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Table 6 COPD-MSD items and response scales

From: Development of the chronic obstructive pulmonary disease morning symptom diary (COPD-MSD)

 

COPD Item

Response Rangea

Items asking about “this morning”

AM 1

SOB upon getting out of bed

No SOB → Unable to because of SOB

AM 2

SOB while washing self

No SOB → Unable to because of SOB

AM 3

SOB while using arms to do things

No SOB → Unable to because of SOB

AM 4

SOB while getting dressed

No SOB → Unable to because of SOB

AM 5

SOB while bending over

No SOB → Unable to because of SOB

AM 6

SOB upon moving around the home

No SOB → Unable to because of SOB

AM 7

Coughing attacks

0 → More than 5

AM 8

Frequency of cough

Not at all → Almost constantly

AM 9

Severity of cough

Did not cough → Very severe

AM 10

Amount of phlegm

None → Very large amount

AM 11

Difficulty bringing up phlegm

Did not have phlegm → Very difficult

AM 12

Severity of chest tightness

No chest tightness → Very severe

AM 13

Severity of chest discomfort

No chest discomfort → Very severe

AM 14

Severity of chest congestion

No chest congestion → Very severe

AM 15

Severity/amount of wheezing

Not at all → Very much

AM 16

Feeling tired

Not at all → Extremely

AM 17

Feeling rested

Not at all → Extremely

Items asking about “last night, after going to bed”

PM 1

Severity/amount of wheezing

Not at all → Very much

PM 2

Sleep disturbance

Not at all → Very much

  1. Abbreviations: COPD-MSD Chronic Obstructive Pulmonary Disease – Morning Symptom Diary, SOB shortness of breath
  2. a The six SOB items utilize a 6-point response scale while all other items use a 5-point range