Evidence map›Paper›PMID 36703019›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2023

Content validity and psychometric properties of the inFLUenza Patient-Reported Outcome Plus (FLU-PRO Plus

Tom J H Keeley, Sacha Satram, Parima Ghafoori, Carolina Reyes, Helen J Birch, Kimberly Raymond, Heather L Gelhorn, Mark Kosinski, Cory D Saucier, April Mitchell Foster and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04545060 (A Phase II/III Randomized, Multi-center, Double-blind, Placebo-controlled Study to Assess the Safety and Efficacy of Monoclonal Antibody VIR-7831 for the Early Treatment of Coronavirus Disease 2019), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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.

NCT04545060 phase2 / phase3completednot on this map

A Phase II/III Randomized, Multi-center, Double-blind, Placebo-controlled Study to Assess the Safety and Efficacy of Monoclonal Antibody VIR-7831 for the Early Treatment of Coronavirus Disease 2019 (COVID-19) in Non-hospitalized Patients

TypeinterventionalSponsorVir Biotechnology, Inc.Ran2020 to 2021Enrolled1,057ConditionsCovid19ArmsVIR-7831 (sotrovimab), Placebo
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Developing, Analyzing, and Interpreting Outcome Assessments to Improve Endpoints in Infectious Diseases Clinical Research.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  4. Patient-Reported Outcomes and Health-Related Quality-of-Life Measures in Infectious Diseases Studies and Clinical Practice.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  5. Understanding data visualization techniques in qualitative studies used to develop and validate patient-reported outcome measures: a targeted literature review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Review
  6. BMJ open · 2025
    Article
  7. Article
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

12 authors.

Tom J H KeeleyGlaxoSmithKline, 980 Great West Road, Brentford, Middlesex, TW8 9GS, UK. tom.x.keeley@gsk.com.ORCID http://orcid.org/0000-0003-1584-9093
Sacha SatramVir Biotechnology, San Francisco, CA, USA.
Parima GhafooriGlaxoSmithKline, Collegeville, PA, USA.
Carolina ReyesVir Biotechnology, San Francisco, CA, USA.
Helen J BirchGlaxoSmithKline, 980 Great West Road, Brentford, Middlesex, TW8 9GS, UK.ORCID http://orcid.org/0000-0002-4924-4810
Kimberly RaymondQualityMetric Incorporated, LLC, Johnston, RI, USA.
Heather L GelhornEvidera, Bethesda, MD, USA.
Mark KosinskiQualityMetric Incorporated, LLC, Johnston, RI, USA.
Cory D SaucierQualityMetric Incorporated, LLC, Johnston, RI, USA.ORCID http://orcid.org/0000-0002-0420-6458
April Mitchell FosterQualityMetric Incorporated, LLC, Johnston, RI, USA.
Amanda LopuskiGlaxoSmithKline, Collegeville, PA, USA.
John H PowersGeorge Washington University School of Medicine, Washington, DC, USA.

Funding

GlaxoSmithKline GSK study 215031GlaxoSmithKline GSK study 215032Vir Vir-7831-5001
6 · The paper itself

Abstract

purposeA well-defined and reliable patient-reported outcome instrument for COVID-19 is important for assessing symptom severity and supporting research studies. The InFLUenza Patient-Reported Outcome (FLU-PRO) instrument has been expanded to include loss of taste and smell in the FLU-PRO Plus, to comprehensively cover COVID-19 symptoms. Our studies were designed to evaluate and validate the FLU-PRO Plus among patients with COVID-19.

methodsTwo studies were conducted: (1) a qualitative, non-interventional, cross-sectional study of patients with COVID-19 involving hybrid concept elicitation and cognitive debriefing interviews; (2) a psychometric evaluation of the measurement properties of FLU-PRO Plus, using data from COMET-ICE (COVID-19 Monoclonal antibody Efficacy Trial-Intent to Care Early).

resultsIn the qualitative interviews (n = 30), all 34 items of the FLU-PRO Plus were considered relevant to COVID-19, and participants determined the questionnaire was easily understood, well written, and comprehensive. In the psychometric evaluation (n = 845), the internal consistency reliability of FLU-PRO Plus total score was 0.94, ranging from 0.71 to 0.90 for domain scores. Reproducibility (Day 20-21) was 0.83 for total score, with domain scores of 0.67-0.89. Confirmatory factor analysis with the novel smell/taste domain demonstrated an acceptable fit to the data.

conclusionThe content, reliability, validity, and responsiveness of the FLU-PRO Plus in the COVID-19 population were supported. Our results suggest that FLU-PRO Plus is a content- and psychometrically-valid, fit-for-purpose measure which is easily understood by patients. FLU-PRO Plus is a suitable PRO measure for evaluating symptoms of COVID-19 and treatment benefit directly from the patient perspective.

trial registrationClinicalTrials.Gov: NCT04545060, September 10, 2020; retrospectively registered.

Indexed as

COVID-19Influenza, HumanCross-Sectional StudiesHumansPatient Reported Outcome MeasuresPsychometricsQuality of LifeReproducibility of ResultsSurveys and QuestionnairesCOVID-19FLU-PRO PlusPatient-reported outcomePsychometricReliabilityValidity

Identifiers

PMID36703019
PMCPMC9879742

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.