Evidence map›Paper›PMID 37535409›Full record

ArticleJournal of medical Internet research2023

Smartphone App-Based and Paper-Based Patient-Reported Outcomes Using a Disease-Specific Questionnaire for Dry Eye Disease: Randomized Crossover Equivalence Study.

Ken Nagino, Yuichi Okumura, Yasutsugu Akasaki, Kenta Fujio, Tianxiang Huang, Jaemyoung Sung, Akie Midorikawa-Inomata, Keiichi Fujimoto, Atsuko Eguchi, Shokirova Hurramhon and 8 more

Open access · goldAbstract readEquivalence Trial
In one paragraph

Article in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

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

18 authors at 2 institutions in 1 country.

Ken NaginoDepartment of Hospital Administration, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-0317-6074
Yuichi OkumuraDepartment of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-5521-5469
Yasutsugu AkasakiDepartment of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0001-9527-0115
Kenta FujioDepartment of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-8472-0800
Tianxiang HuangDepartment of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0001-8867-1367
Jaemyoung SungDepartment of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-9441-3687
Akie Midorikawa-InomataDepartment of Hospital Administration, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-6054-5710
Keiichi FujimotoDepartment of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0003-0420-0782
Atsuko EguchiDepartment of Hospital Administration, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-5540-055X
Shokirova HurramhonDepartment of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0009-0007-7876-0842
Alan YeeDepartment of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-5613-9613
Maria MiuraDepartment of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-2600-2085
Mizu OhnoDepartment of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-1835-7038
Kunihiko HirosawaDepartment of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0001-6775-3697
Yuki MorookaDepartment of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-0461-2659
Akira MurakamiDepartment of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-0022-2514
Hiroyuki KobayashiDepartment of Hospital Administration, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0001-7441-5610
Takenori InomataDepartment of Hospital Administration, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0003-3435-1055
Juntendo University · JPJuntendo University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUsing traditional patient-reported outcomes (PROs), such as paper-based questionnaires, is cumbersome in the era of web-based medical consultation and telemedicine. Electronic PROs may reduce the burden on patients if implemented widely. Considering promising reports of DryEyeRhythm, our in-house mHealth smartphone app for investigating dry eye disease (DED) and the electronic and paper-based Ocular Surface Disease Index (OSDI) should be evaluated and compared to determine their equivalency.

objectiveThe purpose of this study is to assess the equivalence between smartphone app-based and paper-based questionnaires for DED.

methodsThis prospective, nonblinded, randomized crossover study enrolled 34 participants between April 2022 and June 2022 at a university hospital in Japan. The participants were allocated randomly into 2 groups in a 1:1 ratio. The paper-app group initially responded to the paper-based Japanese version of the OSDI (J-OSDI), followed by the app-based J-OSDI. The app-paper group responded to similar questionnaires but in reverse order. We performed an equivalence test based on minimal clinically important differences to assess the equivalence of the J-OSDI total scores between the 2 platforms (paper-based vs app-based). A 95% CI of the mean difference between the J-OSDI total scores within the ±7.0 range between the 2 platforms indicated equivalence. The internal consistency and agreement of the app-based J-OSDI were assessed with Cronbach α coefficients and intraclass correlation coefficient values.

resultsA total of 33 participants were included in this study. The total scores for the app- and paper-based J-OSDI indicated satisfactory equivalence per our study definition (mean difference 1.8, 95% CI -1.4 to 5.0). Moreover, the app-based J-OSDI total score demonstrated good internal consistency and agreement (Cronbach α=.958; intraclass correlation=0.919; 95% CI 0.842 to 0.959) and was significantly correlated with its paper-based counterpart (Pearson correlation=0.932, P<.001).

conclusionsThis study demonstrated the equivalence of PROs between the app- and paper-based J-OSDI. Implementing the app-based J-OSDI in various scenarios, including telehealth, may have implications for the early diagnosis of DED and longitudinal monitoring of PROs.

Indexed as

Dry Eye SyndromesMobile ApplicationsCross-Over StudiesHumansProspective StudiesSmartphoneSurveys and Questionnairesdry eye syndromeequivalence trialmobile appmobile healthOcular Surface Disease Indexpatient-reported outcome measuresprecision medicinereliabilitytelemedicinevalidity

Identifiers

PMID37535409
PMCPMC10436120
OpenAlexW4385514519

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.