Abstract

Cross-cultural adaptation and validation of Work Productivity and Activity Impairment questionnaires for caregivers of patients with pediatric inflammatory bowel disease in Spain. A multicenter study

Arch Argent Pediatr. 2024 Dec 1;122(6):e202410329.doi: 10.5546/aap.2024-10329.eng. Epub 2024 Jul 18.

Marta Velasco Rodríguez-Belvís 1Laura Palomino 1Gemma Pujol-Muncunill 2Rafael Martin-Masot 3Josefa Barrio Torres 4Víctor M Navas-López # 3Javier Martín de Carpi # 2Task Force for Pediatric Inflammatory Bowel Disease of the Spanish Society of Pediatric Gastroenterology, Hepatology, and Nutrition (SEGHNP)

Collaborators

  • Task Force for Pediatric Inflammatory Bowel Disease of the Spanish Society of Pediatric Gastroenterology, Hepatology, and Nutrition (SEGHNP): 

Enrique Medina Benítez 5Ana E. Fernández- Lorenzo 6Ana Moreno-Álvarez 6Manuel Molina Arias 7Inmaculada Hidalgo Montes 7Ana Lozano Ruf 8Javier Blasco-Alonso 9Montserrat Montraveta 10Luis Peña-Quintana 11Natalia Ramos Rueda 11Alejandro Rodríguez Martínez 12Gonzalo Botija Arcos 13Carmen Alonso Vicente 14Ana M. Castro Millán 15Ester Donat 16Santiago Fernández Cebrián 17César Sánchez Sánchez 18Inés Loverdos 19Oscar Segarra Cantón 20Noelia Ruiz Castellano 21Ricardo Torres-Peral 22Elena Crehuá-Gaudiza 23Antonio Millán Jiménez 24Carmen Jovani Casano 25Saioa Vicente Santamaría 26Ana Tabares González 26Ruth Garcia-Romero 27Ignacio Ros Arnal 27María J. Balboa Vega 28Laura Escartín Madurga 29Nazareth Martinón Torres 30Vanesa Crujeiras Martínez 30Leticia González-Vives 31Begoña Pérez-Moneo 31María L. Masiques Mas 32Ana M. Vegas Álvarez 33Luis Grande Herrero 34Enrique La Orden Izquierdo 35Francisco J. Chicano Marín 36María de las M. Busto Cuiñas 37José M. Martínez de Zabarte Fernández 38José R. Alberto Alonso 39Eva M. Andrés Esteban 40

 

 
     

Author information

1Department of Pediatric Gastroenterology and Nutrition, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.

2Department of Pediatric Gastroenterology, Hepatology, and Nutrition, Hospital Sant Joan de Déu, Barcelona, Spain.

3Department of Pediatric Gastroenterology and Nutrition, Hospital Regional Universitario de Málaga, Málaga, Spain.

4Unit of Pediatric Gastroenterology, Hospital Universitario de Fuenlabrada, Madrid, Spain.

5Unit of Pediatric Gastroenterology and Nutrition, Hospital Doce de Octubre, Madrid

6Unit of Pediatric Gastroenterology, Hepatology, and Nutrition, Hospital Materno-Infantil Teresa Herrera, Complejo Hospitalario Universitario A Coruña, A Coruña

7Department of Pediatric Gastroenterology and Nutrition, Hospital Universitario La Paz, Madrid

8Department of Pediatric Gastroenterology, Hepatology, and Nutrition, Hospital Sant Joan de Déu, Barcelona

9Division of Pediatric Gastroenterology and Nutrition, Hospital Regional Universitario de Málaga, Málaga

10Unit of Pediatric Gastroenterology, Hospital Germans Trias i Pujol, Badalona

11Division of Pediatric Gastroenterology and Nutrition, Complejo Hospitalario Universitario Insular Materno Infantil, Universidad de Las Palmas de Gran Canaria

12Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Hospital Universitario Virgen del Rocío, Sevilla

13Division of Pediatric Gastroenterology, Hospital Universitario Fundación Alcorcón, Madrid

14Division of Pediatric Gastroenterology, Hospital Clínico Universitario de Valladolid, Valladolid

15Division of Pediatric Gastroenterology, Hospital Universitario de Canarias, Santa Cruz de Tenerife

16Division of Pediatric Gastroenterology and Hepatology, Hospital Universitari i Politècnic la Fe, Valencia

17Division of Pediatric Gastroenterology, Complexo Hospitalario de Ourense, Ourense

18Division of Pediatric Gastroenterology, Hospital General Universitario Gregorio Marañón, Madrid

19Division of Pediatric Gastroenterology, Hospital Parc Taulí, Sabadell

20Unit of Pediatric Gastroenterology and Nutrition, Hospital Vall d’Hebron, Barcelona

21Division of Pediatric Gastroenterology, Complejo Hospitalario de Navarra, Pamplona

22Unit of Pediatric Gastroenterology and Nutrition, Complejo Asistencial Universitario de Salamanca, Salamanca

23Division of Pediatric Gastroenterology and Nutrition, Hospital Clínico Universitario de Valencia, Valencia

24Division of Pediatric Gastroenterology, Hospital Universitario de Valme, Universidad de Sevilla, Sevilla

25Division of Pediatric Gastroenterology, Hospital General Universitario de Castellón, Castellón de la Plana

26Division of Pediatric Gastroenterology, Hospital Universitario Ramón y Cajal, Madrid

27Division of Pediatric Gastroenterology, Hospital Infantil Miguel Servet, Zaragoza

28Division of Pediatric Gastroenterology, Hospital Universitario Virgen Macarena, Sevilla

29Division of Pediatric Gastroenterology, Hospital Clínico Universitario Lozano Blesa, Zaragoza

30Division of Pediatric Gastroenterology, Hospital Clínico Universitario de Santiago, Santiago de Compostela

31Division of Pediatric Gastroenterology, Hospital Universitario Infanta Leonor, Madrid

32Division of Pediatric Gastroenterology, Hospital General de Granollers, Barcelona

33Division of Pediatric Gastroenterology, Hospital Universitario Río Hortega, Valladolid

34Division of Pediatric Gastroenterology, Hospital Universitario de Getafe, Madrid

35Division of Pediatric Gastroenterology, Hospital Universitario Infanta Elena, Valdemoro

36Division of Pediatric Gastroenterology, Hospital Universitario Los Arcos del Mar Menor, Murcia

37Division of Pediatric Gastroenterology, Complexo Hospitalario de Pontevedra, Pontevedra

38Division of Pediatric Gastroenterology, Hospital Obispo Polanco, Teruel

39Division of Pediatric Gastroenterology, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife

40Fundación para la Investigación Biomédica, Hospital Infantil Universitario Niño Jesús, Madrid.

#Contributed equally.

Abstract

Introduction. The WPAI-UC/CD-Caregiver questionnaires assess the impact of ulcerative colitis (UC) or Crohn's disease (CD) on parents'/caregivers' work life and daily activities. Our objective was to adapt and validate these questionnaires in the Spanish population. Methods. A translation and back-translation were done. The document was assessed by an expert committee and a pilot group of families of patients with pediatric inflammatory bowel disease (p-IBD). For validation, the parents/caregivers of patients with p-IBD (10-18 years old) were recruited. The expert committee and the pilot group conducted a subjective assessment of the format and time necessary to complete the questionnaires. Cronbach's alpha coefficient was estimated and a factor analysis with varimax rotation was done. Kaiser- Meyer-Olkin (KMO) coefficients and Bartlett's sphericity test were estimated to test the adequacy of the factor analysis. Results. A total of 370 patients (median age: 14.1 years) and 263 parents/caregivers of patients with UC or unclassified IBD and 261 parents/caregivers of patients with CD were included. The KMO coefficients (0.6947 and 0.7179) and Bartlett's sphericity test (p < 0.001) confirmed the adequacy of the factor analysis. The 6 items targeted the same domain. The factor model accounted for 99.99% and 94.68% of variance, and Cronbach's alpha coefficients (0.6581 and 0.6968) showed an adequate consistency. The format and the median time of 2 minutes to complete the questionnaires were considered optimal. Conclusions. The versions of the WPAI-Caregiver questionnaires validated in the Spanish population may be used in families whose children have IBD.

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