Abstract
BACKGROUND: There is not at present a suitable disease-specific health-related quality of life instrument for uninvestigated dyspepsia and functional (non-ulcer) dyspepsia.
AIM: To develop a new multi-dimensional disease-specific instrument.
METHODS: The Nepean Dyspepsia Index (NDI) was designed to measure impairment of a subject's ability to engage in relevant aspects of their life and also their enjoyment of these aspects; in addition, the individual importance of each aspect is assessed. A 42-item quality of life measure was developed and tested, both in out-patients presenting to general practice with upper gastrointestinal complaints (n = 113) and in a randomly chosen population-based sample (n = 347).
RESULTS: Adequate face and content validity was documented by an expert panel. Factor analysis identified four clinically relevant subscales: interference with activities of daily living, work, enjoyment of life and emotional well-being; lack of knowledge and control over the illness; disturbance to eating or drinking; and disturbance to sleep because of dyspepsia. These scales had high internal consistency. Both symptoms and the quality of life scores discriminated dyspepsia from health.
CONCLUSION: The Nepean Dyspepsia Index is a reliable and valid disease-specific index for dyspepsia, measuring symptoms and health-related quality of life.
Original language | English |
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Pages (from-to) | 225-235 |
Number of pages | 11 |
Journal | Alimentary Pharmacology and Therapeutics |
Volume | 13 |
Issue number | 2 |
DOIs | |
Publication status | Published - Feb 1999 |
Externally published | Yes |
Keywords
- Adult
- Aged
- Dyspepsia
- Female
- Humans
- Male
- Middle Aged
- Quality of Life
- Journal Article
- Research Support, Non-U.S. Gov't