The Manchester Respiratory Activities of Daily Living Questionnaire: Development, Reliability, Validity, and Responsiveness to Pulmonary Rehabilitation

Yohannes, Abebaw Mengistu; Roomi, J.; Winn, Sarah; Connolly, Martin J.

doi:10.1111/jgs.2000.48.11.1496

Cited by 74 publications

(43 citation statements)

References 27 publications

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“…Strategy of search consisted of the combination of the terms ''COPD and physical activity'' with the terms ''assessment'', ''measurement'', ''quantification'', ''questionnaire'', ''scale'', ''diary'', ''motion sensor'', ''accelerometer'' and ''activity monitor''. Methods aiming to assess functional status [12][13][14][15][16], selfefficacy, performance and independence during ADL [17][18][19][20][21][22][23][24][25][26][27] and the impact of symptoms in usual activities [28][29][30], as well as health-related quality of life questionnaires with subscales of physical activity [31][32][33] and methods to assess functional exercise capacity [34,35], are not discussed in the present review, since they do not aim primarily to quantify the amount and intensity of activity performed in daily life. There were no limitations in terms of study design and sample size, but only articles published in English were included.…”

Section: Methodsmentioning

confidence: 99%

“…However, methods used to objectively quantify the amount and intensity of physical activity performed in daily life are not able to detect if physical activity is more easily performed or results in less breathlessness. This is subjective and requires specific instruments (questionnaires, in this case) which aim at investigating symptoms and performance during activities of daily living or exercise [18,19,22,27]. It is therefore suggested that objective methods for assessment of daily physical activities and subjective methods for assessment of functional status or ADL have complementary roles in assessing disability in COPD patients [39].…”

Section: Responsivenessmentioning

confidence: 99%

“…Other questionnaires aiming to assess other aspects of physical activity in daily life (functional status, activities of daily living and quality of life related to physical activity) were responsive to changes after pulmonary rehabilitation programmes [18,19,27,37,99].…”

Section: Responsivenessmentioning

confidence: 99%

See 2 more Smart Citations

Quantifying physical activity in daily life with questionnaires and motion sensors in COPD

Pitta¹,

Troosters²,

Probst³

et al. 2006

Eur Respir J

406

323

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Accurate assessment of the amount and intensity of physical activity in daily life is considered very important due to the close relationship between physical activity level, health, disability and mortality. For this reason, assessment of physical activity in daily life has gained interest in recent years, especially in sedentary populations, such as patients with chronic obstructive pulmonary disease (COPD).The present article aims to compare and discuss the two kinds of instruments more commonly used to quantify the amount of physical activity performed by COPD patients in daily life: subjective methods (questionnaires, diaries) and motion sensors (electronic or mechanical methods). Their characteristics are summarised and evidence of their validity, reliability and sensitivity is discussed, when available.Subjective methods have practical value mainly in providing the patients' view on their performance in activities of daily living and functional status. However, care must be taken when using subjective methods to accurately quantify the amount of daily physical activity performed. More accurate information is likely to be available with motion sensors rather than questionnaires. The selection of which motion sensor to use for quantification of physical activity in daily life should depend mainly on the purpose of its use.

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Section: Methodsmentioning

confidence: 99%

Section: Responsivenessmentioning

confidence: 99%

See 1 more Smart Citation

Quantifying physical activity in daily life with questionnaires and motion sensors in COPD

Pitta¹,

Troosters²,

Probst³

et al. 2006

Eur Respir J

406

323

View full text Add to dashboard Cite

show abstract

“…The Geriatric Mental State Schedule (GMS) was administered by a blinded research worker (AMY) trained and validated in the use the GMS by a consultant psychiatrist (RCB). Physical disability was measured using the self-complete Manchester Respiratory Activities of Daily Living Questionnaire (MRADL, Yohannes et al, 2000b). Quality of life was assessed by the Breathing Problems Questionnaire (BPQ, Hyland et al, 1994).…”

Section: Methodsmentioning

confidence: 99%

Prevalence of sub‐threshold depression in elderly patients with chronic obstructive pulmonary disease

Yohannes

Baldwin

Connolly

2003

Int J Geriat Psychiatry

Self Cite

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“…Therefore, two disease-specific activities of daily living scales, the London Chest Activity of Daily Living (LCADL) [32]and the Manchester Respiratory Activity of Daily Living (MRADL) [33], have been recently reported for use in chronic lung disease. We did not consider the use of these scales for our study purpose.…”

Section: Discussionmentioning

confidence: 99%

Occupational Therapy and Pulmonary Rehabilitation of Disabled COPD Patients

Lorenzi

Cilione²,

Rizzardi³

et al. 2004

Respiration

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Background: Occupational therapy (OT) has been defined as a task of rehabilitation for disabled patients, giving them maximal function and independence to sustain specific activities of daily living. Objectives: To evaluate the effectiveness of OT as an adjunctive measuring during pulmonary rehabilitation (PR) of hospitalized COPD patients. Methods: A prospective clinical trial with parallel groups was undertaken in severely disabled COPD patients (n = 71, age 73 ± 5 years). They were assigned to either OT+PR (n = 47, FEV₁ 46 ± 21%pred.) or PR (n = 24, FEV₁ 44 ± 12%pred.). PR consisted of eighteen 3-hour daily sessions, whilst OT (domestic activities) was added 3 times a week up to nine 1-hour sessions. Six-min walk (6MWD) with evaluation of BORG dyspnea (D) and leg fatigue (F) scores at end of effort, breathlessness sensation (B) by means of the MRC scale as well as the number of functions lost in the Basic Activity of Daily Living (BADL) categories were assessed as outcomes before (T₀) and after (T₁) rehabilitation. Results: 6MWD (from 165 ± 63 to 233 ± 66 and from 187 ± 52 to 234 ± 65 m in the OT+PR and PR groups, respectively), D (from 4.9 ± 2.1 to 3.2 ± 1.6 and from 5.3 ± 2.1 to 3.4 ± 2.1), F (from 6.1 ± 0.5 to 4.5 ± 1.7 and from 5.9 ± 0.8 to 4.3 ± 0.8) and B (from 4.3 ± 0.9 to 3.0 ± 0.9 and from 4.2 ± 1.0 to 3.2 ± 0.8) had similarly improved (p < 0.01) in both groups at T₁. The percentage distribution of patients across the BADL categories significantly changed (p = 0.004) in OT+PR (from 17 to 61%, from 70 to 34% and from 23 to 5% in categories A, B and C, respectively) but not in the PR group. Conclusions: The addition of OT to comprehensive PR is able to specifically improve the outcome of severely disabled COPD inpatients.

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The Manchester Respiratory Activities of Daily Living Questionnaire: Development, Reliability, Validity, and Responsiveness to Pulmonary Rehabilitation

Abstract: MRADL is a reliable and valid self-report scale for assessment of physical disability in older COPD patients. It is responsive to pulmonary rehabilitation.

Cited by 74 publications

References 27 publications

Quantifying physical activity in daily life with questionnaires and motion sensors in COPD

Quantifying physical activity in daily life with questionnaires and motion sensors in COPD

Prevalence of sub‐threshold depression in elderly patients with chronic obstructive pulmonary disease

Occupational Therapy and Pulmonary Rehabilitation of Disabled COPD Patients

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