Patient reported outcome measures: a model-based classification system for research and clinical practice
Quality of Life ResearchPublished 2 October 2008
José M Valderas, Jordi Alonso
Citations289
SJR quartileQ1
SJR score1.44
SNIP1.64
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TL;DR
This classification system of PRO measures, based on a valid integrated conceptual model, should allow the classification of most currently used instruments and may facilitate a more adequate selection and application of these instruments.
Abstract
This classification system of PRO measures, based on a valid integrated conceptual model, should allow the classification of most currently used instruments and may facilitate a more adequate selection and application of these instruments.
Keywords
Social SciencesMedicineEconomics, Econometrics and Finance
ScienceThe Need for a New Medical Model: A Challenge for Biomedicine
12,233 Citations1977George L. Engel
Health Measurement Scales: A Practical Guide to Their Development and Use
9,651 Citations1989David L. Streiner, Geoffrey R. Norman +1 more
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Measuring Health: A Guide to Rating Scales and Questionnaires
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The theory and the leading methods of measurement, all of which rely on subjective judgments in questionnaires and rating scales are described, showing readers how to select the most suitable one, apply it, and score the results.
Annals of Internal MedicineMeasuring Health-Related Quality of Life
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Patients, clinicians, and health care administrators are all keenly interested in the effects of medical interventions on HRQL, because increasing efforts exist to incorporate HRQLs as measures of the quality of care and of clinical effectiveness, and because payers are beginning to use HRQL information in reimbursement decisions.
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2,879 Citations1995Ira B. Wilson
This model proposes a taxonomy or classification scheme for different measures of health outcome, dividing these outcomes into five levels: biological and physiological factors, symptoms, functioning, general health perceptions, and overall quality of life.
JAMALinking clinical variables with health-related quality of life. A conceptual model of patient outcomes
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The SAC's current conceptualization of eight key attributes of health status and QoL instruments and the criteria by which instruments would be reviewed on each of those attributes are offered.
JAMAA Critical Appraisal of the Quality of Quality-of-Life Measurements
2,079 Citations1994Thomas M. Gill
To evaluate how well quality of life is being measured in the medical literature and to offer a new approach to the measurement, original English-language articles having the term "quality of life" in their titles were identified.
BMJEffectiveness and efficiency of search methods in systematic reviews of complex evidence: audit of primary sources
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Systematic reviews of complex evidence cannot rely solely on protocol-driven search strategies, and primary sources must be identified by “snowballing” or by personal knowledge or personal contacts.
Medical CareGeneric and Disease-Specific Measures in Assessing Health Status and Quality of Life
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Comparison studies are needed of the validity, reliability, and responsiveness of generic and disease-specific measures in the same population and in minority and age-specific groups.
PubMedLinking clinical variables with health-related quality of life. A conceptual model of patient outcomes.
1,687 Citations1995I B Wilson, P D Cleary
Journal of Chronic DiseasesA methodological framework for assessing health indices
1,563 Citations1985Bram Kirshner, Gordon Guyatt
This work explores the implications of index purpose for each stage of instrument development: selection of the item pool, item scaling, item reduction, determination of reliability, of validity, and of responsiveness.
Journal of Rehabilitation MedicineICF linking rules: an update based on lessons learned
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BMJQuality of life measurement: bibliographic study of patient assessed health outcome measures
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In some specialties there are numerous measures of quality of life and little standardisation, and Recommendations for the selection of patient assessed measures of health outcome are needed.
Measuring health: a review of quality of life measurement scales
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American Journal of Health-System PharmacyAmerican Journal of Hospital Pharmacy
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Journal of Epidemiology & Community HealthJust one question: If one question works, why ask several?
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Disability and RehabilitationThe International Classification of Functioning, Disability and Health: a new tool for understanding disability and health
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The authors briefly outline the revision process and discuss the rationale for the ICF, which is shown to be an essential tool for identifying and measuring efficacy and effectiveness of rehabilitation services, both through functional profiling and intervention targeting.
BMJAre quality of life measures patient centred?
580 Citations2001Alison Carr, Irene J Higginson
The extent to which standardisedQuality of life measures accurately quantify an individual patient's quality of life is explored, and whether newer, individualised approaches, which allow patients to define their quality oflife in relation to their goals and expectations, are more appropriate are debated.
Value in HealthIncorporating the Patient's Perspective into Drug Development and Communication: An Ad Hoc Task Force Report of the Patient-Reported Outcomes (PRO) Harmonization Group Meeting at the Food and Drug Administration, February 16, 2001
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The February 16, 2001, meeting represented an important step in harmonizing efforts across various organizations and in opening a dialogue with the FDA around major issues related to methodologic standards for measuring and interpreting PROs in the drug evaluation process.
PubMedMeasuring quality of life in clinical trials: a taxonomy and review.
411 Citations1989Gordon Guyatt, S J Veldhuyzen van Zanten +2 more
Although accurate measurement of quality of life in randomized trials is now feasible it is still not widely done, and investigators can choose generic or specific instruments according to the purpose and the focus of their trial.
Cancer treatment and researchQuality-of-life assessment in clinical trials
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Health status, functional status, and health-related quality of life have become synonyms for QOL in the clinical trials literature.
Quality of life assessment in clinical trials : methods and practice
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Medical CareA Taxonomy of the Uses of Health-Related Quality-of-Life Instruments in Cancer Care and the Clinical Meaningfulness of the Results
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