The Process of Developing a Disease Activity Index in Microscopic Colitis

Autores da FMUP
Participantes de fora da FMUP
- Lesnovska, Katarina Pihl
- Munch, Andreas
- Bonderup, Ole
- Kupcinskas, Juozas
- Zabana, Yamile
- Tontini, Gian Eugenio
- Munck, Lars Kristian
- Guagnozzi, Danila
- Latella, Giovanni
- Fernandez-Banares, Fernando
- Miehlke, Stephan
- Madisch, Ahmed
- Wildt, Signe
- Hjortswang, Henrik
Unidades de investigação
Abstract
Background and Aims: Patient-reported outcome measures [PROMs] aim to measure patients' perception of how their disorder influences everyday functioning. The objective of this study was to develop a PROM to assess disease activity in microscopic colitis [MC] fulfilling the requirements of the Food and Drug Administration [FDA]. Methods: The European Microscopic Colitis Activity Index [E-MCAT] was developed in four steps. [1] A list of symptoms associated with active MC was created by a group of experts in the field. [2] Content validity of the symptoms was performed by experts [n= 14] and patients [n = 79] using the Content Validity Index. [3] Questions and response alternatives were created for each symptom, and validity of the E-MCAI was evaluated with cognitive interviews with patients [n= 7] and by the experts. [4] A pilot postal survey was performed to ensure usability. Results: Seven of the symptoms related to active MC fulfilled the criteria for content validity and were included in the E-MCAI: stool consistency, stool frequency, stools at night, feel a need to pass more stools shortly after a bowel movement, urgent need to empty the bowel, leakage of stool and abdominal pain.The development and validation process resulted in the current version of the E-MCAI consisting of six questions related to MC. Conclusions: The E-MCAI was developed using the methods advocated by the FDA.The evaluation indicates good content validity. Further evaluation will be performed to achieve construct validity, reliability and responsiveness in future cross-sectional and longitudinal studies.
Dados da publicação
- ISSN/ISSNe:
- 1873-9946, 1876-4479
- Tipo:
- Article
- Páginas:
- 452-459
- Link para outro recurso:
- www.scopus.com
JOURNAL OF CROHNS & COLITIS Oxford University Press
Citações Recebidas na Web of Science: 5
Citações Recebidas na Scopus: 5
Documentos
- Não há documentos
Filiações
Keywords
- Microscopic colitis; PROM; disease activity index; instrument development
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Citar a publicação
Lesnovska KP,Munch A,Bonderup O,Magro F,Kupcinskas J,Zabana Y,Tontini GE,Munck LK,Guagnozzi D,Latella G,Fernandez F,Miehlke S,Madisch A,Wildt S,Hjortswang H. The Process of Developing a Disease Activity Index in Microscopic Colitis. J. Crohn's Colitis. 2022. 16. (3):p. 452-459. IF:8,000. (1).