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Standardized Questionnaire Time Burden for Practitioners and Patients.
Todd P Pierce1, Randa D K Elmallah1, Jeffrey J Cherian1
1Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland.
Patient-reported outcome questionnaires vary significantly in completion time. Older patients (≥55 years) took longer, highlighting potential impacts on data accuracy for lengthy assessments.
Area of Science:
- Health Services Research
- Clinical Outcomes Assessment
- Patient-Reported Outcomes (PROs)
Background:
- Limited research exists on the time required to complete patient-reported outcome questionnaires.
- Understanding completion time is crucial for efficient clinical practice and data integrity.
Purpose of the Study:
- To evaluate completion times for commonly used PRO questionnaires.
- To determine variability in completion times.
- To assess demographic influences (age, gender, education) on completion time.
Main Methods:
- Literature review identified nine frequently cited PRO questionnaires.
- Patients completed one questionnaire, with completion time recorded.
- Statistical analysis compared mean times and assessed demographic factors.
Main Results:
- Completion times varied, with the University of California Los Angeles (UCLA) activity score taking the longest and the Short Form-36 (SF-36) and Western Ontario and McMaster Universities Arthritis Index (WOMAC) the shortest.
- The UCLA activity score showed the highest variation in completion time.
- Patients aged 55 years and older consistently took longer to complete questionnaires; gender and education level showed no significant association.
Conclusions:
- Prolonged questionnaire completion times may compromise the accuracy of patient-reported outcomes.
- Further research should investigate the impact of completion time on data validity and explore accuracy with multiple questionnaires per visit.
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