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Patient perspectives on recall period and response options in patient‐reported outcome measures for chronic rhinosinusitis symptomatology: An international multi‐centered study

Background Existing patient‐reported outcome measures (PROMs) for chronic rhinosinusitis (CRS) use a variety of recall periods and response scales to assess CRS symptom burden. Global perspectives of CRS patients regarding optimal recall periods and response scales for CRS PROMs are unknown. Methods...

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Published in:International forum of allergy & rhinology 2024-05, Vol.14 (5), p.898-908
Main Authors: Sedaghat, Ahmad R., Derbarsegian, Armo, Yu, Victor T., Alsayed, Ahmed, Bitner, Benjamin F., Yeom, Brian, Liu, David T., Schneider, Sven, Adams, Sarah M., Houssein, Firas A., Walters, Zoe A., Tripathi, Siddhant, Walker, Victoria L., Singerman, Kyle W., Meier, Josh C., Kim, Raymond, Kuan, Edward C., Alsaleh, Saad, Phillips, Katie M.
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container_issue 5
container_start_page 898
container_title International forum of allergy & rhinology
container_volume 14
creator Sedaghat, Ahmad R.
Derbarsegian, Armo
Yu, Victor T.
Alsayed, Ahmed
Bitner, Benjamin F.
Yeom, Brian
Liu, David T.
Schneider, Sven
Adams, Sarah M.
Houssein, Firas A.
Walters, Zoe A.
Tripathi, Siddhant
Walker, Victoria L.
Singerman, Kyle W.
Meier, Josh C.
Kim, Raymond
Kuan, Edward C.
Alsaleh, Saad
Phillips, Katie M.
description Background Existing patient‐reported outcome measures (PROMs) for chronic rhinosinusitis (CRS) use a variety of recall periods and response scales to assess CRS symptom burden. Global perspectives of CRS patients regarding optimal recall periods and response scales for CRS PROMs are unknown. Methods This was a multi‐center, cross‐sectional study recruiting 461 CRS patients from sites across the United States, Saudi Arabia, New Zealand, and Austria. Participants chose which CRS symptom recall period (1 day, 2 weeks, 1 month, >1 month) was most reflective of their current disease state and upon which to best base treatment recommendations (including surgery). Participants also chose which of six response scales (one visual analogue scale and five Likert scales ranging from four to eight items) was easiest to use, understand, and preferred. Results A plurality of participants (40.0%) felt their CRS symptoms’ current state was best reflected by a 1‐month recall period. However, most patients (56.9%) preferred treatment recommendations to be determined by symptoms experienced over a >1 month period. The four‐ and five‐item Likert scales were the easiest to understand (26.0% and 25.4%, respectively) and use (23.4% and 26.7%, respectively). The five‐item (26.4% rating it most preferred and 70.9% rating it preferred) and four‐item Likert (22.3% rating it most preferred and 56.4% rating it preferred) response scales were most preferred. Conclusion Future PROMs for CRS should consider assessment of symptoms over a 1‐month period and use a four‐ or five‐item Likert response scale to reflect global patient preferences. These findings also inform interpretation of current CRS PROMs.
doi_str_mv 10.1002/alr.23280
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Global perspectives of CRS patients regarding optimal recall periods and response scales for CRS PROMs are unknown. Methods This was a multi‐center, cross‐sectional study recruiting 461 CRS patients from sites across the United States, Saudi Arabia, New Zealand, and Austria. Participants chose which CRS symptom recall period (1 day, 2 weeks, 1 month, &gt;1 month) was most reflective of their current disease state and upon which to best base treatment recommendations (including surgery). Participants also chose which of six response scales (one visual analogue scale and five Likert scales ranging from four to eight items) was easiest to use, understand, and preferred. Results A plurality of participants (40.0%) felt their CRS symptoms’ current state was best reflected by a 1‐month recall period. However, most patients (56.9%) preferred treatment recommendations to be determined by symptoms experienced over a &gt;1 month period. The four‐ and five‐item Likert scales were the easiest to understand (26.0% and 25.4%, respectively) and use (23.4% and 26.7%, respectively). The five‐item (26.4% rating it most preferred and 70.9% rating it preferred) and four‐item Likert (22.3% rating it most preferred and 56.4% rating it preferred) response scales were most preferred. Conclusion Future PROMs for CRS should consider assessment of symptoms over a 1‐month period and use a four‐ or five‐item Likert response scale to reflect global patient preferences. These findings also inform interpretation of current CRS PROMs.</description><identifier>ISSN: 2042-6976</identifier><identifier>EISSN: 2042-6984</identifier><identifier>DOI: 10.1002/alr.23280</identifier><identifier>PMID: 37788156</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Chronic Disease ; chronic rhinosinusitis ; Cross-Sectional Studies ; design ; Female ; Humans ; Male ; Mental Recall ; Middle Aged ; Patient Reported Outcome Measures ; Patients ; patient‐reported outcome ; PROM ; recall ; response ; Rhinosinusitis ; Rhinosinusitis - diagnosis ; Rhinosinusitis - therapy ; scale ; Young Adult</subject><ispartof>International forum of allergy &amp; rhinology, 2024-05, Vol.14 (5), p.898-908</ispartof><rights>2023 The Authors. published by Wiley Periodicals LLC on behalf of American Academy of Otolaryngic Allergy and American Rhinologic Society.</rights><rights>2023 The Authors. 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Global perspectives of CRS patients regarding optimal recall periods and response scales for CRS PROMs are unknown. Methods This was a multi‐center, cross‐sectional study recruiting 461 CRS patients from sites across the United States, Saudi Arabia, New Zealand, and Austria. Participants chose which CRS symptom recall period (1 day, 2 weeks, 1 month, &gt;1 month) was most reflective of their current disease state and upon which to best base treatment recommendations (including surgery). Participants also chose which of six response scales (one visual analogue scale and five Likert scales ranging from four to eight items) was easiest to use, understand, and preferred. Results A plurality of participants (40.0%) felt their CRS symptoms’ current state was best reflected by a 1‐month recall period. However, most patients (56.9%) preferred treatment recommendations to be determined by symptoms experienced over a &gt;1 month period. The four‐ and five‐item Likert scales were the easiest to understand (26.0% and 25.4%, respectively) and use (23.4% and 26.7%, respectively). The five‐item (26.4% rating it most preferred and 70.9% rating it preferred) and four‐item Likert (22.3% rating it most preferred and 56.4% rating it preferred) response scales were most preferred. Conclusion Future PROMs for CRS should consider assessment of symptoms over a 1‐month period and use a four‐ or five‐item Likert response scale to reflect global patient preferences. 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rhinology</jtitle><addtitle>Int Forum Allergy Rhinol</addtitle><date>2024-05</date><risdate>2024</risdate><volume>14</volume><issue>5</issue><spage>898</spage><epage>908</epage><pages>898-908</pages><issn>2042-6976</issn><eissn>2042-6984</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Background Existing patient‐reported outcome measures (PROMs) for chronic rhinosinusitis (CRS) use a variety of recall periods and response scales to assess CRS symptom burden. Global perspectives of CRS patients regarding optimal recall periods and response scales for CRS PROMs are unknown. Methods This was a multi‐center, cross‐sectional study recruiting 461 CRS patients from sites across the United States, Saudi Arabia, New Zealand, and Austria. Participants chose which CRS symptom recall period (1 day, 2 weeks, 1 month, &gt;1 month) was most reflective of their current disease state and upon which to best base treatment recommendations (including surgery). Participants also chose which of six response scales (one visual analogue scale and five Likert scales ranging from four to eight items) was easiest to use, understand, and preferred. Results A plurality of participants (40.0%) felt their CRS symptoms’ current state was best reflected by a 1‐month recall period. However, most patients (56.9%) preferred treatment recommendations to be determined by symptoms experienced over a &gt;1 month period. The four‐ and five‐item Likert scales were the easiest to understand (26.0% and 25.4%, respectively) and use (23.4% and 26.7%, respectively). The five‐item (26.4% rating it most preferred and 70.9% rating it preferred) and four‐item Likert (22.3% rating it most preferred and 56.4% rating it preferred) response scales were most preferred. Conclusion Future PROMs for CRS should consider assessment of symptoms over a 1‐month period and use a four‐ or five‐item Likert response scale to reflect global patient preferences. These findings also inform interpretation of current CRS PROMs.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37788156</pmid><doi>10.1002/alr.23280</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-3475-0718</orcidid><orcidid>https://orcid.org/0000-0002-1236-2098</orcidid><orcidid>https://orcid.org/0000-0002-9869-8114</orcidid><orcidid>https://orcid.org/0000-0001-6948-737X</orcidid><orcidid>https://orcid.org/0000-0001-6331-2325</orcidid><orcidid>https://orcid.org/0000-0002-8792-231X</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley Online Library
subjects Adult
Aged
Chronic Disease
chronic rhinosinusitis
Cross-Sectional Studies
design
Female
Humans
Male
Mental Recall
Middle Aged
Patient Reported Outcome Measures
Patients
patient‐reported outcome
PROM
recall
response
Rhinosinusitis
Rhinosinusitis - diagnosis
Rhinosinusitis - therapy
scale
Young Adult
title Patient perspectives on recall period and response options in patient‐reported outcome measures for chronic rhinosinusitis symptomatology: An international multi‐centered study
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