Acute respiratory failure survivors' physical, cognitive, and mental health outcomes: Quantitative measures versus semistructured interviews

Archana Nelliot, Victoriano Dinglas, Jacqueline O'Toole, Yashika Patel, Pedro A Mendez Tellez, Mohammed Nabeel, Lisa Aronson Friedman, Catherine L. Hough, Ramona O. Hopkins, Michelle Eakin, Dale Needham

Research output: Contribution to journalArticle

Abstract

Rationale: Increasingly, patients are surviving acute respiratory failure (ARF), prompting the need to better understand standardized outcome measures commonly used during ARF follow-up studies. Objectives: Investigate standardized outcome measures (patientreported physical and mental health measures, and cognitive testing) compared with findings from semistructured, qualitative interviews. Methods: As part of two ARF multicenter follow-up studies, standardized outcome measures were obtained, followed by qualitative evaluation via an in-depth, semistructured interview conducted and coded by two independent researchers. Qualitative interviews revealed the following post-ARF survivorship themes: Physical impairment; anxiety, depression, and post-traumatic stress disorder symptoms; and cognitive impairment. Scores from standardized measures related to these themes were compared for ARF survivors reporting versus not reporting these themes in their qualitative interviews. Results: Of 59 invited ARF survivors, 48 (81%) completed both standardized outcome measures and qualitative interviews. Participants' median (interquartile range) age was 53 (43-64) years; 54% were female, and 88% were living independently before hospitalization. The two independent reviewers classifying the presence or absence of themes from the qualitative interviews had excellent agreement (k =0.80).There were significantly worse scores on standardized outcome measures for survivors reporting (vs. not reporting) physical and mental health impairments in their qualitative interviews. However, standardized cognitive test scores did not differ between patients reporting versus not reporting cognitive impairments in their qualitative interviews. Conclusions: These findings support the use of recommended, commonly used standardized outcome measures for physical and mental health impairments in ARF survivorship research. However, caution is needed in interpreting self-reported cognitive function compared with standardized cognitive testing.

Original languageEnglish (US)
Pages (from-to)731-737
Number of pages7
JournalAnnals of the American Thoracic Society
Volume16
Issue number6
DOIs
StatePublished - Jan 1 2019

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Respiratory Insufficiency
Survivors
Mental Health
Outcome Assessment (Health Care)
Interviews
Survival Rate
Post-Traumatic Stress Disorders
Cognition
Hospitalization
Anxiety
Research Personnel
Depression
Research

Keywords

  • Critical illness
  • Follow-up studies
  • Patient outcomes
  • Qualitative research

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Acute respiratory failure survivors' physical, cognitive, and mental health outcomes : Quantitative measures versus semistructured interviews. / Nelliot, Archana; Dinglas, Victoriano; O'Toole, Jacqueline; Patel, Yashika; Mendez Tellez, Pedro A; Nabeel, Mohammed; Friedman, Lisa Aronson; Hough, Catherine L.; Hopkins, Ramona O.; Eakin, Michelle; Needham, Dale.

In: Annals of the American Thoracic Society, Vol. 16, No. 6, 01.01.2019, p. 731-737.

Research output: Contribution to journalArticle

Nelliot, Archana ; Dinglas, Victoriano ; O'Toole, Jacqueline ; Patel, Yashika ; Mendez Tellez, Pedro A ; Nabeel, Mohammed ; Friedman, Lisa Aronson ; Hough, Catherine L. ; Hopkins, Ramona O. ; Eakin, Michelle ; Needham, Dale. / Acute respiratory failure survivors' physical, cognitive, and mental health outcomes : Quantitative measures versus semistructured interviews. In: Annals of the American Thoracic Society. 2019 ; Vol. 16, No. 6. pp. 731-737.
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T2 - Quantitative measures versus semistructured interviews

AU - Nelliot, Archana

AU - Dinglas, Victoriano

AU - O'Toole, Jacqueline

AU - Patel, Yashika

AU - Mendez Tellez, Pedro A

AU - Nabeel, Mohammed

AU - Friedman, Lisa Aronson

AU - Hough, Catherine L.

AU - Hopkins, Ramona O.

AU - Eakin, Michelle

AU - Needham, Dale

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N2 - Rationale: Increasingly, patients are surviving acute respiratory failure (ARF), prompting the need to better understand standardized outcome measures commonly used during ARF follow-up studies. Objectives: Investigate standardized outcome measures (patientreported physical and mental health measures, and cognitive testing) compared with findings from semistructured, qualitative interviews. Methods: As part of two ARF multicenter follow-up studies, standardized outcome measures were obtained, followed by qualitative evaluation via an in-depth, semistructured interview conducted and coded by two independent researchers. Qualitative interviews revealed the following post-ARF survivorship themes: Physical impairment; anxiety, depression, and post-traumatic stress disorder symptoms; and cognitive impairment. Scores from standardized measures related to these themes were compared for ARF survivors reporting versus not reporting these themes in their qualitative interviews. Results: Of 59 invited ARF survivors, 48 (81%) completed both standardized outcome measures and qualitative interviews. Participants' median (interquartile range) age was 53 (43-64) years; 54% were female, and 88% were living independently before hospitalization. The two independent reviewers classifying the presence or absence of themes from the qualitative interviews had excellent agreement (k =0.80).There were significantly worse scores on standardized outcome measures for survivors reporting (vs. not reporting) physical and mental health impairments in their qualitative interviews. However, standardized cognitive test scores did not differ between patients reporting versus not reporting cognitive impairments in their qualitative interviews. Conclusions: These findings support the use of recommended, commonly used standardized outcome measures for physical and mental health impairments in ARF survivorship research. However, caution is needed in interpreting self-reported cognitive function compared with standardized cognitive testing.

AB - Rationale: Increasingly, patients are surviving acute respiratory failure (ARF), prompting the need to better understand standardized outcome measures commonly used during ARF follow-up studies. Objectives: Investigate standardized outcome measures (patientreported physical and mental health measures, and cognitive testing) compared with findings from semistructured, qualitative interviews. Methods: As part of two ARF multicenter follow-up studies, standardized outcome measures were obtained, followed by qualitative evaluation via an in-depth, semistructured interview conducted and coded by two independent researchers. Qualitative interviews revealed the following post-ARF survivorship themes: Physical impairment; anxiety, depression, and post-traumatic stress disorder symptoms; and cognitive impairment. Scores from standardized measures related to these themes were compared for ARF survivors reporting versus not reporting these themes in their qualitative interviews. Results: Of 59 invited ARF survivors, 48 (81%) completed both standardized outcome measures and qualitative interviews. Participants' median (interquartile range) age was 53 (43-64) years; 54% were female, and 88% were living independently before hospitalization. The two independent reviewers classifying the presence or absence of themes from the qualitative interviews had excellent agreement (k =0.80).There were significantly worse scores on standardized outcome measures for survivors reporting (vs. not reporting) physical and mental health impairments in their qualitative interviews. However, standardized cognitive test scores did not differ between patients reporting versus not reporting cognitive impairments in their qualitative interviews. Conclusions: These findings support the use of recommended, commonly used standardized outcome measures for physical and mental health impairments in ARF survivorship research. However, caution is needed in interpreting self-reported cognitive function compared with standardized cognitive testing.

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