Development of Two Patient Self-Reported Measures on Functional Health Status (FOD) and Health-Related Quality of Life (QOD) in Adults with Oropharyngeal Dysphagia Using the Delphi Technique.

Autor: Speyer R; Department Special Needs Education, University of Oslo, 0318 Oslo, Norway.; Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, WA 6102, Australia.; Department of Otorhinolaryngology and Head and Neck Surgery, Leiden University Medical Center, 1233 ZA Leiden, The Netherlands., Cordier R; Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, WA 6102, Australia.; Department of Social Work, Education and Community Wellbeing, Faculty of Health & Life Sciences, Northumbria University, Newcastle upon the Tyne NE7 7XA, UK., Denman D; Department of Linguistics, Faculty of Medicine, Health, and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia., Windsor C; Department Special Needs Education, University of Oslo, 0318 Oslo, Norway., Krisciunas GP; School of Medicine, Boston University, Boston, MA 02118, USA., Smithard D; Centre for Exercise and Active Rehabilitation, University of Greenwich, London SE9 2BP, UK., Heijnen BJ; Department of Otorhinolaryngology and Head and Neck Surgery, Leiden University Medical Center, 1233 ZA Leiden, The Netherlands.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2022 Oct 07; Vol. 11 (19). Date of Electronic Publication: 2022 Oct 07.
DOI: 10.3390/jcm11195920
Abstrakt: Introduction . Patient self-evaluation is an important aspect in the assessment of dysphagia and comprises both Functional Health Status (FHS) and Health-Related Quality of Life (HR-QoL). As many measures combine both FHS and HR-QoL, disease-related functioning cannot be distinguished from disease-related quality of life as experienced by the patient. Moreover, current patient self-reported measures are limited by poor and incomplete data on psychometric properties. Objective . This study aimed to establish content validity for the development of two new self-reported measures on FHS and HR-QoL in adults with oropharyngeal dysphagia (OD), in line with the psychometric taxonomy and guidelines from the COSMIN group ( CO nsensus-based S tandards for the selection of health M easurement IN struments). Methods . Using the Delphi technique, international expert consensus was achieved; participants and patients with dysphagia evaluated relevance, comprehensiveness, and comprehensibility of definitions of relevant constructs (i.e., dysphagia, FHS and HR-QoL) and potential items. Results . A total of 66 Delphi participants from 45 countries achieved consensus across two rounds. The Delphi study resulted in two prototype measures, the Functional health status measure of Oropharyngeal Dysphagia (FOD) and the health-related Quality of life measure of Oropharyngeal Dysphagia (QOD), consisting of 37 and 25 items, respectively. Minimal revisions were required based on feedback by patients. Conclusions . This study provides evidence of good content validity for both newly developed prototype measures FOD and QOD. Future studies will continue the process of refining the measures, and evaluate the remaining psychometric properties using both Classic Test Theory (CTT) and Item Response Theory (IRT) models.
Competing Interests: The authors declare no conflict of interest.
Databáze: MEDLINE
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