Pmu118 - Cognitive Debriefing Interview Studies to Inform Patient-Reported Outcome Questionnaire Development: A Literature Review and Suggested Reporting Guidelines

Abstract

items on self-consciousness and embarrassment into 40 languages for 50 countries across three translation projects (for 72 total translations). The harmonized questionnaires underwent in-person cognitive interviews with atopic dermatitis and head & neck cancer patients. We extracted patient demographic and item comprehension information, as well as feedback regarding comprehension problems, from 356 interviews. RESULTS: Patients (n ¼ 356) were aged 11-95 years, with length of education from 0-20 years (mean ¼ 11.9). Comprehension problems with self-conscious and embarrassed were noted in 12 / 39 languages (31%), 14 / 50 countries (28%), 17 / 72 translations (24%), and accounted for 55% of the total number of comprehension errors across all debriefing sessions. Patients reported that self-conscious and embarrassed were difficult to separate conceptually, and suggested that only one of the concepts was necessary. Patients also had difficulty comprehending / paraphrasing self-conscious itself, and were frequently unable to provide alternative translations. CONCLUSIONS: Patients demonstrated considerable difficulty interpreting the terms self-conscious and embarrassed in three PROs. We attribute this to their semantic overlap and co-occurrence in contexts where they are intended to assess different constructs. We recommend greater effort to differentiate self-conscious and embarrassed in PROs containing both in order to improve comprehensibility and translations of both terms.

The Spiritual Supporter Scale as a New Tool for Assessing Spiritual Care Competencies in Professionals: Design, Validation, and Psychometric Evaluation

“…They were also asked to provide feedback on the tool regarding its length and usefulness, and the emotions experienced while completing it. During the study, experts were instructed to provide comments about the tool and to propose amendments (“Would you like to change anything in any item?”) (Boynton & Greenhalgh, 2004 ; Dickie et al, 2018 ; Patrick et al, 2011 ; Sousa & Rojjanasrirat, 2011 ; Wild et al, 2005 ).…”

“…During the study, experts were instructed to provide comments about the tool and to propose amendments ("Would you like to change anything in any item?") (Boynton & Greenhalgh, 2004;Dickie et al, 2018;Patrick et al, 2011;Sousa & Rojjanasrirat, 2011;Wild et al, 2005). Most of the questions were found to be clear and easy to understand.…”