Xu Min, Liu Ting, Ye Menghua, Tan Xiaoxue, Sun Qiuhua
The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, People's Republic of China.
The School of Nursing, Zhejiang Chinese Medical University, Hangzhou, People's Republic of China.
Patient Prefer Adherence. 2023 Jul 19;17:1741-1749. doi: 10.2147/PPA.S418773. eCollection 2023.
Aplastic anemia is characterized by anemia, hemorrhage and infection, and is accompanied by a variety of complications and psychological burden. Therefore, the quality of life of AA patients is not optimistic. Our team is committed to developing an assessment tool for the quality of life of AA patients, and adopting an iterative strategy of cognitive interview and expert consultation to solve the challenges encountered in item revision.
We aim to use the strategy of cognitive interview and expert consultation to inform revision of the QLS-AA into a user-friendly tool with unambiguous items and improve the content validity of the scale.
We used an iterative strategy of cognitive interview and expert consultation. Two rounds of cognitive interview were conducted to identify problems with item comprehension, recall and other cognitive processes. As well as, a multi-disciplinary group of expert consultation was consulted to review the rationality of item revisions.
In the first round of cognitive interview, 16 participants responded to 107 items. Among them, the most common problems were "clarification" and "item duplication". Based on the results of the first round of interview, an expert consultation was organized. A total of 16 amendments were put forward by the expert and 14 were adopted. In the second round of cognitive interviews, A total of 5 participants were included and 64 items were evaluated. Two items were suggested to be revised, and the remaining items were accurately understood and recognized by all participants.
This study highlights the key issues to consider when incorporating patient perspectives into quality measurement. The revision of QLS-AA through the strategy of cognitive interview and expert consultation may provide valuable insights into the measurement of quality of life in aplastic patients.
ChiCTR2100047575.
再生障碍性贫血的特征为贫血、出血和感染，并伴有多种并发症及心理负担。因此，再生障碍性贫血患者的生活质量不容乐观。我们的团队致力于开发一种针对再生障碍性贫血患者生活质量的评估工具，并采用认知访谈和专家咨询的迭代策略来解决条目修订过程中遇到的挑战。
我们旨在运用认知访谈和专家咨询策略，为将QLS-AA修订为条目清晰明确且用户友好的工具提供依据，并提高该量表的内容效度。
我们采用了认知访谈和专家咨询的迭代策略。进行了两轮认知访谈以识别条目理解、回忆及其他认知过程方面的问题。此外，还咨询了一个多学科专家小组，以审查条目修订的合理性。
在第一轮认知访谈中，16名参与者对107个条目做出了回应。其中，最常见的问题是“澄清”和“条目重复”。基于第一轮访谈的结果，组织了一次专家咨询。专家共提出16项修订建议，其中14项被采纳。在第二轮认知访谈中，共纳入5名参与者，评估了64个条目。有两项条目被建议修订，其余条目所有参与者均能准确理解和识别。
本研究突出了将患者观点纳入质量测量时需考虑的关键问题。通过认知访谈和专家咨询策略对QLS-AA进行修订，可能为再生障碍性贫血患者生活质量的测量提供有价值的见解。
ChiCTR2100047575。
