Methods to Determine the Minimum Important Difference for a Sexual Event Diary Used by Postmenopausal Women with Hypoactive Sexual Desire Disorder

Autor: Lacey Gunter, Mona L. Martin, Cathie Spino, Donald L. Patrick, Melanie Sisson, Tara Symonds, Paresh Soni
Rok vydání: 2007
Předmět:
Zdroj: The Journal of Sexual Medicine. 4:1328-1335
ISSN: 1743-6095
DOI: 10.1111/j.1743-6109.2007.00562.x
Popis: Introduction Recently, there has been much discussion in the literature about how to determine the meaningfulness of results generated from a patient-reported outcome measure. A number of reviews have shown that there are two main approaches: anchor- and distribution-based approaches for determining the minimum important difference (MID) for a new measure. There are issues with calculating an MID using each method: Will the two approaches give the same estimate? If the estimates differ, how do you decide on one estimate? Would asking patients directly be more beneficial? Aim A case study was presented to address these issues based on a newly developed diary assessing number of satisfactory sexual events (SSEs) per week in women with hypoactive sexual desire disorder (HSDD). Methods Anchor- and distribution-based estimates were generated from data gathered in two double-blind, placebo-controlled, parallel group trials for the treatment of HSDD (N=788). A novel interview study was used to ask women directly about an MID for SSEs (N=77). Main Outcome Measures Defining the MID for an SSE diary in women with HSDD. Results The estimates varied, producing a range of mean MID estimates between 0.04 and 0.46 SSEs per week. Conclusions We recommend that rather than defining the MID, a range should be selected from the set of estimates formed by the limits of the 95% confidence intervals. Symonds T, Spino C, Sisson M, Soni P, Martin M, Gunter L, and Patrick DL. Methods to determine the minimum important difference for a sexual event diary used by postmenopausal women with hypoactive sexual desire disorder.
Databáze: OpenAIRE