Evidence map›Paper›PMID 38498225›Full record

ArticleJournal of patient-reported outcomes2024

Development and content validity testing of a colonoscopy-specific patient-reported experience measure: the Patient Experience Colonoscopy Scale (PECS).

Annica Rosvall, Malin Axelsson, Ervin Toth, Christine Kumlien, Magdalena Annersten Gershater

Registry-linked trialOpen access · goldAbstract readValidation Study
In one paragraph

Article in Journal of patient-reported outcomes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07445828 (Evaluation of Capsule Colonoscopy in Patients With Lynch Syndrome), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
3.4field-weighted citation impact, top 9% 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.

NCT07445828 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluation of Capsule Colonoscopy in Patients With Lynch Syndrome

Typeobservational_patient_registrySponsorRegion SkaneRan2026 to 2029Enrolled78ConditionsLynch SyndromeArmscolon capsule endoscopy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Psychometric Evaluation of the Patient Experience Colonoscopy Scale.Journal of evaluation in clinical practice · 2025
    Article
  2. 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

5 authors at 2 institutions in 1 country.

Annica RosvallDepartment of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden. annica.rosvall@mau.se.ORCID 0000-0003-1213-5618
Malin AxelssonDepartment of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.
Ervin TothDepartment of Gastroenterology, Skåne University Hospital, Malmö, Lund University, Lund, Sweden.
Christine KumlienDepartment of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.
Magdalena Annersten GershaterDepartment of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.
Malmö University · SELund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn endoscopic care, favourable patient experiences before, during and after a colonoscopy are essential for the patient's willingness to repeat the procedure. To ensure that significant experiences are measured, patients should be involved in creating the measurement instruments. Thus, the aim of the present study was to develop a colonoscopy-specific PREM by (1) operationalising patient experiences before, during and after a colonoscopy procedure and (2) evaluating its content validity.

methodsThe colonoscopy-specific PREM was developed in two stages: (1) operationalisation with item generation and (2) content validity testing. A previously developed conceptual model, based on a systematic literature review that illustrates patients' (n = 245) experiences of undergoing a colonoscopy, formed the theoretical basis. To assess the degree to which the PREM reflected patients' experiences before, during and after a colonoscopy procedure, content validity was tested-through face validity with healthcare professionals (n = 4) and cognitive interviews with patients (n = 14) having experienced a colonoscopy. Content validity index (CVI) was calculated to investigate the relevance of the items.

resultsThe Patient Experience Colonoscopy Scale (PECS) is a colonoscopy-specific PREM consisting of five different constructs: health motivation, discomfort, information, a caring relationship and understanding. Each construct was defined and generated into a pool of items (n = 77). After face-validity assessment with healthcare professionals, a draft 52-item version of the PECS was ready for content validity testing by the patients. During cognitive interviews the patients contributed valuable insights that led to rewording and removal of items. Results from the CVI suggest that the PECS and its content are relevant (I-CVI range 0.5-1, S-CVI/Ave = 0.86). The final PECS consists of 30 items representing a colonoscopy-specific PREM.

conclusionThe PECS is a new 30-item PREM instrument designed for adult elective colonoscopy patients after they have undergone the procedure. Each item in the PECS derives from a conceptual model based on a systematic literature review. Patients and healthcare professionals were involved in developing the PECS, which measures colonoscopy-specific patient experiences before, during and after the procedure. The content validity testing positively contributed to the development of the PECS. Psychometric properties need to be evaluated further.

Indexed as

ColonoscopyPatient Outcome AssessmentPatient Reported Outcome MeasuresHumansPsychometricsReproducibility of ResultsSurveys and QuestionnairesSystematic Reviews as TopicCognitive interviewsColonoscopyContent validityContent validity indexFace validityInstrumentPatient experiencePatient-reported experience measureQuality improvementQuestionnaire

Identifiers

PMID38498225
PMCPMC10948700
OpenAlexW4392918486

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.