Evidence map›Paper›PMID 29101153›Full record

ArticleBMJ open2017

Long-Term Conditions Questionnaire (LTCQ): initial validation survey among primary care patients and social care recipients in England.

Caroline M Potter, Laurie Batchelder, Christine A'Court, Louise Geneen, Laura Kelly, Diane Fox, Matthew Baker, Jennifer Bostock, Angela Coulter, Ray Fitzpatrick and 5 more

Open access · goldAbstract readValidation Study
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Psychometric properties, and cultural appropriateness, of patient reported outcome measures for use in primary healthcare: a scoping review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  6. What Are the Important Health and Well-Being Outcome Dimensions for Parent Carers of Disabled Children? A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  7. Article
  8. Article
  9. Living well while providing support: validation of LTCQ-Carer for assessing informal carers' quality of life.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  10. Observational
  11. Development and testing of the reliability and validity of a Chinese version of the Long-Term Conditions Questionnaire.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2023
    Article
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  15. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

Caroline M PotterHealth Services Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-7128-968X
Laurie BatchelderPersonal Social Services Research Unit, School of Social Policy Sociology and Social Research, University of Kent, Canterbury, Kent, UK.
Christine A'CourtNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Louise GeneenHealth Services Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Laura KellyHealth Services Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Diane FoxPersonal Social Services Research Unit, School of Social Policy Sociology and Social Research, University of Kent, Canterbury, Kent, UK.
Matthew BakerDepartment of Health, Quality and Outcomes of Person-centred Care Policy Research Unit, Canterbury, Kent, UK.
Jennifer BostockDepartment of Health, Quality and Outcomes of Person-centred Care Policy Research Unit, Canterbury, Kent, UK.
Angela CoulterHealth Services Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Ray FitzpatrickHealth Services Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Julien E ForderPersonal Social Services Research Unit, School of Social Policy Sociology and Social Research, University of Kent, Canterbury, Kent, UK.
Elizabeth GibbonsHealth Services Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Crispin JenkinsonHealth Services Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Karen JonesPersonal Social Services Research Unit, School of Social Policy Sociology and Social Research, University of Kent, Canterbury, Kent, UK.
Michele PetersHealth Services Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
University of Oxford · GBUniversity of Kent · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to validate a new generic patient-reported outcome measure, the Long-Term Conditions Questionnaire (LTCQ), among a diverse sample of health and social care users in England.

designCross-sectional validation survey. Data were collected through postal surveys (February 2016-January 2017). The sample included a healthcare cohort of patients recruited through primary care practices, and a social care cohort recruited through local government bodies that provide social care services.

participants1211 participants (24% confirmed social care recipients) took part in the study. Healthcare participants were recruited on the basis of having one of 11 specified long-term conditions (LTCs), and social care participants were recruited on the basis of receiving social care support for at least one LTC. The sample exhibited high multimorbidity, with 93% reporting two or more LTCs and 43% reporting a mental health condition. OUTCOME MEASURES: The LTCQ's construct validity was tested with reference to the EQ-5D (5-level version), the Self-Efficacy for Managing Chronic Disease scale, an Activities of Daily Living scale and the Bayliss burden of morbidity scale.

resultsLow levels of missing data for each item indicate acceptability of the LTCQ across the sample. The LTCQ exhibits high internal consistency (Cronbach's α=0.95) across the scale's 20 items and excellent test-retest reliability (intraclass correlation coefficient=0.94, 95% CI 0.93 to 0.95). Associations between the LTCQ and all reference measures were moderate to strong and in the expected directions, indicating convergent construct validity.

conclusionsThis study provides evidence for the reliability and validity of the LTCQ, which has potential for use in both health and social care settings. The LTCQ could meet a need for holistic outcome measurement that goes beyond symptoms and physical function, complementing existing measures to capture fully what it means to live well with LTCs.

Indexed as

Patient Reported Outcome MeasuresSelf-ManagementSocial WorkSurveys and QuestionnairesAdolescentAdultAgedAged, 80 and overChronic DiseaseCross-Sectional StudiesEnglandFemaleHumansMaleMiddle AgedPrimary Health Carechronic illnesslong-term conditionsmulti-morbiditypatient-reported outcome measureperson-centred care

Identifiers

PMID29101153
PMCPMC5695378
OpenAlexW2766922197

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.