Background
Methods
Phase 1: development and assessment of form 1
Phase 2 – iteration of form 1 to form 2, with validation
Phase 3 – development and validation of form 3
Results
Study 1 (survey)
Yes (n/%) | No (n/%) | |
---|---|---|
Relevance | ||
Do you understand why we have asked you to complete the questionnaire? | 32 (100) | 0 (0) |
Did the questions seem relevant to you and your medical history? | 31 (96.9) | 1 (3.1) |
Language and content | ||
Did you understand most of the wording of the questionnaire? | 31 (96.9) | 1 (3.1) |
Were there any medical terms you did not understand? | 9 (28.1) | 23 (71.9) |
Were there any questions you felt were important but missed? | 5 (15.6) | 27 (84.4) |
Did the questions prompt you to remember anything? | 3 (9.4) | 29 (90.6) |
Was there any area that had too many questions on? | 2 (6) | 30 (94) |
Were there any questions you did not feel comfortable/expect answering? | 0 (0) | 32 (00) |
Strongly agree and agree n (%) | Neutral (n/%) | Strongly disagree and disagree (n/%) | |
---|---|---|---|
The questionnaire was relevant to my condition. | 30 (93.8) | 0 (0) | 2 (6.3) |
The questionnaire was easy to complete. | 30 (93.8) | 0 (0) | 2 (6.3) |
I would be happy to complete it again in the future as part of my routine care. | 25 (78.1) | 5 (16) | 2 (6) |
The questionnaire was too embarrassing. | 0 (0) | 1 (3) | 31 (97) |
The questionnaire was too complicated. | 3 (9) | 4 (13) | 25 (78) |
The questionnaire was too long. | 3 (9) | 8 (25) | 21 (66) |
Study 2
Strongly agree – agree (n/%) | Neutral (n/%) | Strongly disagree – disagree (n/%) | |
---|---|---|---|
The questionnaire helped me to communicate about my condition with the nurse. | 95 (96.9) | 2 (2.04) | 1 (1.02) |
The questionnaire was easy to complete. | 89 (90.8) | 8 (8.2) | 1 (1.02) |
The questionnaire included all the aspects of my condition that I am concerned about. | 88 (89.8) | 9 (9.2) | 1 (1.02) |
The questionnaire was relevant to my condition. | 85 (86.7) | 12 (12.2) | 1 (1.02) |
I would be happy to complete it again in the future as part of my routine care. | 75 (76.5) | 16 (16.3) | 7 (7.1) |
I enjoyed filling in the questionnaire. | 56 (57.1) | 32 (32.7) | 10 (10.2) |
The questionnaire was too long. | 15 (15.3) | 36 (36.7) | 47 (48) |
The questionnaire was too complicated. | 7 (7.1) | 19 (19.4) | 72 (73.5) |
The questionnaire was too embarrassing. | 1 (1.02) | 9 (9.2) | 88 (89.8) |
The questionnaire upset me. | 2 (2) | 6 (6.1) | 90 (91.8) |
The information sheet was helpful. | 89 (90.8) | 8 (8.2) | 1 (1) |
If you had to complete this at home or in the clinic online, do you think you could? | 77 (78.6) | 16 (16.3) | 5 (5.1) |
I liked completing the questionnaire while in the waiting area. | 65 (66.3) | 21 (21.4) | 12 (12.2) |
I am comfortable answering sensitive questions in the questionnaire first than I would with the nurse. | 70 (71.4) | 20 (20.4) | 8 (8.2) |
I answered the questionnaire truthfully to the best of my knowledge. | 94 (95.9) | 4 (4.1) | 0 (0) |
I am willing to take an iPad version of this questionnaire in the future. | 82 (83.7) | 13 (13.3) | 3 (3) |
I prefer to talk to the nurse/doctor instead completing the questionnaire. | 25 (25.5) | 43 (43.9) | 30 (31) |
PA | Criterion validity | ||
---|---|---|---|
1 | Do you have any allergies (to medicines, sticking plaster, iodine, latex, food, etc.)? | 94 | Moderate |
2 | As medicines and supplements can affect body functions and interact with anaesthetics, please list all the medicines (including traditional medicines and health supplements) you are currently taking on a regular or daily basis in the last 2 weeks. a | – | – |
3 | Have you ever had an operation? | 97 | Good |
4 | Are you ever short of breath after walking up two flights of stairs or an overhead bridge? | 88 | Poor |
5 | Was your heart activity ever measured using wires on your chest (an ECG or electrocardiogram)? | 76 | Poor |
6 | Has a doctor ever told you, you have high blood pressure, also known as ‘hypertension’? | 96 | Good |
7 | Do you have, or have you ever had chest pain that you felt tight or heavy (not from coughing)? | 88 | Poor |
8 | Have you ever had a heart attack? | 100 | Good |
9 | Do you have frequent swelling in feet or ankles? | 89 | Poor |
10 | Do you have, or have you ever had treatment for problems with your heartbeat (too low, too fast, irregular)? | 91 | Moderate |
11 | Has a doctor ever told you they heard an abnormal sound (e.g. a click or a murmur) whilst listening to your heart? | 98 | Good |
12 | Do you have a cardiac pacemaker or an implanted cardioverter-defibrillator? | 100 | Good |
13 | Have you ever had heart surgery (valve or stent or bypass operation)? | 99 | Good |
14 | Do you have or have you ever had blood clots in legs or lungs? | 98 | Good |
15 | Have you ever had a blood transfusion? | 99 | Good |
16 | Do you have asthma or have you had asthma as a child? | 98 | Good |
17 | Do you currently have a cough lasting more than 8 weeks? | 99 | Good |
18 | Do you have a long-term lung disease (such as chronic bronchitis or chronic obstructive pulmonary disease)? | 98 | Good |
19 | Do you have or have you had sleep apnoea? | 92 | Moderate |
20 | Have you been told that you snore so loud you keep others awake while you are asleep? | 91 | Moderate |
21 | Have you ever had an X-ray of your chest? | 86 | Poor |
22 | Do you smoke or have you ever smoked? | 100 | Good |
23 | Do you have gastric reflux or heartburn? | 85 | Poor |
24 | Do you have or have you ever had liver problems (such as hepatitis or cirrhosis)? | 98 | Good |
25 | How many days a week do you drink alcohol (on average)? a | – | – |
26 | Do you have or have you ever had abnormal kidney function or kidney disease? | 100 | Good |
27 | Have you ever had a (minor) stroke or a brain bleed? | 100 | Good |
28 | Do you have or have you ever had fits/seizures/epilepsy? | 99 | Good |
29 | Have you ever lost consciousness? | 99 | Good |
30 | Do you have or have you ever had diabetes or diabetes related to pregnancy? | 98 | Good |
31 | Do you have or have you ever had thyroid problems (e.g. thyroid hormone levels being too high or too low or having an enlarged thyroid)? | 93 | Moderate |
32 | Do you have loose/chipped teeth, crowns, bridges, veneers or dentures? | 94 | Moderate |
33 | Do you have difficulty swallowing? | 98 | Good |
34 | Do you have difficulty opening your mouth wide? | 97 | Good |
35 | Do you have or have you ever had pain or stiffness in the lower back, neck or jaw? | 82 | Poor |
36 | Have you ever been told that you have had problems with anaesthetics in a previous operation, such as an abnormal reaction to anaesthesia or allergy to anaesthetics? | 95 | Good |
37 | Has any of your blood relatives ever had problems with anaesthetics in a previous operation? | 96 | Good |
38 | Do you have or have you ever had anxiety, depression or other emotional/psychiatric disorders? | 95 | Good |
39 | Do you have any other medical information that we should know about? | 98 | Good |
Study 3
aPA | Criterion validity | ||
---|---|---|---|
1 | Do you have any allergies (to medicines, sticking plaster, iodine, latex, food, etc.)? | 97 | Good |
2 | As medicines and supplements can affect body functions and interact with anaesthetics, please list all the medicines (including traditional medicines and health supplements) you are currently taking on a regular or daily basis in the last 2 weeks. b | – | – |
3 | Have you ever had an operation (including major dental surgery e.g. wisdom teeth extraction)? | 89 | Poor |
4 | Are you ever short of breath after walking up two flights of stairs or an overhead bridge? | 76 | Poor |
5 | Have you ever had an ECG (or electrocardiogram) and been told it was not normal? | 86 | Poor |
6 | Has a doctor ever told you, you have high blood pressure, also known as ‘hypertension’? | 95 | Good |
7 | Do you have, or have you ever had chest pain that you felt tight or heavy (not from coughing)? | 91 | Moderate |
8 | Have you ever had a heart attack? | 100 | Good |
9 | Do you have frequent swelling in both feet or both ankles? | 92 | Moderate |
10 | Do you have, or have you ever had treatment for problems with your heartbeat (too low, too fast, irregular)? | 97 | Good |
11 | Has a doctor ever told you they heard an abnormal sound (e.g. a click or a murmur) whilst listening to your heart? | 97 | Good |
12 | Do you have a cardiac pacemaker or an implanted cardioverter-defibrillator? | 98 | Good |
13 | Have you ever had heart surgery (valve or stent or bypass operation)? | 100 | Good |
14 | Do you have or have you ever had blood clots in legs or lungs? | 98 | Good |
15 | Have you ever had a blood transfusion? | 100 | Good |
16 | Do you have asthma or have you had asthma as a child? | 95 | Good |
17 | Do you currently have a cough lasting more than 8 weeks? | 97 | Good |
18 | Do you have a long-term lung disease (such as chronic bronchitis or chronic obstructive pulmonary disease)? | 99 | Good |
19 | Has anyone told you that you stop breathing of choke during your sleep – a condition also known as sleep apnoea? | 99 | Good |
20 | Have you been told that you snore so loud you keep others awake while you are asleep? | 90 | Moderate |
21 | Do you often feel tired, fatigued or sleepy during the daytime (tired enough that you could fall asleep while performing activities e.g. driving, waking, texting)? | 96 | Good |
22 | Do you smoke or have you ever smoked? | 90 | Moderate |
23 | Do you have gastric reflux or heartburn? | 80 | Poor |
24 | Do you have or have you ever had liver problems (such as hepatitis or cirrhosis)? | 97 | Good |
25 | How many days a week do you drink alcohol (on average)? b | – | – |
26 | Do you have or have you ever had abnormal kidney function or kidney disease? | 100 | Good |
27 | Have you ever had a (minor) stroke or a brain bleed? | 100 | Good |
28 | Do you have or have you ever had fits/seizures/epilepsy? | 100 | Good |
29 | Have you ever lost consciousness? | 98 | Good |
30 | Do you have or have you ever had diabetes or diabetes related to pregnancy? | 98 | Good |
31 | Do you have or have you ever had thyroid problems (e.g. thyroid hormone levels being too high or too low or having an enlarged thyroid)? | 95 | Good |
32 | Do you have loose/chipped teeth, crowns, bridges, veneers or dentures? | 91 | Moderate |
33 | Do you have difficulty swallowing? | 97 | Good |
34 | Do you have difficulty opening your mouth wide? | 98 | Good |
35 | Do you have or have you ever had pain or stiffness in the lower back, neck or jaw? | 81 | Poor |
36 | Have you ever been told that you have had problems with anaesthetics in a previous operation, such as an abnormal reaction to anaesthesia or allergy to anaesthetics? | 94 | Moderate |
37 | Has any of your blood relatives ever had problems with anaesthetics in a previous operation? | 91 | Moderate |
38 | Do you have or have you ever had anxiety, depression or other emotional/psychiatric disorders? | 94 | Moderate |
39 | Do you have any other medical information that we should know about? | 83 | Poor |