Quantifying the patient´s perspective in neuromyelitis optica spectrum disorder: Psychometric properties of the SymptoMScreen questionnaire.

<h4>Background</h4>The assessment of self-reported outcomes in neuromyelitis optica spectrum disorder (NMOSD) is limited by the lack of validated disease-specific measures. The SymptoMScreen (SyMS) is a patient-reported questionnaire for measuring symptom severity in different domains af...

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Autores principales: José E Meca-Lallana, Jorge Maurino, Francisco Pérez-Miralles, Lucía Forero, María Sepúlveda, Carmen Calles, María L Martínez-Ginés, Inés González-Suárez, Sabas Boyero, Lucía Romero-Pinel, Ángel P Sempere, Virginia Meca-Lallana, Luis Querol, Lucienne Costa-Frossard, Daniel Prefasi, Rocío Gómez-Ballesteros, Javier Ballesteros
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:189bfa11ecd7489bb2290d28a62384b22021-12-02T20:08:54ZQuantifying the patient´s perspective in neuromyelitis optica spectrum disorder: Psychometric properties of the SymptoMScreen questionnaire.1932-620310.1371/journal.pone.0255317https://doaj.org/article/189bfa11ecd7489bb2290d28a62384b22021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255317https://doaj.org/toc/1932-6203<h4>Background</h4>The assessment of self-reported outcomes in neuromyelitis optica spectrum disorder (NMOSD) is limited by the lack of validated disease-specific measures. The SymptoMScreen (SyMS) is a patient-reported questionnaire for measuring symptom severity in different domains affected by multiple sclerosis (MS), but has not been thoroughly evaluated in NMOSD. The aim of this study was to assess the psychometric properties of the SyMS in a sample of patients with NMOSD.<h4>Methods</h4>A non-interventional, cross-sectional study in adult subjects with NMOSD (Wingerchuk 2015 criteria) was conducted at 13 neuroimmunology clinics applying the SyMS. A non-parametric item response theory procedure, Mokken analysis, was performed to assess the underlying dimensional structure and scalability of items and overall questionnaire. All analyses were performed with R (v4.0.3) using the mokken library.<h4>Results</h4>A total of 70 patients were studied (mean age: 47.5 ± 15 years, 80% female, mean Expanded Disability Status Scale score: 3.0 [interquartile range 1.5, 4.5]). Symptom severity was low (median SyMS score: 19.0 [interquartile range 10.0, 32.0]). The SyMS showed a robust internal reliability (Cronbach's alpha: 0.90 [95% confidence interval 0.86, 0.93]) and behaved as a unidimensional scale with all items showing scalability coefficients > 0.30. The overall SyMS scalability was 0.45 conforming to a medium scale according to Mokken's criteria. Fatigue and body pain were the domains with the highest scalability coefficients. The SyMS was associated with disability (rho: 0.586), and physical and psychological quality of life (rho: 0.856 and 0.696, respectively).<h4>Conclusions</h4>The SyMS shows appropriate psychometric characteristics and may constitute a valuable and easy-to-implement option to measure symptom severity in patients with NMOSD.José E Meca-LallanaJorge MaurinoFrancisco Pérez-MirallesLucía ForeroMaría SepúlvedaCarmen CallesMaría L Martínez-GinésInés González-SuárezSabas BoyeroLucía Romero-PinelÁngel P SempereVirginia Meca-LallanaLuis QuerolLucienne Costa-FrossardDaniel PrefasiRocío Gómez-BallesterosJavier BallesterosPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0255317 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
José E Meca-Lallana
Jorge Maurino
Francisco Pérez-Miralles
Lucía Forero
María Sepúlveda
Carmen Calles
María L Martínez-Ginés
Inés González-Suárez
Sabas Boyero
Lucía Romero-Pinel
Ángel P Sempere
Virginia Meca-Lallana
Luis Querol
Lucienne Costa-Frossard
Daniel Prefasi
Rocío Gómez-Ballesteros
Javier Ballesteros
Quantifying the patient´s perspective in neuromyelitis optica spectrum disorder: Psychometric properties of the SymptoMScreen questionnaire.
description <h4>Background</h4>The assessment of self-reported outcomes in neuromyelitis optica spectrum disorder (NMOSD) is limited by the lack of validated disease-specific measures. The SymptoMScreen (SyMS) is a patient-reported questionnaire for measuring symptom severity in different domains affected by multiple sclerosis (MS), but has not been thoroughly evaluated in NMOSD. The aim of this study was to assess the psychometric properties of the SyMS in a sample of patients with NMOSD.<h4>Methods</h4>A non-interventional, cross-sectional study in adult subjects with NMOSD (Wingerchuk 2015 criteria) was conducted at 13 neuroimmunology clinics applying the SyMS. A non-parametric item response theory procedure, Mokken analysis, was performed to assess the underlying dimensional structure and scalability of items and overall questionnaire. All analyses were performed with R (v4.0.3) using the mokken library.<h4>Results</h4>A total of 70 patients were studied (mean age: 47.5 ± 15 years, 80% female, mean Expanded Disability Status Scale score: 3.0 [interquartile range 1.5, 4.5]). Symptom severity was low (median SyMS score: 19.0 [interquartile range 10.0, 32.0]). The SyMS showed a robust internal reliability (Cronbach's alpha: 0.90 [95% confidence interval 0.86, 0.93]) and behaved as a unidimensional scale with all items showing scalability coefficients > 0.30. The overall SyMS scalability was 0.45 conforming to a medium scale according to Mokken's criteria. Fatigue and body pain were the domains with the highest scalability coefficients. The SyMS was associated with disability (rho: 0.586), and physical and psychological quality of life (rho: 0.856 and 0.696, respectively).<h4>Conclusions</h4>The SyMS shows appropriate psychometric characteristics and may constitute a valuable and easy-to-implement option to measure symptom severity in patients with NMOSD.
format article
author José E Meca-Lallana
Jorge Maurino
Francisco Pérez-Miralles
Lucía Forero
María Sepúlveda
Carmen Calles
María L Martínez-Ginés
Inés González-Suárez
Sabas Boyero
Lucía Romero-Pinel
Ángel P Sempere
Virginia Meca-Lallana
Luis Querol
Lucienne Costa-Frossard
Daniel Prefasi
Rocío Gómez-Ballesteros
Javier Ballesteros
author_facet José E Meca-Lallana
Jorge Maurino
Francisco Pérez-Miralles
Lucía Forero
María Sepúlveda
Carmen Calles
María L Martínez-Ginés
Inés González-Suárez
Sabas Boyero
Lucía Romero-Pinel
Ángel P Sempere
Virginia Meca-Lallana
Luis Querol
Lucienne Costa-Frossard
Daniel Prefasi
Rocío Gómez-Ballesteros
Javier Ballesteros
author_sort José E Meca-Lallana
title Quantifying the patient´s perspective in neuromyelitis optica spectrum disorder: Psychometric properties of the SymptoMScreen questionnaire.
title_short Quantifying the patient´s perspective in neuromyelitis optica spectrum disorder: Psychometric properties of the SymptoMScreen questionnaire.
title_full Quantifying the patient´s perspective in neuromyelitis optica spectrum disorder: Psychometric properties of the SymptoMScreen questionnaire.
title_fullStr Quantifying the patient´s perspective in neuromyelitis optica spectrum disorder: Psychometric properties of the SymptoMScreen questionnaire.
title_full_unstemmed Quantifying the patient´s perspective in neuromyelitis optica spectrum disorder: Psychometric properties of the SymptoMScreen questionnaire.
title_sort quantifying the patient´s perspective in neuromyelitis optica spectrum disorder: psychometric properties of the symptomscreen questionnaire.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/189bfa11ecd7489bb2290d28a62384b2
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