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Measurement Properties of Patient-Reported Outcome Measures for Diabetes: Systematic Review
Authors:
Wee, P. J. L., Kwan, Y. H., Loh, D. H. F., Phang, J. K., Puar, T. H., Østbye, T., Thumboo, J., Yoon, S., and Low, L. L.
Abstract:
BACKGROUND: The management of diabetes is complex. There is growing recognition of the use of patient-reported outcome measures (PROMs) as a standardized method of obtaining an outlook on patients' functional status and well-being. However, no systematic reviews have summarized the studies that investigate the measurement properties of diabetes PROMs. OBJECTIVE: Our aims were to conduct a systematic review of studies investigating the measurement properties of diabetes PROMs by evaluating the methodological quality and overall level of evidence of these PROMs and to categorize them based on the outcome measures assessed. METHODS: This study was guided by the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. Relevant articles were retrieved from the Embase, PubMed, and PsychINFO databases. The PROMs were evaluated with the COSMIN (COnsensus-based Standards for the selection of health Measurement Instruments) guidelines. RESULTS: A total of 363 articles evaluating the measurement properties of PROMs for diabetes in the adult population were identified, of which 238 unique PROMs from 248 studies reported in 209 articles were validated in the type 2 diabetes population. PROMs with at least a moderate level of evidence for ≥5 of 9 measurement properties include the Chinese version of the Personal Diabetes Questionnaire (C-PDQ), Diabetes Self-Management Instrument Short Form (DSMI-20), and Insulin Treatment Appraisal Scale in Hong Kong primary care patients (C-ITAS-HK), of which the C-PDQ has a "sufficient (+)" rating for >4 measurement properties. A total of 43 PROMs meet the COSMIN guidelines for recommendation for use. CONCLUSIONS: This study identified and synthesized evidence for the measurement properties of 238 unique PROMs for patients with type 2 diabetes and categorized the PROMs according to their outcome measures. These findings may assist clinicians and researchers in selecting appropriate high-quality PROMs for clinical practice and research. TRIAL REGISTRATION: PROSPERO International Prospective Register of Systematic Reviews CRD42020180978; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020180978.
DOI:
10.2196/25002
Journal:
J Med Internet Res
issn:
1438-8871
Publication year:
2021
pages:
e25002
Symptom status:
Cognitive/mental state
Functional status:
Physical functioning
General health perceptions / HRQoL:
Health-related quality of life
Overall quality of life:
Overall quality of life
Age:
Adults (18-65)
Disease:
Endocrine, nutritional and metabolic diseases and related symptoms
PRO / non-PRO:
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
Instrument:
ADDQoL - Audit of Diabetes Dependent Quality of Life (versions: ADDQOL-13; ADDQOL-16; ADDQOL-17; ADDQOL-18; ADDQOL-19) ADS - Appraisal of Diabetes Scale ARMS - Adherence to Refills and Medications Scale Ashok et al. 1/2 Attitude Scale (versions: for Hepatitis B vaccination) Barriers to Exercise Checklist Barriers to Fat Reduction Scale BITQ - Barriers to Insulin Treatment Questionnaire BMQ - Beliefs about Medicines Questionnaire BRCS - Brief Resilient Coping Scale CES-D - Centre for Epidemiologic Studies-Depression Scale (versions: CES-D-R; CES-D-8; CES-D 9; CES-D-10; CES-D-11; CES-D-13; CES-D-15; CES-D-20; CES-D-Children; CES-D-SF; CES-D m) Ch-ASIQ - Chinese Attitudes to Starting Insulin Questionnaire Chernyak et al. CHES-Q - Current Health Satisfaction Questionnaire CHI - Clarke Hypoglycemia Index CIRS - Chronic Illness Resources Survey CUDOS - Clinically Useful Depression Outcome Scale D-39 - Diabetes-39 (versions: D-39 sf) DAAS - Diabetes Adjustment Assessment Scale DAS - Diabetes Attitude Scale (versions: DAS-3 - Third version) DCP - Diabetes Care Profile (Diabetes Educational Profile (originally)) DCS - Depression Cognition Scale DDRQOL - Diabetes Diet-Related Quality Of Life (versions: DDRQOL-R; DDRQOL-9; DDRQOL-R sf) DDS - Diabetes Distress Scale (versions: DDS-2; DDS-3; DDS-4; DDS-17) DDSRS - Depression in Diabetes Self-Rating Scale DES - Diabetes Empowerment Scale DFBC - Diabetes Family Behavior Checklist (versions: DFBC-II) DFS - Diabetes Fatalism Scale DHP - Diabetes Health Profile (versions: DHP-3D; DHP-5D; DHP-1 - DHP type I; DHP-18; DHP-31) DHPSC - Diabetes Health Promotion Self-Care Scale Diabetes Family Support Conflict Scale Diabetes Health Belief Measure DiabMedSat - Diabetes Medication Satisfaction Measure DIAB-Q - Diabetes Intention, Attitude and Behavior Questionnaire DIMS - Diabetes Impact Measurement Scales DKQ - Diabetes Knowledge Questionnaire (DKQ-24- DKQ-24 items) DKT - Diabetes Knowledge Test [alias: DMKT - Diabetes Mellitus Knowledge Test] DMI - Depression in the Medically Ill Questionnaire DMQOL - Diabetes-specific quality of life questionnaire module DMSES - Diabetes Management Self-Efficacy Scale DMSRQ - Diabetes Medication System Rating Questionnaire (versions: DMSRQ-SF; Modified-DMSRQ-SF) DMSS - Diabetes Medication Self-efficacy Scale DOQ - Diabetes Obstacles Questionnaire (versions: DOQ-30) DPMD - Diabetes-specific measure of patient desire to Participate in Medical Decision making DPSS - Diabetes Problem-Solving Scale DQ - Diabetes Questionnaire DQOL - Diabetes Quality of Life (versions: DQOL-R; AsianDQOL; Chinese DQOL-SV; DQOL-8; DQOL-15; DQOL-24; DQOL-34; DQOL-43; DQOL-41; DQOL-46; DQOL-60; DQOL-Y-SF; DQOL-brief; DQOL-Youth) DRNK - Diabetes-Related Nutrition Knowledge questionnaire DSAS-2 - Type 2 Diabetes Stigma Assessment Scale DSCAS - Diabetes Self-Care Agency Scale DSC - Diabetes Symptom Checklist (versions: DSC-Type 2 - Type 2 diabetes; DSC-R - DSC-revised) DSEQ - Self-Efficacy for Diabetes Questionnaire DSES - Diabetes Self-Efficacy Scale D-SMART - Diabetes Self-management Assessment Report Tool DSMB-O - Diabetes Self-Management Behavior for Older DSMI - Diabetes self-management instrument DSMQ - Diabetes self-management questionnaire DSMS - Diabetes Self-Management Scale DSSCI - Diabetes Symptom Self-Care Inventory DTSQ - Diabetes Treatment Satisfaction Questionnaire EDS - Edinburgh Depression Scale (versions: BEDS - Brief EDS) Elasy et al. EQ-5D-3L - euroQoL 5-dimension 3-level EQ-5D-5L - euroQoL 5-dimension 5-level EQ-5D - EuroQoL-5 Dimensions (versions: EQ5D-VAS; Patient-Reported Health Score; EQ-5D-Pso - EQ-5D-Psoriasis) ESS - Exercise Self-efficacy Scale ES-SMBPA-2D - Evaluation Scale for Self-Management Behavior related to Physical Activity of type 2 diabetic patients FACIT-F - Functional Assessment of Chronic Illness Therapy- Fatigue Scale FCCHL - Functional, Communicative, and Critical Health Literacy Scale FH-15 - Fear of Hypoglycemia 15-item scale Food Habits Questionnaire FSS - Family Support Scale GCQ - General Coping Questionnaire Given Health Belief Instrument HADS - Hospital Anxiety and Depression Scale HAPA-based PA inventory - Health Action Process Approach-based Physical Activity inventory Hara et al. HCCQ - Health Care Climate Questionnaire Health Belief Measures Health Belief Model Scale HLS-DM - Health Literacy Scale for Diabetes Mellitus HLS-EU-Q47 - : European Health Literacy Survey Questionnaire HLS/SNS - Health Literacy Scale/Subjective Numeracy Scale HPQ - Hypoglycemia Perspectives Questionnaire HSQ - Health Status Questionnaire (versions: HSQ-v2.0) HUI-2 - Health Utilities Index Mark 2 HUI-3 - Health Utilities Index-Mark 3 IITQ - Inhaled Insulin Treatment Questionnaire IMDSES - Insulin Management Diabetes Self-Efficacy Scale INAAP-DM2 - Self-care Assessment Instrument for patients with type 2 diabetes mellitus IPQ - Illness Perceptions Questionnaire (versions: M-IPQ; IPQ-R; IPQ-R BCRL - IPQ-R-breast cancer-related lymphoedema; B-IPQ/BIPQ - Brief-IPQ; IPQ-Schizophrenia; BIPQ-P - BIPQ-Physician point of view; IPQ-RDE - IPQ Revised for Dental Use in Older/Elder Adults) ITAS - Insulin Treatment Appraisal Scale ITEQ - Insulin Treatment Experience Questionnaire ITSQ - Insulin Treatment Satisfaction Questionnaire IW-SP - Impact of Weight on Self-Perceptions Questionnaire MAS - Medication Adherence Scale [SEE: MMAS] (versions: MALMAS - Malaysian MAS) MAT - Measurement of Adherence to Drug Therapy in Diabetes Mellitus (versions: MAT OADs - MAT-Oral Antidiabetics; MAT insuline - MAT Insulin Therapy) MDQ - Multidimensional Diabetes Questionnaire Medical Prescription Knowledge questionnaire MENQOL - Menopause-specific Quality of Life Questionnaire (versions: MENQOL intervention) MGLS - Morisky Green Levine Adherence Scale Miller et al. MMAS/Morisky Scale - Morisky Medication Adherence Scale [alias: MAS] (MIAS - MMAS adapted to specify insuline adherence) Naegeli et al. OHA-Q - Oral Hypoglycemic Agent Questionnaire PACIC - Patient Assessment of Chronic Illness Care PAID - Problem Areas in Diabetes scale (versions: PAID-Child; PAID-T - PAID-Teen; PAID-Peds; PAID-1; PAID-5; PAID-11; PAID-SF; PAID-16; PAID-20) PAM - Patient Activation Measure (versions: PAM-13) PCSD - Perceived Competence Scale for Diabetes PDDC - Perceived Diabetes and Dietary Competence measure PDQ-11 - Personal Diabetes Questionnaire PGWBI - Psychological General Well-Being index [alias: PGWB] (versions: PGWBI-S - short form) PHQ - Patient Health Questionnaire (versions: PHQ-2; PHQ-4; PHQ-8; PHQ-9; PHQ-9 short; aPHQ-9; PHQ-A; PHQ-22; PHQ-8; PHQ-15) PRO-DM-Thai - Patient-Reported Outcomes instrument for Thai patients with Type 2 Diabetes Mellitus PROMIS Sleep (versions: Sleep Disturbance-SF; Sleep Related Impairment) PTES - Perceived Therapeutic Efficacy Scale QOLID - Quality of Life Instrument for Indian Diabetes patients (versions: QOLSID - QOL for Iraqi) Relationship Consciousness of Japanese Patients with Type 2 Diabetes Mellitus Scale RSSM - Resources and Support for Chronic illness Self-management scale Sato et al. SCAD - Silverstone Concise Assessment for Depression SCI - Self-Care Inventory (versions: SCI-R - SCI-Revised) SDSCA - Summary of Diabetes Self-Care Activities SE-Type 2 - Self-Efficacy scale for patients with type 2 diabetes mellitus SF-12 - 12-item Short Form Health Survey [alias: RAND-12] (versions: SF-12v2; VR-12 - Veterans SF-12; SF-12 MCS; SF-12 PCS) SF-36 - 36-item Short Form Health Survey [alias: RAND-36][alias: MOS SF-36]] (versions: VSF-36 LoA - Visual Version of the SF-36 Limitations of Physical Activities domain; VR-36 - Veterans SF-36) database.cosmin.nl Situational Self-Efficacy Scales SMP-T2D - self-management profile for type 2 diabetes SR-4 - Self-Report-4 items SSS - Self-Stigma Scale STOP-BANG questionnaire SUGAAR - Self-Care Utility Geriatric African-American Rating T2DHPS - Type 2 Diabetes and Health Promotion Scale TBQ - Treatment Burden Questionnaire (versions: MTBQ - Multimorbidity TBQ; DTBQ - Diabetic TBQ) WBQ - Well-Being Questionnaire [alias: W-BQ] (versions: WBQ-12; WBQ-18; WBQ-22; WBQ-28) WHO-5 - WHO-5 Well-Being Scale/Index (versions: WHO-10) WHOQOL-100 - World Health Organization Quality Of Life Assessment Instrument 100 items WHOQOL-BREF - World Health Organization Quality of Life questionnaire–Abbreviated Questionnaire (versions: WHOQOL-HIV-BREF; WHOQOL-BREF dialysis) Zongo et al. 1 and 2
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