Psychometric evaluation of a daily gastro-oesophageal reflux disease symptom measure

Peter Bytzer*, Christina Reimer, Gary Smith, Milena D. Anatchkova, Ray Hsieh, Joanne Wilkinson, S. Jane Thomas, William R. Lenderking

*Corresponding author for this work
2 Citations (Scopus)

Abstract

Objective: The objective of this study was to evaluate the validity of the Heartburn Reflux Dyspepsia Questionnaire (HRDQ), a newly developed measure of gastro-oesophageal reflux disease (GORD) symptoms. Specifically, the HRDQ was developed for patients, who still experience symptoms with proton pump inhibitor (PPI) treatment. Material and methods: The psychometric properties of HRDQ were evaluated based on data from two clinical trials of patients with GORD with a partial response to PPIs, one from the UK and one from Denmark and Germany. Results: The HRDQ had good internal consistency (Cronbach’s alpha range.83–.88) and test–retest reliability (intraclass correlation coefficient range.71–.90). Convergent and discriminant validity were supported by high correlations with ReQuest™ and ability to differentiate between groups based on ReQuest™ cut-off values. Responsiveness of HRDQ was demonstrated by moderate to high correlations with ReQuest™ change scores and time with symptoms. An HRDQ cut-off value of 0.70 for definition of ‘bad day’ was also evaluated. Conclusions: Based on existing evidence, the HRDQ is a valid and reliable measure of GORD symptoms that can be used as a study outcome in clinical trials.

Original languageEnglish
Book seriesScandinavian Journal of Gastroenterology
Volume52
Issue number3
Pages (from-to)276-283
Number of pages8
ISSN0036-5521
DOIs
Publication statusPublished - 2017

Keywords

  • Gastro-oesophageal reflux disease
  • GORD
  • RDQ
  • reflux
  • ReQuest™

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