Skip to main content
Top
Published in: Clinical Drug Investigation 8/2009

01-08-2009 | Original Research Article

Criterion Validity of the ARthritis Treatment Satisfaction (ARTS) Questionnaire

Patient Satisfaction with Treatment and Need for Switching Therapy

Authors: Dr Javier Rejas, Jordi Monfort, Miguel A. Campillo, Miguel A. Ruiz, Antonio Pardo, Javier Soto

Published in: Clinical Drug Investigation | Issue 8/2009

Login to get access

Abstract

Background and objective: The ARthritis Treatment Satisfaction (ARTS) questionnaire specifically assesses patients’ satisfaction with osteoarthritis treatment. However, its usefulness is limited since its criterion validity is unknown. The goal of this research was to analyse the criterion validity of the questionnaire in order to identify a cut-off value able to differentiate patients who are satisfied and those who are unsatisfied with osteoarthritis treatment and to establish the possible need for switching therapy.
Methods: We used responses to the ARTS questionnaire from outpatients with osteoarthritis included in an open-label, non-controlled, naturalistic, prospective switching therapy study. In addition, patients’ responses to two questions on satisfaction with treatment and osteoarthritis-related health status were recorded. Receiver operative characteristic (ROC) curve analyses with estimators of validity were determined. The correlation between responses to the ARTS questionnaire, the question regarding satisfaction with treatment, and the osteoarthritis-related health status assessment were also analysed.
Results: A total of 1756 male and female subjects were enrolled in the study. ROC curve analysis identified a cut-off point of ≥61 points as optimal for the criterion validity estimators of sensitivity (0.86), specificity (0.83), and positive (0.87) and negative (0.81) predictive values. This threshold value was used to identify patients satisfied with treatment and patients with a need to switch therapy (k coefficient of agreement 0.68 and 0.66, respectively). ARTS questionnaire scoring correlated with satisfaction with treatment (p < 0.0001), and with patient (r=0.655, p < 0.0001) and investigator (r=0.565, p < 0.0001) health status assessments.
Conclusion: The ARTS questionnaire was able to identify patients satisfied with treatment and those with a need to switch their osteoarthritis therapy.
Literature
1.
go back to reference Corti MC, Rigon C. Epidemiology of osteoarthritis: prevalence, risk factors and functional impact. Aging Clin Exp Res 2003; 15: 359–63PubMed Corti MC, Rigon C. Epidemiology of osteoarthritis: prevalence, risk factors and functional impact. Aging Clin Exp Res 2003; 15: 359–63PubMed
2.
go back to reference Buckwalter JA, Saltzman C, Brown T. The impact of osteoarthritis: implications for research. Clin Orthop Relat Res 2004; 427 Suppl.: S6–15PubMedCrossRef Buckwalter JA, Saltzman C, Brown T. The impact of osteoarthritis: implications for research. Clin Orthop Relat Res 2004; 427 Suppl.: S6–15PubMedCrossRef
3.
go back to reference Espallargues M, Alonso J, Ruigómez A, et al. Los trastornos osteoarticulares en los ancianos: una aproximación a su impacto poblacional. Med Clin (Barc) 1996; 106: 601–6 Espallargues M, Alonso J, Ruigómez A, et al. Los trastornos osteoarticulares en los ancianos: una aproximación a su impacto poblacional. Med Clin (Barc) 1996; 106: 601–6
4.
go back to reference American College of Rheumatology. Recommendations for the medical management of osteoarthritis of the hip and knee. Arthritis Rheum 2000; 43: 1905–15CrossRef American College of Rheumatology. Recommendations for the medical management of osteoarthritis of the hip and knee. Arthritis Rheum 2000; 43: 1905–15CrossRef
5.
go back to reference Kosinski M, Zhao SZ, Dedhiya S, et al. Determining minimally important changes in generic and disease-specific health-related quality of life questionnaires in clinical trials of rheumatoid arthritis. Arthritis Rheum 2000; 43: 1478–87PubMedCrossRef Kosinski M, Zhao SZ, Dedhiya S, et al. Determining minimally important changes in generic and disease-specific health-related quality of life questionnaires in clinical trials of rheumatoid arthritis. Arthritis Rheum 2000; 43: 1478–87PubMedCrossRef
6.
go back to reference Manek NJ, Lane NE. Osteoarthritis: current concepts in diagnosis and management. Am Fam Physician 2000; 61: 1795–804PubMed Manek NJ, Lane NE. Osteoarthritis: current concepts in diagnosis and management. Am Fam Physician 2000; 61: 1795–804PubMed
7.
go back to reference Russell RI. Defining patients at risk of non-steroidal antiinflammatory drug gastropathy. Ital J Gastroenterol Hepatol 1999; 31: S14–8PubMed Russell RI. Defining patients at risk of non-steroidal antiinflammatory drug gastropathy. Ital J Gastroenterol Hepatol 1999; 31: S14–8PubMed
8.
go back to reference Griffin MR, Piper JM, Daugherty JR, et al. Nonsteroidal anti-inflammatory drug use and increased risk for peptic ulcer disease in elderly persons. Ann Intern Med 1991; 114: 257–63PubMed Griffin MR, Piper JM, Daugherty JR, et al. Nonsteroidal anti-inflammatory drug use and increased risk for peptic ulcer disease in elderly persons. Ann Intern Med 1991; 114: 257–63PubMed
9.
go back to reference Smalley WE, Griffin MR. The risks and costs of upper gastrointestinal disease attributable to NSAIDs. Gastroenterol Clin North Am 1996; 25: 373–96 Smalley WE, Griffin MR. The risks and costs of upper gastrointestinal disease attributable to NSAIDs. Gastroenterol Clin North Am 1996; 25: 373–96
10.
go back to reference Davies NM, McLachlan AJ, Day RO, et al. Clinical pharmacokinetics and pharmacodynamics of celecoxib: a selective cyclo-oxygenase-2 inhibitor. Clin Pharmacokinet 2000; 38: 225–42PubMedCrossRef Davies NM, McLachlan AJ, Day RO, et al. Clinical pharmacokinetics and pharmacodynamics of celecoxib: a selective cyclo-oxygenase-2 inhibitor. Clin Pharmacokinet 2000; 38: 225–42PubMedCrossRef
11.
go back to reference McAdam BF, Catella-Lawson F, Mardini IA, et al. Systemic biosynthesis of prostacyclin by cyclooxygenase (COX)-2: the human pharmacology of a selective inhibitor of COX-2. Proc Natl Acad Sci U S A 1999; 96: 272–7PubMedCrossRef McAdam BF, Catella-Lawson F, Mardini IA, et al. Systemic biosynthesis of prostacyclin by cyclooxygenase (COX)-2: the human pharmacology of a selective inhibitor of COX-2. Proc Natl Acad Sci U S A 1999; 96: 272–7PubMedCrossRef
12.
go back to reference Herdman M. Medida de la calidad de vida relacionada con la salud. Med Clin (Barc) 2000; 114: S22–5 Herdman M. Medida de la calidad de vida relacionada con la salud. Med Clin (Barc) 2000; 114: S22–5
13.
go back to reference Ruiz MA, Rejas J.Calidad de vida y otras medidas de salud informadas por el paciente. In:Dominguez-Gil A, Soto J,editors. Farmacoeconomia e investigación de resultados en la salud: principios y práctica. Situación actual y perspectivas futuras en España. Madrid: Fundación José Casares Gil, 2000: 115–9 Ruiz MA, Rejas J.Calidad de vida y otras medidas de salud informadas por el paciente. In:Dominguez-Gil A, Soto J,editors. Farmacoeconomia e investigación de resultados en la salud: principios y práctica. Situación actual y perspectivas futuras en España. Madrid: Fundación José Casares Gil, 2000: 115–9
14.
go back to reference Golin CE, DiMatteo MR, Gelberg L. The role of patient participation in the doctor visit: implications for adherence to diabetes care. Diabetes Care 1996; 19: 1153–64PubMedCrossRef Golin CE, DiMatteo MR, Gelberg L. The role of patient participation in the doctor visit: implications for adherence to diabetes care. Diabetes Care 1996; 19: 1153–64PubMedCrossRef
16.
go back to reference Owens DK. Spine update: patient preferences and the development of practice guidelines. Spine 1998; 23: 1073–9PubMedCrossRef Owens DK. Spine update: patient preferences and the development of practice guidelines. Spine 1998; 23: 1073–9PubMedCrossRef
17.
go back to reference Kruk ME, Freedman LP. Assessing health system performance in developing countries: a review of the literature. Health Policy 2008; 85: 263–76PubMedCrossRef Kruk ME, Freedman LP. Assessing health system performance in developing countries: a review of the literature. Health Policy 2008; 85: 263–76PubMedCrossRef
18.
go back to reference Gan TJ, Gordon DB, Bolge SC, et al. Patient-controlled analgesia: patient and nurse satisfaction with intravenous delivery systems and expected satisfaction with transdermal delivery systems. Curr Med Res Opin 2007; 23:2507–16PubMedCrossRef Gan TJ, Gordon DB, Bolge SC, et al. Patient-controlled analgesia: patient and nurse satisfaction with intravenous delivery systems and expected satisfaction with transdermal delivery systems. Curr Med Res Opin 2007; 23:2507–16PubMedCrossRef
19.
go back to reference Hassol A, Walker JM, Kidder D, et al. Patient experiences and attitudes about access to a patient electronic health care record and linked web messaging. J Am Med Inform Assoc 2004; 11: 505–13PubMedCrossRef Hassol A, Walker JM, Kidder D, et al. Patient experiences and attitudes about access to a patient electronic health care record and linked web messaging. J Am Med Inform Assoc 2004; 11: 505–13PubMedCrossRef
20.
go back to reference Laurant MG, Hermens RP, Braspenning JC, et al. An overview of patients’ preference for, and satisfaction with, care provided by general practitioners and nurse practitioners. J Clin Nurs 2008; 17: 2690–8PubMedCrossRef Laurant MG, Hermens RP, Braspenning JC, et al. An overview of patients’ preference for, and satisfaction with, care provided by general practitioners and nurse practitioners. J Clin Nurs 2008; 17: 2690–8PubMedCrossRef
21.
go back to reference Brody D, Miller S, Lerman C, et al. Patient perception of involvement in medical care: relationship to illness attitudes and outcomes. J Gen Inter Med 1989; 4: 506–11CrossRef Brody D, Miller S, Lerman C, et al. Patient perception of involvement in medical care: relationship to illness attitudes and outcomes. J Gen Inter Med 1989; 4: 506–11CrossRef
22.
go back to reference Taylor TR. Understanding the choices that patients make. J Am Board Fam Practice 2000; 13: 124–33 Taylor TR. Understanding the choices that patients make. J Am Board Fam Practice 2000; 13: 124–33
23.
go back to reference Albrecht G, Hoogstraten J. Satisfaction as a determinant of compliance. Community Dent Oral Epidemiol 1998; 26: 139–46PubMedCrossRef Albrecht G, Hoogstraten J. Satisfaction as a determinant of compliance. Community Dent Oral Epidemiol 1998; 26: 139–46PubMedCrossRef
24.
go back to reference McCracken LM, Klock A, Mingay DJ, et al. Assessment of satisfaction with treatment for chronic pain. J Pain Symptom Manage 1997; 14: 292–9PubMedCrossRef McCracken LM, Klock A, Mingay DJ, et al. Assessment of satisfaction with treatment for chronic pain. J Pain Symptom Manage 1997; 14: 292–9PubMedCrossRef
25.
go back to reference Weaver M, Patrick DL, Markson LE, et al. Issues in the measurement of satisfaction with treatment. Am J Manag Care 1997; 3: 579–94PubMed Weaver M, Patrick DL, Markson LE, et al. Issues in the measurement of satisfaction with treatment. Am J Manag Care 1997; 3: 579–94PubMed
26.
go back to reference Fitzpatrick F, Badley EM. Outcomes in rheumatology: an overview of disability. Br J Rheumatol 1996; 35: 184–7PubMedCrossRef Fitzpatrick F, Badley EM. Outcomes in rheumatology: an overview of disability. Br J Rheumatol 1996; 35: 184–7PubMedCrossRef
27.
28.
go back to reference Wolfe F. The epidemiology of drug treatment failure in rheumatoid arthritis. Baillieres Clin Rheumatol 1995; 9: 619–32PubMedCrossRef Wolfe F. The epidemiology of drug treatment failure in rheumatoid arthritis. Baillieres Clin Rheumatol 1995; 9: 619–32PubMedCrossRef
29.
go back to reference Pouchot J, Trudeau E, Hellot SC, et al. Development and psychometric validation of a new patient satisfaction instrument: the osteoARthritis Treatment Satisfaction (ARTS) questionnaire. Qual Life Res 2005; 14: 1387–99PubMedCrossRef Pouchot J, Trudeau E, Hellot SC, et al. Development and psychometric validation of a new patient satisfaction instrument: the osteoARthritis Treatment Satisfaction (ARTS) questionnaire. Qual Life Res 2005; 14: 1387–99PubMedCrossRef
30.
go back to reference Ruiz M, Campillo MA, Monfort J, et al. Linguistic adaptation into Spanish and validation of the Arthritis Treatment Satisfaction Questionnaire. Med Clin (Barc) 2005; 125: 84–92CrossRef Ruiz M, Campillo MA, Monfort J, et al. Linguistic adaptation into Spanish and validation of the Arthritis Treatment Satisfaction Questionnaire. Med Clin (Barc) 2005; 125: 84–92CrossRef
31.
go back to reference Fernández S, Campillo MA, Monfort J. Satisfacción del paciente con el tratamiento para la artrosis tras un cambio a celecoxib, evaluado mediante el cuestionario especifico ARTS (Arthritis Treatment Satisfaction Questionnaire) [abstract]. Reumatol Clin 2005; 1: 126–7 Fernández S, Campillo MA, Monfort J. Satisfacción del paciente con el tratamiento para la artrosis tras un cambio a celecoxib, evaluado mediante el cuestionario especifico ARTS (Arthritis Treatment Satisfaction Questionnaire) [abstract]. Reumatol Clin 2005; 1: 126–7
33.
go back to reference Landis J, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977; 33: 159–74PubMedCrossRef Landis J, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977; 33: 159–74PubMedCrossRef
34.
go back to reference Sinha SP, Nayyar P, Sinha SP. Social support and selfcontrol as variables in attitude toward life and perceived control among older people in India. J Soc Psychol 2002; 142: 527–40PubMedCrossRef Sinha SP, Nayyar P, Sinha SP. Social support and selfcontrol as variables in attitude toward life and perceived control among older people in India. J Soc Psychol 2002; 142: 527–40PubMedCrossRef
35.
go back to reference Dedhiya S, Kong SX. Quality of life: an overview of the concept and measures. Pharm World Sci 1995; 17: 141–8PubMedCrossRef Dedhiya S, Kong SX. Quality of life: an overview of the concept and measures. Pharm World Sci 1995; 17: 141–8PubMedCrossRef
36.
go back to reference Fayers PM, Machin D. Quality of life: assessment, analysis and interpretation. Chichester: Wiley, 2000 Fayers PM, Machin D. Quality of life: assessment, analysis and interpretation. Chichester: Wiley, 2000
37.
go back to reference Althof SE, Corty E, Levine SB, et al. EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction. Urology 1999; 53: 793–9PubMedCrossRef Althof SE, Corty E, Levine SB, et al. EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction. Urology 1999; 53: 793–9PubMedCrossRef
38.
go back to reference Bradley C. Diabetes Treatment Satisfaction Questionnaire (DTSQ). In: Bradley C, editor. Handbook of psychology and diabetes. Amsterdam: Harwood Academic Publishers, 1994:111–32 Bradley C. Diabetes Treatment Satisfaction Questionnaire (DTSQ). In: Bradley C, editor. Handbook of psychology and diabetes. Amsterdam: Harwood Academic Publishers, 1994:111–32
39.
go back to reference Juby AG, Skeith K, Davis P. Patients’ awareness, utilization, and satisfaction with treatment modalities for the management of their osteoarthritis. Clin Rheumatol 2005; 24: 535–8PubMedCrossRef Juby AG, Skeith K, Davis P. Patients’ awareness, utilization, and satisfaction with treatment modalities for the management of their osteoarthritis. Clin Rheumatol 2005; 24: 535–8PubMedCrossRef
40.
go back to reference Sciamanna CN, Harrold LR, Manocchia M, et al. The effect of web-based, personalized, osteoarthritis quality improvement feedback on patient satisfaction with osteoarthritis care. Am J Med Qual 2005; 20: 127–37PubMedCrossRef Sciamanna CN, Harrold LR, Manocchia M, et al. The effect of web-based, personalized, osteoarthritis quality improvement feedback on patient satisfaction with osteoarthritis care. Am J Med Qual 2005; 20: 127–37PubMedCrossRef
41.
go back to reference Veenhof C, Bijlsma JW, van den Ende CH, et al. Psychometric evaluation of osteoarthritis questionnaires: a systematic review of the literature. Arthritis Rheum 2006; 55: 480–92PubMedCrossRef Veenhof C, Bijlsma JW, van den Ende CH, et al. Psychometric evaluation of osteoarthritis questionnaires: a systematic review of the literature. Arthritis Rheum 2006; 55: 480–92PubMedCrossRef
42.
go back to reference Ratcliffe J, Buxton M, McGarry T, et al. Patients’ preferences for characteristics associated with treatments for osteoarthritis. Rheumatology (Oxford) 2004; 43: 337–45CrossRef Ratcliffe J, Buxton M, McGarry T, et al. Patients’ preferences for characteristics associated with treatments for osteoarthritis. Rheumatology (Oxford) 2004; 43: 337–45CrossRef
43.
go back to reference Kane RL, Maciejewski M, Finch M. The relationship of patient satisfaction with care and clinical outcomes. Med Care 1997; 35: 714–30PubMedCrossRef Kane RL, Maciejewski M, Finch M. The relationship of patient satisfaction with care and clinical outcomes. Med Care 1997; 35: 714–30PubMedCrossRef
44.
go back to reference Aharony L, Strasser S. Patient satisfaction: what we know about and what we still need to explore. Medical Care Review 1993; 50: 49–79PubMedCrossRef Aharony L, Strasser S. Patient satisfaction: what we know about and what we still need to explore. Medical Care Review 1993; 50: 49–79PubMedCrossRef
45.
go back to reference Nunnally JC, Bernstein IJ. Teoria psicométrica. 3rd ed. México: McGraw-Hill, 1995 Nunnally JC, Bernstein IJ. Teoria psicométrica. 3rd ed. México: McGraw-Hill, 1995
46.
go back to reference Browner WS, Newman TB, Cummings SR. Diseño de un nuevo estudio: pruebas diagnósticas. In: Hulley SB, Cummings SR, editors. Diseño de la investigación clinica. Barcelona: Ediciones Doyma, 1993: 97–107 Browner WS, Newman TB, Cummings SR. Diseño de un nuevo estudio: pruebas diagnósticas. In: Hulley SB, Cummings SR, editors. Diseño de la investigación clinica. Barcelona: Ediciones Doyma, 1993: 97–107
Metadata
Title
Criterion Validity of the ARthritis Treatment Satisfaction (ARTS) Questionnaire
Patient Satisfaction with Treatment and Need for Switching Therapy
Authors
Dr Javier Rejas
Jordi Monfort
Miguel A. Campillo
Miguel A. Ruiz
Antonio Pardo
Javier Soto
Publication date
01-08-2009
Publisher
Springer International Publishing
Published in
Clinical Drug Investigation / Issue 8/2009
Print ISSN: 1173-2563
Electronic ISSN: 1179-1918
DOI
https://doi.org/10.2165/00044011-200929080-00003

Other articles of this Issue 8/2009

Clinical Drug Investigation 8/2009 Go to the issue

Correspondence

The Authors’ Reply