Introduction and validation of the open symptom framework: a public domain modular framework for patient-reported measurement of symptoms related to cancer and its treatment.
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| Title: | Introduction and validation of the open symptom framework: a public domain modular framework for patient-reported measurement of symptoms related to cancer and its treatment. |
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| Authors: | Gibbons, C. (AUTHOR), Brown, G. (AUTHOR), Lu, S. C. (AUTHOR), Elrick, A. (AUTHOR), Tang, Y. (AUTHOR), Kaufman, M. (AUTHOR), Williams, M. (AUTHOR), Xu, C. (AUTHOR), Harrison, C. (AUTHOR), Swisher, C. (AUTHOR) |
| Source: | Quality of Life Research. Sep2024, Vol. 33 Issue 9, p2349-2358. 10p. |
| Subjects: | Item response theory, Symptom burden, Psychometrics, Test validity, Public domain |
| Abstract: | Purpose: We provide an initial description and validation of some public domain patient-reported outcome (PRO) items to assess cancer symptom burden to address immediate barriers to symptom assessment use in clinical practice and facilitate future research. Methods: We created the Open Symptom Framework (OSF), a flexible tool for clinical cancer-related symptom assessment. The items comprise six components: recall period, concept, symptom, qualifier(s), a definition, and a 5-point Likert-type response. We recruited patients receiving cancer therapy in the United States and United Kingdom. We assessed external construct validity by comparing OSF scores to the PRO-CTCAE measure and assessed reliability, scalability, dimensionality, and item ordering within a non-parametric item response theory framework. We tested differential item functioning for country, age, gender, and level of education. Results: We developed a framework alongside clinical and psychometric experts and debrieifed with 10 patients. For validation, we recruited 331patients. All items correlated with the PRO-CTCAE equivalents (r = 0.55–0.96, all p < 0.01). Mokken analysis confirmed the scalability and unidimensionality of all symptom scales with multiple items at the scale (Ho = 0.61–0.75) and item level (Hi = 0.60–0.76). Items are interpreted consistently between demographic groups (Crit = 0 for all groups). Conclusion: The public domain OSF has excellent psychometric properties including face, content, and criterion validity and can facilitate the development of flexible, robust measurements to fulfil stakeholder need. The OSF was designed specifically to support clinical assessment but will function well for research. Further work is planned to increase the number of symptoms and number of questions per symptom within the framework. [ABSTRACT FROM AUTHOR] |
| Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 179574253 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Introduction and validation of the open symptom framework: a public domain modular framework for patient-reported measurement of symptoms related to cancer and its treatment. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Gibbons%2C+C%2E%22">Gibbons, C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brown%2C+G%2E%22">Brown, G.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lu%2C+S%2E+C%2E%22">Lu, S. C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Elrick%2C+A%2E%22">Elrick, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tang%2C+Y%2E%22">Tang, Y.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kaufman%2C+M%2E%22">Kaufman, M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Williams%2C+M%2E%22">Williams, M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Xu%2C+C%2E%22">Xu, C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Harrison%2C+C%2E%22">Harrison, C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Swisher%2C+C%2E%22">Swisher, C.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Quality+of+Life+Research%22">Quality of Life Research</searchLink>. Sep2024, Vol. 33 Issue 9, p2349-2358. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Item+response+theory%22">Item response theory</searchLink><br /><searchLink fieldCode="DE" term="%22Symptom+burden%22">Symptom burden</searchLink><br /><searchLink fieldCode="DE" term="%22Psychometrics%22">Psychometrics</searchLink><br /><searchLink fieldCode="DE" term="%22Test+validity%22">Test validity</searchLink><br /><searchLink fieldCode="DE" term="%22Public+domain%22">Public domain</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: We provide an initial description and validation of some public domain patient-reported outcome (PRO) items to assess cancer symptom burden to address immediate barriers to symptom assessment use in clinical practice and facilitate future research. Methods: We created the Open Symptom Framework (OSF), a flexible tool for clinical cancer-related symptom assessment. The items comprise six components: recall period, concept, symptom, qualifier(s), a definition, and a 5-point Likert-type response. We recruited patients receiving cancer therapy in the United States and United Kingdom. We assessed external construct validity by comparing OSF scores to the PRO-CTCAE measure and assessed reliability, scalability, dimensionality, and item ordering within a non-parametric item response theory framework. We tested differential item functioning for country, age, gender, and level of education. Results: We developed a framework alongside clinical and psychometric experts and debrieifed with 10 patients. For validation, we recruited 331patients. All items correlated with the PRO-CTCAE equivalents (r = 0.55–0.96, all p < 0.01). Mokken analysis confirmed the scalability and unidimensionality of all symptom scales with multiple items at the scale (Ho = 0.61–0.75) and item level (Hi = 0.60–0.76). Items are interpreted consistently between demographic groups (Crit = 0 for all groups). Conclusion: The public domain OSF has excellent psychometric properties including face, content, and criterion validity and can facilitate the development of flexible, robust measurements to fulfil stakeholder need. The OSF was designed specifically to support clinical assessment but will function well for research. Further work is planned to increase the number of symptoms and number of questions per symptom within the framework. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s11136-024-03656-6 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 2349 Subjects: – SubjectFull: Item response theory Type: general – SubjectFull: Symptom burden Type: general – SubjectFull: Psychometrics Type: general – SubjectFull: Test validity Type: general – SubjectFull: Public domain Type: general Titles: – TitleFull: Introduction and validation of the open symptom framework: a public domain modular framework for patient-reported measurement of symptoms related to cancer and its treatment. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Gibbons, C. – PersonEntity: Name: NameFull: Brown, G. – PersonEntity: Name: NameFull: Lu, S. C. – PersonEntity: Name: NameFull: Elrick, A. – PersonEntity: Name: NameFull: Tang, Y. – PersonEntity: Name: NameFull: Kaufman, M. – PersonEntity: Name: NameFull: Williams, M. – PersonEntity: Name: NameFull: Xu, C. – PersonEntity: Name: NameFull: Harrison, C. – PersonEntity: Name: NameFull: Swisher, C. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 09629343 Numbering: – Type: volume Value: 33 – Type: issue Value: 9 Titles: – TitleFull: Quality of Life Research Type: main |
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