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Updated: Feb 10, 2026

Utilizing the Modified T-Maze to Assess Functional Memory Outcomes After Cardiac Arrest
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The modified Memorial Symptom Assessment Scale Short Form: a modified response format and rational scoring rules.

J L Sharp1, K Gough2,3, M C Pascoe2,4

  • 1Department of Statistics, Data Science, and Epidemiology, Swinburne University of Technology, PO Box 218, Hawthorn, VIC, 3122, Australia.

Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation
|May 23, 2018
PubMed
Summary

Modifications to the Memorial Symptom Assessment Scale Short Form (MSAS-SF) improved usability for self-completion. Rational scoring rules minimized data loss from incorrectly completed responses, enhancing symptom assessment accuracy.

Keywords:
Gynaecological cancerPsychological distressQuality of lifeSymptom assessment

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Area of Science:

  • Oncology
  • Patient-Reported Outcomes
  • Clinical Assessment Tools

Background:

  • The Memorial Symptom Assessment Scale Short Form (MSAS-SF) is a key instrument for symptom assessment in clinical practice.
  • Self-administration of the MSAS-SF presents challenges due to its two-part response format, leading to completion errors.
  • Improving the usability of symptom assessment tools is crucial for accurate patient data collection.

Purpose of the Study:

  • To describe modifications to the MSAS-SF response format to enhance usability for self-completion.
  • To introduce rational scoring rules for incorrectly completed MSAS-SF items to improve data integrity.
  • To evaluate the impact of these modifications on response completion and data validity.

Main Methods:

  • The modified MSAS-SF was administered to 311 women in the PeNTAGOn study (Peer and Nurse support Trial to Assist women in Gynaecological Oncology).
  • Descriptive statistics were used to analyze completion rates and symptom statistics before and after applying rational scoring rules.
  • Spearman's correlations were calculated to assess the validity of the modified MSAS-SF against the FACT-G and HADS.

Main Results:

  • Correct completion rates for the modified MSAS-SF items ranged from 91.5% to 98.7%.
  • Rational scoring rules increased the percentage of usable responses by an average of 4% across all symptoms.
  • The modified MSAS-SF demonstrated valid correlations with FACT-G and HADS, consistent with prior research.

Conclusions:

  • The modified MSAS-SF is a usable tool for self-completion in clinical settings.
  • Rational scoring rules effectively minimize data loss from incorrectly completed responses.
  • Further research is recommended to validate these findings in broader populations.