BACKGROUND Numerous instruments have been developed to assess patient reported outcomes; most approaches however focus on a single condition. With the increasing prevalence of multimorbidity, this might no longer be appropriate. Moreover, a more comprehensive approach that facilitates shared decision making and stimulates self-management is most likely more valuable for clinical practice than a questionnaire alone. This study aims to transform the Assessment of Burden of Chronic Obstructive Pulmonary Disease (COPD) (ABC)-tool into the Assessment of Burden of Chronic Conditions (ABCC)-tool for COPD, asthma, and diabetes mellitus type 2 (DM2). The tool consists of a scale, a visualisation of the outcomes, and treatment advice. METHODS Requirements for the tool were formulated. Questionnaires were developed based on a literature study of existing questionnaires, clinical guidelines, interviews with patients and healthcare providers, and input from an expert group. Cut-off points and treatment advice were determined to display the results and to provide practical recommendations. RESULTS The ABCC-scale consists of a generic questionnaire and disease-specific questionnaires, which can be combined into a single individualized questionnaire for each patient. Results are displayed in one balloon chart, and each domain includes practical recommendations. CONCLUSIONS The ABCC-tool is expected to facilitate conversations between a patient and a healthcare provider, and to help formulate treatment plans and care plans with personalised goals. By facilitating an integrated approach, this instrument can be applied in a variety of circumstances and disease combinations.

中文翻译：

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重塑了ABC工具：针对多种慢性病开发了针对疾病的“慢性病负担评估（ABCC）工具”。

背景技术已经开发出许多工具来评估患者报告的结果；然而，在这种情况下，不能使用这种工具。但是，大多数方法只关注单个条件。随着多发病率的增加，这可能不再合适。此外，比起单独的问卷调查，更有利于共享决策并促进自我管理的更全面的方法对临床实践更有价值。这项研究旨在将慢性阻塞性肺疾病负担（COPD）工具（ABC）转变为慢性阻塞性肺疾病负担（ABCC）工具，用于COPD，哮喘和2型糖尿病（DM2）。该工具包括一个量表，结果的可视化和治疗建议。方法制定了该工具的要求。问卷调查是基于对现有问卷调查的文献研究，临床指南，对患者和医疗保健提供者的访谈以及专家组的意见而制定的。确定了临界点和治疗建议，以显示结果并提供实用建议。结果ABCC量表由通用问卷和针对疾病的问卷组成，可以将其合并为针对每个患者的单个个性化问卷。结果显示在一个气球状图表中，并且每个域都包含实用建议。结论ABCC工具有望促进患者与医疗保健提供者之间的对话，并帮助制定具有个性化目标的治疗计划和护理计划。通过促进综合方法，