Sanghamitra Pati|Akhtar Hussain|Subhashisa Swain|Chris Salisbury|Job Metsemakers|J. André Knottnerus|Marjan van den Akker
Development and Validation of a Questionnaire to Assess Multimorbidity in Primary Care: An Indian Experience
Public Health Foundation of India|Institute of Public Health|University of Queensland|Public Health Foundation of India|Institute of Public Health|University of Bristol|Maastricht University|Maastricht University|Maastricht University|KU Leuven
multimorbidity remains underexplored domain indian primary care undertook study assess prevalence correlates outcomes multimorbidity primary care settings india paper describes process development validation data collection tool multimorbidity assessment questionnaire primary care maqpc iterative process comprising desk review chart review expert consultations undertaken generate questionnaire maqpc contained items chronic conditions health care utilization health related quality life disease severity sociodemographics first tested twelve adults comprehensibility followed testretest reliability 103 patients four primary care practices interrater reliability two interviewers separately administered questionnaire sixteen patients maqpc displayed strong internal consistency cronbachs alpha 069 interrater reliability cohens kappa 0781 testretest reliability icc 09700741 substantial concordance selfreport physician diagnosis scott kappa 05910 observed listed chronic conditions indicating strong concurrent validity nearly 54 one chronic condition 233 multimorbidity findings demonstrate maqpc valid reliable measure multimorbidity primary care practice suggest potential utility multimorbidity research india