A within-subjects trial to test the equivalence of online and paper outcome measures: the Roland Morris Disability Questionnaire

Bishop, Felicity L.; Lewis, G; Harris, Scott; McKay, Naomi D; Prentice, Philippa; Thiel, Haymo; Lewith, George

doi:10.1186/1471-2474-11-113

Cited by 38 publications

(30 citation statements)

References 18 publications

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“…38 In a recent meta-analysis concerning PROMs equivalence between computer and paper versions, the average correlation of 278 PROMs was excellent 21 similar to responses to a comparison across 16 health-related measures. 42 None of the current foot and ankle or more generic PROMS had been previously evaluated, 21 but the demonstrated limits of agreement 4 identi ed no systematic bias and compared well to previously reported questionnaire properties. 20 For example, our FAOS results (LoA = 9.13) compared favourably with published minimally important subscale differences ranging from 5.8 to 11.1, 15 giving con dence about online use.…”

Section: İnterpretation Of Outcomes Validitysupporting

confidence: 54%

Online questionnaire, clinical and biomechanical measurements for outcome prediction of plantar heel pain: feasibility for a cohort study

Gülle

Birn-Jeffery

Prior³

et al. 2020

Preprint

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Background Plantar heel pain (PHP) accounts for 11-15% of foot symptoms requiring professional care in adults. Recovery is variable, with no robust prognostic guides for sufferers or clinicians. Therefore, we aimed to determine the validity, reliability and feasibility of questionnaire, clinical and biomechanical measures selected to generate a prognostic model in a subsequent cohort study. Methods Thirty-six people (19 females & 17 males; 20-63 years) were recruited with equal numbers in each of three groups: people with PHP (PwPHP), other foot pain and healthy controls. Eighteen people performed a questionnaire battery twice in a randomised order to determine online and face to face agreement. The remaining 18 completed the questionnaire battery once, plus clinical and biomechanical measurements. A progressive loading challenge was developed and assessed. Results There were no systematic differences between online and face to face administration of questionnaires ( p-values all >.05 ) nor an administration order effect (d =-0.31-0.25). Questionnaire reliability was good or excellent (ICC 2,1_absolute ) (ICC 0.86-0.99), except for two subscales. Full completion of the survey was only 77%, taking 29±14 minutes. Clinically, PwPHP had significantly less ankle dorsiflexion and hip internal rotation compared to healthy controls [mean (±SD) for PHP-OP-H = 14°(±6)-18°(±8)-28°(±10); 43°(±4)- 45°(±9)-57°(±12) respectively; p<.02 for both]. Plantar fascia thickness was significantly higher in PwPHP (3.6(0.4) mm vs 2.9(0.4) mm, p=.01 ) than the other groups. The graded loading challenge led to progressively increasing kinetic foot load. Conclusion Online questionnaire administration was valid therefore facilitating large cohort recruitment and being relevant to remote service evaluation and research. The graded loaded challenge increases load progressively and warrants future research. The physical and ultrasound examination revealed expected differences between groups. Clinician and researchers can be confident with these methodological approaches and the cohort study is feasible.

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Section: İnterpretation Of Outcomes Validitysupporting

confidence: 54%

Online questionnaire, clinical and biomechanical measurements for outcome prediction of plantar heel pain: feasibility for a cohort study

Gülle

Birn-Jeffery

Prior³

et al. 2020

Preprint

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“…Third, although a consistent data collection format is generally recommended [55], we used both Internet-based and paper surveys. However, prior research has demonstrated similar psychometric properties between Internet and paper-and-pencil questionnaires [55] and specifically equivalence for our primary outcome [56]. We also believe that using both modes helped to ensure a high follow-up rate.…”

Section: Discussionmentioning

confidence: 58%

Pedometer-Based Internet-Mediated Intervention For Adults With Chronic Low Back Pain: Randomized Controlled Trial

Krein¹,

Kadri²,

Hughes³

et al. 2013

J Med Internet Res

205

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BackgroundChronic pain, especially back pain, is a prevalent condition that is associated with disability, poor health status, anxiety and depression, decreased quality of life, and increased health services use and costs. Current evidence suggests that exercise is an effective strategy for managing chronic pain. However, there are few clinical programs that use generally available tools and a relatively low-cost approach to help patients with chronic back pain initiate and maintain an exercise program.ObjectiveThe objective of the study was to determine whether a pedometer-based, Internet-mediated intervention can reduce chronic back pain-related disability.MethodsA parallel group randomized controlled trial was conducted with 1:1 allocation to the intervention or usual care group. 229 veterans with nonspecific chronic back pain were recruited from one Department of Veterans Affairs (VA) health care system. Participants randomized to the intervention received an uploading pedometer and had access to a website that provided automated walking goals, feedback, motivational messages, and social support through an e-community (n=111). Usual care participants (n=118) also received the uploading pedometer but did not receive the automated feedback or have access to the website. The primary outcome was measured using the Roland Morris Disability Questionnaire (RDQ) at 6 months (secondary) and 12 months (primary) with a difference in mean scores of at least 2 considered clinically meaningful. Both a complete case and all case analysis, using linear mixed effects models, were conducted to assess differences between study groups at both time points.ResultsBaseline mean RDQ scores were greater than 9 in both groups. Primary outcome data were provided by approximately 90% of intervention and usual care participants at both 6 and 12 months. At 6 months, average RDQ scores were 7.2 for intervention participants compared to 9.2 for usual care, an adjusted difference of 1.6 (95% CI 0.3-2.8, P=.02) for the complete case analysis and 1.2 (95% CI -0.09 to 2.5, P=.07) for the all case analysis. A post hoc analysis of patients with baseline RDQ scores ≥4 revealed even larger adjusted differences between groups at 6 months but at 12 months the differences were no longer statistically significant.ConclusionsIntervention participants, compared with those receiving usual care, reported a greater decrease in back pain-related disability in the 6 months following study enrollment. Between-group differences were especially prominent for patients reporting greater baseline levels of disability but did not persist over 12 months. Primarily, automated interventions may be an efficient way to assist patients with managing chronic back pain; additional support may be needed to ensure continuing improvements.Trial RegistrationClinicalTrials.gov NCT00694018; http://clinicaltrials.gov/ct2/show/NCT00694018 (Archived by WebCite at http://www.webcitation.org/6IsG4Y90E).

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“…A wide variety of studies have previously shown good equivalence between electronic and paper questionnaires [2,8,9,10,11,12,13,14,15,16,17], but it is still generally recommended to evaluate measurement properties of the electronic version separately, rather than expecting validations of the paper version to a priori be extrapolated to the electronic version [1,3]. Thus, the aim of the present study was to assess the equivalence between the paper version and the electronic version of the ThyPRO questionnaire [1].…”

Section: Introductionmentioning

confidence: 99%

High Level of Agreement between Electronic and Paper Mode of Administration of a Thyroid-Specific Patient-Reported Outcome, ThyPRO

Rasmussen¹,

Rejnmark²,

Ebbehøj³

et al. 2016

Eur Thyroid J

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Introduction and Purpose: Use of electronic questionnaires to collect health-related quality-of-life data has evolved as an alternative to paper questionnaires. For the electronic questionnaire to be used interchangeably with the validated paper questionnaire, measurement properties similar to the original must be demonstrated. The aim of the present study was to assess the equivalence between the paper version and the electronic version of the thyroid-related quality-of-life questionnaire ThyPRO. Methods: Patients with Graves' hyperthyroidism or autoimmune hypothyroidism in a clinically stable phase were included. The patients were recruited from two endocrine outpatient centers. All patients completed both versions in a randomized test-retest set-up. Scores were compared using intraclass correlation coefficients (ICCs), paired t tests and Bland-Altman plots. Limits of agreement were compared with data from a previous paper-paper test-retest study. Results: 104 patients were included. ICCs were generally high for the 13 scales, ranging from 0.76 to 0.95. There was a small but significant difference in the scale score between paper and electronic administration for the Cosmetic complaints scale, but no differences were found for any other scale. Bland-Altman plots showed similar limits of agreement compared to the earlier test-retest study of the paper version of ThyPRO. Conclusion: Based on our analyses using ICCs, paired t tests and Bland-Altman plots, we found adequate agreement between the paper and electronic questionnaires. The statistically significant difference in score found in the Cosmetic complaints scale is small and probably clinically insignificant.

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A within-subjects trial to test the equivalence of online and paper outcome measures: the Roland Morris Disability Questionnaire

Cited by 38 publications

References 18 publications

Online questionnaire, clinical and biomechanical measurements for outcome prediction of plantar heel pain: feasibility for a cohort study

Online questionnaire, clinical and biomechanical measurements for outcome prediction of plantar heel pain: feasibility for a cohort study

Pedometer-Based Internet-Mediated Intervention For Adults With Chronic Low Back Pain: Randomized Controlled Trial

High Level of Agreement between Electronic and Paper Mode of Administration of a Thyroid-Specific Patient-Reported Outcome, ThyPRO

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