Evidence map›Paper›PMID 33443657›Full record

ArticleJournal of patient-reported outcomes2021

Establishing content-validity of a disease-specific health-related quality of life instrument for patients with chronic hypersensitivity pneumonitis.

Kerri I Aronson, Maha Ali, Evgeniya Reshetynak, Robert J Kaner, Fernando J Martinez, Monika M Safford, Laura C Pinheiro

Abstract read
In one paragraph

Article in Journal of patient-reported outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
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

7 authors.

Kerri I AronsonDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medicine New York, New York, USA. kia9010@med.cornell.edu.ORCID http://orcid.org/0000-0001-5587-5427
Maha AliDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Evgeniya ReshetynakDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Robert J KanerDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medicine New York, New York, USA.
Fernando J MartinezDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medicine New York, New York, USA.
Monika M SaffordDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Laura C PinheiroDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.

Funding

Pulmonary Fibrosis Foundation Scholars AwardWeill Cornell Medical College Fund for the Future Award
6 · The paper itself

Abstract

backgroundChronic Hypersensitivity Pneumonitis (CHP) is caused by an immune mediated response in the lung tissue after exposure to an inhaled environmental antigenic stimulant. We previously documented the ways in which CHP impacts patients' lives and have now developed a disease-specific instrument, the CHP-HRQOL instrument, to measure health-related quality of life (HRQOL). The objective of this study was to assess content validity for the CHP-HRQOL.

methodsCognitive interviews were conducted among adults with CHP. The instrument was revised and refined between each round of interviews. Feedback was obtained on the instructions, items, response options, and recall period. Items where participants had difficulty with comprehension, wording, or misinterpretation were marked by the interviewer and participant feedback was reviewed to make revisions, add or delete items when appropriate. Readability statistics were calculated using Flesch-Kincaid grade level and reading ease scores.

resultsTen participants were interviewed over three rounds, with revisions made to the questionnaire in an iterative process. In the initial 39 item instrument, we identified 7 items where two or more participants reported difficulty. Participants preferred a four-week recall period (compared to a two-week recall period) and response options with a 5-point response scale. The final version of the CHP-HRQOL includes 40 items with a median reading level between 6th and 7th grade.

conclusionThe CHP-HRQOL instrument demonstrated high content validity and is ready for psychometric testing in further validation studies.

Indexed as

Chronic hypersensitivity pneumonitisCognitive interviewingHealth-related quality of life

Identifiers

PMID33443657
PMCPMC7809073

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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.