Development and testing of a novel symptom assessment scale for Behçet’s disease

Abstract

Background/aim: This study was designed to develop a Behçet’s disease (BD) symptom assessment scale based on the theory ofunpleasant symptoms, which deals with understanding symptom experiences in a disease.Materials and methods: The BD Symptom Assessment Scale has two sections: the factors influencing symptoms and the situationsinfluenced by symptoms. Both of these sections were developed through an initial item pool, and expert opinions were consulted duringa pilot test performed with 30 patients with BD. We then tested the validity and reliability of this scale on 218 different patients with BDfulfilling the ISG criteria. Finally, we scored this scale.Results: The validity and reliability study of the first section found that the scale had favorable fit indices (χ2 = 525.86, χ2 / SD = 3.15, GFI= 0.90, CFI = 0.89, IFI = 0.89), constituting three dimensions and 20 items. The validity and reliability study of the second section foundthat the scale had favorable fit indices (χ2 = 579.14, χ2 / SD = 3.48, GFI = 0.91, CFI = 0.89, IFI = 0.89) and constituted three dimensionsand 20 items.Conclusion: This novel symptom assessment scale for BD is a valid and reliable tool for evaluating patients with BD.