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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