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ArticleOphthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)2025

Development and initial validation of DESCAQ: A Rasch-based computer-adaptive questionnaire for assessing digital eye strain.

Mariano González-Pérez, Ana Barrio, Rosario Susi, Carlos Pérez-Garmendia, Beatriz Antona

Abstract readValidation Study
In one paragraph

Article in Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Article
  2. Psychometric Validation of a Short-Form Spanish Low Vision Quality of Life Questionnaire (SF-SLVQOL) Using Rasch Analysis: From 25 to 6 Items.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
  3. Development and initial validation of DESCAQ: A Rasch-based computer-adaptive questionnaire for assessing digital eye strain.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    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.

Mariano González-PérezOptometry and Vision Department, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain.ORCID https://orcid.org/0000-0001-5967-5000
Ana BarrioOptometry and Vision Department, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain.
Rosario SusiDepartment of Statistics and Data Science, Faculty of Statistical Studies, Complutense University of Madrid, Ciudad Universitaria, Madrid, Spain.
Carlos Pérez-GarmendiaDXC Technology Company, Madrid, Spain.
Beatriz AntonaOptometry and Vision Department, Faculty of Optics and Optometry, Complutense University of Madrid, Madrid, Spain.

Funding

Instituto de Salud Carlos III PI18/00374
6 · The paper itself

Abstract

introductionThe purpose of this study was to develop the Digital Eye Strain Computer Adaptive Questionnaire (DESCAQ), a quick, easy-to-administer test for measuring digital eye strain in 8- to 65-year-old Spanish- and English-speaking individuals. MATERIALS AND

methodsThe Spanish DESCAQ was cross-culturally adapted to English using standardised methods. The English version was administered online to digital device users from the United Kingdom and the United States, and the responses were analysed using the partial credit model. In a simulation study, calibration parameters were employed for the purpose of optimising the configuration of the item bank. Test-retest repeatability was calculated by administering DESCAQ twice within weeks. The first administration's results were compared with Computer Vision Symptom Scale (CVSS)17 scores to assess convergent validity.

resultsThirty-six items fitting the Rasch model were included in the final English version (38 items in the Spanish version). The reliability index was 0.95, sufficient to distinguish statistically up to eight levels of severity along the DES continuum. DESCAQ used 12.20 ± 2.15 items to complete the measure and provided the final score in 120.35 ± 69.18 s. The repeatability limit was 13.35 points and the two-way, single measure Intraclass Correlation Coefficient for test-retest reliability was 0.884 (95% CI, 0.852-0.910). Spearman's correlation between DESCAQ and CVSS17 scores was 0.87 (p < 0.001).

conclusionsThe DESCAQ is a quick, easy-to-interpret tool developed for researchers and clinicians. This web-based tool provides a valid, precise and reliable Digital Eye Strain score, categorised across eight severity levels.

Indexed as

AsthenopiaAdolescentAdultAgedChildFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSurveys and QuestionnairesUnited KingdomYoung Adultasthenopiacomputer adaptive testcomputer vision syndromedigital eye strainquestionnaireRasch analysis

Identifiers

PMID40515550
PMCPMC12357229

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.