Utility of Brief Illness Perception Questionnaire for Assessing the Acute Impact of COVID-19 Infection: A Psychometric Study

Downloads

Published

2023-03-22

DOI:

https://doi.org/10.55229/ijbs.v26i1.03

Keywords:

COVID-19, BIPQ, Validation, India, factor analysis, perception, mental health

Dimensions Badge

Authors

  • Anuja Lahiri Department of CFM, All India Institute of Medical Sciences (AIIMS) Bhopal, Madhya Pradesh, India
  • Roshan Sutar Department of Psychiatry, All India Institute of Medical Sciences (AIIMS) Bhopal, Madhya Pradesh, India
  • Gaurav Singh Department of Psychiatry, All India Institute of Medical Sciences (AIIMS) Bhopal, Madhya Pradesh, India

Abstract

Background: The coronavirus disease-19 (COVID-19) pandemic has created mental health repercussions in the lives of many individuals. It is important to understand emergent perceptions of this illness among patients with a recent diagnosis of COVID-19. Due to its good psychometric properties, the brief illness perception questionnaire (BIPQ) has been widely used for various illnesses and in different languages. Its application in recently diagnosed COVID-19 patients is an area worth exploring in an Indian setting.

Aim We aim to understand the patient’s perception of COVID-19 illness using the hindi adaptation of BIPQ and validate for its further use in a similar type of acute setting.
Method This tool was customized by three subject experts for its application in recently diagnosed COVID-19 patients. A customized tool was circulated to nine subject matter specialists for the computation of the content validity index. The tool link was shared with patients. A total of 112 patients responded. Factor analysis and reliability analysis were also conducted.
Result Item content validity index for all items in the BIPQ scale was in the acceptable range (value above 70%). Scale-content validity index/universal agreement was 88.8%. Bartlett’s test was significant (p < 0.001) and the Kaiser-Meier-Olkin measure of sampling adequacy was 0.777. The factor loading threshold was fixed at a value above 0.40. Eight Likert scale items of BIPQ based on factor analysis were regrouped in two. Items one, two, four, five, and eight were in group one, which depicted “concrete perception,” and items three, six, and seven were in group two which depicted “gestalt perception” of recently diagnosed COVID-19 patients. Cronbach’s alpha of the scale was found to be high at 0.808.
Conclusion Results depicted a two-factor structure of BIPQ with satisfactory validity and reliability. We suggest regrouping of existing items of BIPQ into two domains, namely “concrete perception” and “gestalt perception” for recently diagnosed patients with COVID-19.

 

How to Cite

Lahiri, A., Sutar, R., & Singh, G. (2023). Utility of Brief Illness Perception Questionnaire for Assessing the Acute Impact of COVID-19 Infection: A Psychometric Study. Indian Journal of Behavioural Sciences, 26(01), 12–19. https://doi.org/10.55229/ijbs.v26i1.03

Downloads

Download data is not yet available.

References

References

Mental health and COVID-19 [Internet]. [cited 2021 Nov 9]. Available from: https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/publications-and-technical-guidance/mental-health-and-covid-19

Xiong J, Lipsitz O, Nasri F, Lui LMW, Gill H, Phan L, et al. Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord [Internet]. 2020 Dec 1 [cited 2021 Nov 9];277:55–64. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7413844/

GuidelinesforDeliveryofMentalMentalHealthcareServicesduringtheCOVID19.pdf [Internet]. [cited 2021 Nov 9]. Available from: https://www.mohfw.gov.in/pdf/GuidelinesforDeliveryofMentalMentalHealthcareServicesduringtheCOVID19.pdf

Varghese GM, John R. COVID-19 in India: Moving from containment to mitigation. Indian J Med Res [Internet]. 2020 [cited 2021 Nov 9];151(2–3):136–9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7366532/

Ghosh A, Nundy S, Mallick TK. How India is dealing with COVID-19 pandemic. Sens Int [Internet]. 2020 [cited 2021 Nov 9];1:100021. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7376361/

Sahoo S, Mehra A, Dua D, Suri V, Malhotra P, Yaddanapudi LN, et al. Psychological experience of patients admitted with SARS-CoV-2 infection. Asian J Psychiatry [Internet]. 2020 Dec [cited 2021 Nov 9];54:102355. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434329/

Wilson W, Raj JP, Rao S, Ghiya M, Nedungalaparambil NM, Mundra H, et al. Prevalence and Predictors of Stress, anxiety, and Depression among Healthcare Workers Managing COVID-19 Pandemic in India: A Nationwide Observational Study. Indian J Psychol Med [Internet]. 2020 Jul 6 [cited 2021 Nov 9];42(4):353–8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7385435/

Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatry [Internet]. 2020 Aug [cited 2021 Nov 9];52:102066. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151415/

MoHFW | Home [Internet]. [cited 2022 Oct 4]. Available from: https://www.mohfw.gov.in/

Classification of Omicron (B.1.1.529): SARS-CoV-2 Variant of Concern [Internet]. [cited 2021 Nov 28]. Available from: https://www.who.int/news/item/26-11-2021-classification-of-omicron-(b.1.1.529)-sars-cov-2-variant-of-concern

“Omicron” May Be A Wake-Up Call: WHO’s Dr Soumya Swaminathan [Internet]. NDTV.com. [cited 2021 Nov 28]. Available from: https://www.ndtv.com/india-news/omicron-may-be-a-wake-up-call-whos-dr-soumya-swaminathan-2627525

Pérez-Fuentes M del C, Molero Jurado M del M, Oropesa Ruiz NF, Martos Martínez Á, Simón Márquez M del M, Herrera-Peco I, et al. Questionnaire on Perception of Threat from COVID-19. J Clin Med [Internet]. 2020 Apr 22 [cited 2021 Nov 9];9(4):1196. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230235/

Karataş T, Özen Ş, Kutlutürkan S. Factor Structure and Psychometric Properties of the Brief Illness Perception Questionnaire in Turkish Cancer Patients. Asia-Pac J Oncol Nurs [Internet]. 2017 [cited 2021 Nov 9];4(1):77–83. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5297237/

Broadbent E, Petrie KJ, Main J, Weinman J. The brief illness perception questionnaire. J Psychosom Res. 2006 Jun;60(6):631–7.

Broadbent E, Wilkes C, Koschwanez H, Weinman J, Norton S, Petrie KJ. A systematic review and meta-analysis of the Brief Illness Perception Questionnaire. Psychol Health. 2015;30(11):1361–85.

Tavşancıl E. Measuring attitudesand data analysis with SPSS. Ankara: Nobel Akademik Yayincilik; 2014.

Nunnally J, Bernstein I. Psychometric testing. New York: McGraw-Hill; 1978.

Leventhal H, Nerenz D, Steele D. Illness representations and coping with health threats. In: Handbook of Psychology and Health. 1984. p. 219–52.

Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ [Internet]. 2011 Jun 27 [cited 2022 Oct 4];2:53–5. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4205511/

Can psychological flexibility and prosociality mitigate illness perceptions toward COVID-19 on mental health? A cross-sectional study among Hong Kong adults | Globalization and Health | Full Text [Internet]. [cited 2022 Oct 4]. Available from: https://globalizationandhealth.biomedcentral.com/articles/10.1186/s12992-021-00692-6

Ting RSK, Aw Yong YY, Tan MM, Yap CK. Cultural Responses to Covid-19 Pandemic: Religions, Illness Perception, and Perceived Stress. Front Psychol [Internet]. 2021 [cited 2022 Oct 4];12. Available from: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.634863

Aqeel M, Abbas J, Shuja KH, Rehna T, Ziapour A, Yousaf I, et al. The influence of illness perception, anxiety and depression disorders on students mental health during COVID-19 outbreak in Pakistan: a Web-based cross-sectional survey. Int J Hum Rights Healthc [Internet]. 2021 Jan 1 [cited 2022 Oct 4];15(1):17–30. Available from: https://doi.org/10.1108/IJHRH-10-2020-0095

Sawyer AT, Harris SL, Koenig HG. Illness perception and high readmission health outcomes. Health Psychol Open [Internet]. 2019 Apr 23 [cited 2022 Oct 4];6(1):2055102919844504. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6482662/

Dias Neto D, Nunes da Silva A, Roberto MS, Lubenko J, Constantinou M, Nicolaou C, et al. Illness Perceptions of COVID-19 in Europe: Predictors, Impacts and Temporal Evolution. Front Psychol [Internet]. 2021 [cited 2022 Oct 4];12. Available from: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.640955

Chong YY, Chien WT, Cheng HY, Chow KM, Kassianos AP, Karekla M, et al. The Role of Illness Perceptions, Coping, and Self-Efficacy on Adherence to Precautionary Measures for COVID-19. Int J Environ Res Public Health [Internet]. 2020 Jan [cited 2022 Oct 4];17(18):6540. Available from: https://www.mdpi.com/1660-4601/17/18/6540

Rezaei S, Nia MH, Vakilian M. The mediating role of illness perception in the relationship between psychological hardiness and the health status of covid-19 (coronavirus disease) survived patients. Health Psychol Res [Internet]. 2021 Jun 19 [cited 2022 Oct 4];9(1). Available from: https://healthpsychologyresearch.openmedicalpublishing.org/article/24839-the-mediating-role-of-illness-perception-in-the-relationship-between-psychological-hardiness-and-the-health-status-of-covid-19-coronavirus-disease-s

Sutar R , Lahiri A , Singh G, Chaudhary S. Development and Validation of Structured COVID Perception Interview Guide (COPING) for Assessing the Acute Impact of COVID-19 Diagnosis. 2022, 22; 1-166 DOI: 10.1055/s-0041-1742232