Document Type : Original Article
Authors
- Shahriar Faghani 1
- Ali Asghar Okhovat 2
- Narges Karimi 3
- Mana Moassefi 4
- Seyed Farzad Maroufi 5
- Shahriar Nafissi 1
- Farzad Fatehi 1
1 Department of Neurology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Neuromuscular Research Center, Tehran University of Medical Sciences, Tehran, Iran
2 Department of Neurology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Neuromuscular Research Center, Tehran University of Medical Sciences, Tehran, Iran Department of Neurology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Neurology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Neuromuscular Research Center, Tehran University of Medical Sciences, Tehran, Iran Immunogenetics Research Center, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
4 Department of Neurology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
5 School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Abstract
Background: The 8-item myasthenia gravis activity of daily living (MG-ADL) questionnaire is a valid and reliable instrument for evaluating myasthenia gravis (MG)-associated disability. This study aims to assess its validity and reliability in the Iranian population.
Methods: A total number of 58 patients with MG were qualified for the examination. All 58 patients completed the Persian translation of 15-item Myasthenia Gravis Quality of Life (MG-QOL15) and MG-ADL questionnaires initially, and 30 filled out the MG-ADL questionnaire 2 to 4 weeks after the initial visit. Pearson correlation coefficient of questionnaires, internal consistency using Cronbach's alpha (α), and test-retest repeatability of the questionnaire were evaluated.
Results: The Pearson correlation coefficient of Persian versions of MG-QOL and MG-ADL was 0.93 (P < 0.01). The Persian MG-ADL showed satisfactory internal consistency (Cronbach’s α = 0.89) and test-retest reliability (r = 0.99, P < 0.01).
Conclusion: The Persian MG-ADL is a valid and reliable questionnaire for the determination of activities of daily life in Iranian patients with MG.
Keywords
- Conti-Fine BM, Milani M, Kaminski HJ. Myasthenia gravis: Past, present, and future. J Clin Invest 2006; 116(11): 2843-54.
- Grob D, Brunner N, Namba T, Pagala M. Lifetime course of myasthenia gravis. Muscle Nerve 2008; 37(2): 141-9.
- Seyfari B, Fatehi F, Shojaiefard A, Jafari M, Ghorbani-Abdehgah A, Nasiri S, et al. Clinical outcome of thymectomy in myasthenia gravis patients: A report from Iran. Iran J Neurol 2018; 17(1): 1-5.
- Thomsen JLS, Andersen H. Outcome measures in clinical trials of patients with myasthenia gravis. Front Neurol 2020; 11: 596382.
- Vahabi Z, Nazari F, Fatehi F, Bayegi V, Saffarian Z, Saffarian F, et al. Electrophysiological studies in patients with seropositive/seronegative myasthenia gravis. Curr J Neurol 2021; 20(3): 120-4.
- Burns TM. History of outcome measures for myasthenia gravis. Muscle Nerve 2010; 42(1): 5-13.
- Barnett C, Herbelin L, Dimachkie MM, Barohn RJ. Measuring clinical treatment response in myasthenia gravis. Neurol Clin 2018; 36(2): 339-53.
- Paul RH, Nash JM, Cohen RA, Gilchrist JM, Goldstein JM. Quality of life and well-being of patients with myasthenia gravis. Muscle Nerve 2001; 24(4): 512-6.
- Muppidi S, Wolfe GI, Conaway M, Burns TM. MG-ADL: Still a relevant outcome measure. Muscle Nerve 2011; 44(5): 727-31.
- Muppidi S. The myasthenia gravis--specific activities of daily living profile. Ann N Y Acad Sci 2012; 1274: 114-9.
- Ostovan VR, Fatehi F, Davoudi F, Nafissi S. Validation of the 15-item myasthenia gravis quality of life questionnaire (MG-QOL15) Persian version. Muscle Nerve 2016; 54(1): 65-70.
- Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 2000; 25(24): 3186-91.
- Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993; 46(12): 1417-32.
- Rostedt A, Padua L, Stalberg EV. Validation of the Swedish version of the disease-specific Myasthenia Gravis Questionnaire. Neurol Sci 2006; 27(2): 91-6.
- Alanazy MH, Abuzinadah AR, Muayqil T. Translation and validation of the Arabic version of the myasthenia gravis activities of daily living scale. Muscle Nerve 2019; 59(5): 583-6.
- Raggi A, Antozzi C, Baggi F, Leonardi M, Maggi L, Mantegazza R. Validity, reliability, and sensitivity to change of the myasthenia gravis activities of daily living profile in a sample of Italian myasthenic patients. Neurol Sci 2017; 38(11): 1927-31.
- Rozmilowska IM, Adamczyk-Sowa MH, Czyzewski D. The Myasthenia Gravis-specific Activities of Daily Living scale as a useful outcome measure and in routine clinical management in Polish patients. Neurol Neurochir Pol 2018; 52(3): 368-73.
- Mohd Thabit A, Rosli N, Solehan H, Pilus Z, Lotfie M, Sahathevan R, et al. Validation study of the Malay version of the Myasthenia Gravis Quality of Life (MGQOL)15 and Myasthenia Gravis Activities of Daily Living (MGADL) questionnaires. Neurology Asia 2016; 21(1): 33-9.
- Karanfil E, Salci Y, Fil-Balkan A, Bekircan-Kurt CE, Erdem OS, Armutlu K. Reliability and validity of Turkish Myasthenia Gravis-Activities of Daily Living Scale. OTJR (Thorofare N J) 2021; 41(2): 101-7.