Evidence map›Paper›PMID 29374455›Full record

ArticleHealth and quality of life outcomes2018

How patient participation was used to develop a questionnaire that is fit for purpose for assessing quality of life in severe asthma.

Michael E Hyland, Joseph W Lanario, Jill Pooler, Matthew Masoli, Rupert C Jones

Open access · goldAbstract read
In one paragraph

Article in Health and quality of life outcomes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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  9. The asthma evidence base: a call for core outcomes in interventional trials.The Journal of asthma : official journal of the Association for the Care of Asthma · 2021
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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

5 authors at 2 institutions in 1 country.

Michael E HylandSchool of Psychology, University of Plymouth, Plymouth, PL4 8AA, UK. mhyland@plymouth.ac.uk.ORCID http://orcid.org/0000-0003-3879-0469
Joseph W LanarioSchool of Psychology, University of Plymouth, Plymouth, PL4 8AA, UK.
Jill PoolerPeninsula School of Medicine and Dentistry, University of Plymouth, Plymouth, UK.
Matthew MasoliPlymouth Hospital's NHS Trust, Plymouth, UK.
Rupert C JonesPlymouth Hospital's NHS Trust, Plymouth, UK.
Plymouth Hospital · GBUniversity of Plymouth · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious research shows that existing asthma quality of life questionnaires fail to measure the burden of oral corticosteroids that can be used to treat severe asthma, and are therefore not fit for purpose for severe asthma according to the USA's Federal Drug Authority's (FDA) criteria for content validity. Patient input and documentation of that input is key to achieving content validity according to FDA guidelines. This paper describes the process of constructing a new questionnaire to measure the burden of asthma symptoms and burden of treatment in severe asthma, using criteria specified by the FDA.

methodsA draft severe asthma questionnaire (SAQ) was constructed using qualitative input from severe asthma patients who took part in an earlier study. The aim of this study was to improve that draft questionnaire using a further group of patients. In four iterative focus groups, 16 people with severe asthma completed the draft questionnaire, discussed the wording and structure and suggested changes that were incorporated into the final version.

resultsThe original intention to ask patients to identify whether problems were caused by asthma symptoms or side effects of medication was abandoned as the attribution of cause was found to be difficult and inconsistent. The recall period of 2 weeks was acceptable but fails to reflect the patients' desire to express the variability of severe asthma. Patients suggested improvements to the wording of the draft questionnaire, including splitting some items in two, combining two items in one, and changes to some of the words in individual items and the response scale.

conclusionsThe final version of the questionnaire was substantially different from one constructed using only qualitative reports from patients about the quality of life deficits of severe asthma. Patients make a valuable contribution to the questionnaire if they are asked to comment and improve an initial draft and where patients are treated as partners in the process of questionnaire construction, rather than only as a source of information to experts who construct the questionnaire.

Indexed as

Health SurveysQuality of LifeAdministration, OralAdrenal Cortex HormonesAdultAgedAsthmaCooperative BehaviorFemaleFocus GroupsHumansMaleMiddle AgedPatient ParticipationQualitative ResearchSeverity of Illness IndexAdrenal Cortex HormonesAssessmentContent validityMethodologyPatient reported outcomeQuestionnaire constructionSevere asthma

Identifiers

PMID29374455
PMCPMC5787281
OpenAlexW2786548765

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.