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Published in: Current Diabetes Reports 9/2022

Open Access 11-07-2022 | Type 2 Diabetes | Diabetes Epidemiology (H-C Yeh, Section Editor)

Content Validity of Patient-Reported Outcome Measures Developed for Assessing Health-Related Quality of Life in People with Type 2 Diabetes Mellitus: a Systematic Review

Authors: Caroline B. Terwee, Petra J. M. Elders, Marlous Langendoen-Gort, Ellen B. M. Elsman, Cecilia A. C. Prinsen, Amber A. van der Heijden, Maartje de Wit, Joline W. J. Beulens, Lidwine B. Mokkink, Femke Rutters

Published in: Current Diabetes Reports | Issue 9/2022

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Abstract

Purpose of review

We aimed to systematically evaluate the content validity of patient-reported outcome measures (PROMs) specifically developed to measure (aspects of) health-related quality of life (HRQOL) in people with type 2 diabetes. A systematic review was performed in PubMed and Embase of PROMs measuring perceived symptoms, physical function, mental function, social function/participation, and general health perceptions, and that were validated to at least some extent. Content validity (relevance, comprehensiveness, and comprehensibility) was evaluated using COSMIN methodology.

Recent findings

We identified 54 (different versions of) PROMs, containing 150 subscales. We found evidence for sufficient content validity for only 41/150 (27%) (subscales of) PROMs. The quality of evidence was generally very low. We found 66 out of 150 (44%) (subscales of) PROMs with evidence for either insufficient relevance, insufficient comprehensiveness, or insufficient comprehensibility. For measuring diabetes-specific symptoms, physical function, mental function, social function/participation, and general health perceptions, we identified one to 11 (subscales of) PROMs with sufficient content validity, although quality of the evidence was generally low. For measuring depressive symptoms, no PROM with sufficient content validity was identified.

Summary

For each aspect of HRQL, we found at least one PROM with sufficient content validity, except for depressive symptoms. The quality of the evidence was mostly very low.
Appendix
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Metadata
Title
Content Validity of Patient-Reported Outcome Measures Developed for Assessing Health-Related Quality of Life in People with Type 2 Diabetes Mellitus: a Systematic Review
Authors
Caroline B. Terwee
Petra J. M. Elders
Marlous Langendoen-Gort
Ellen B. M. Elsman
Cecilia A. C. Prinsen
Amber A. van der Heijden
Maartje de Wit
Joline W. J. Beulens
Lidwine B. Mokkink
Femke Rutters
Publication date
11-07-2022
Publisher
Springer US
Keyword
Type 2 Diabetes
Published in
Current Diabetes Reports / Issue 9/2022
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-022-01482-z

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