bronchiectasis Health Questionnaire
Arietta Spinou, Richard J. Siegert, Wei-jie Guan, Amit S. Patel, Harry R. Gosker, Kai K. Lee, Caroline Elston, Michael R. Loebinger, Robert Wilson, Rachel Garrod, Surinder S. Birring
European Respiratory Journal May 2017, 49 (5) 1601532; DOI: 10.1183/13993003.01532-2016

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
The development and validation of the Bronchiectasis Health Questionnaire
Arietta Spinou, Richard J. Siegert, Wei-jie Guan, Amit S. Patel, Harry R. Gosker, Kai K. Lee, Caroline Elston, Michael R. Loebinger, Robert Wilson, Rachel Garrod, Surinder S. Birring
European Respiratory Journal May 2017, 49 (5) 1601532; DOI: 10.1183/13993003.01532-2016
del.icio.us logo Digg logo Reddit logo Technorati logo Twitter logo CiteULike logo Connotea logo Facebook logo Google logo Mendeley logo
Full Text (PDF)

Jump To

  • Article
    • Abstract
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Supplementary material
    • Disclosures
    • Acknowledgements
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

Subjects

  • CF and non-CF bronchiectasis
  • Tweet Widget
  • Facebook Like
  • Google Plus One

More in this TOC Section

Original Articles

  • Childhood maltreatment and lung function
  • Targeted proteomics of right heart adaptation to PAH
  • Omics-based tracking of P. aeruginosa persistence in CF
Show more Original Articles

Bronchiectasis

  • Efficacy and safety of TOBI Podhaler in P. aeruginosa-infected bronchiectasis
  • ARD-3150 (inhaled liposomal ciprofloxacin) treatment in bronchiectasis
  • Sputum neutrophil elastase, microbiota and P. aeruginosa in bronchiectasis
Show more Bronchiectasis

Related Articles

Navigate

  • Home
  • Current issue
  • Archive

About the ERJ

  • Journal information
  • Editorial board
  • Reviewers
  • CME
  • Press
  • Permissions and reprints
  • Advertising

The European Respiratory Society

  • Society home
  • myERS
  • Privacy policy
  • Accessibility

ERS publications

  • European Respiratory Journal
  • ERJ Open Research
  • European Respiratory Review
  • Breathe
  • ERS books online
  • ERS Bookshop

Help

  • Feedback

For authors

  • Instructions for authors
  • Submit a manuscript
  • ERS author centre

For readers

  • Alerts
  • Subjects
  • Podcasts
  • RSS

Subscriptions

  • Accessing the ERS publications

Contact us

European Respiratory Society
442 Glossop Road
Sheffield S10 2PX
United Kingdom
Tel: +44 114 2672860
Email: journals@ersnet.org

ISSN

Print ISSN:  0903-1936
Online ISSN: 1399-3003

Copyright © 2021 by the European Respiratory Society