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Patient-derived questionnaire items for patient-reported outcome measures in pediatric eye conditions
Sarah R Hatt1, David A Leske1, Yolanda S Castañeda2
1Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota.
Insights
This study identified child and parent concerns about vision and quality of life in pediatric eye conditions. These findings will help develop patient-reported outcome measures for children with vision impairments.
Area of Science:
- Ophthalmology and Vision Science
- Pediatric Health
- Patient-Reported Outcomes
Background:
- Children with eye conditions face unique challenges impacting their quality of life.
- Existing measures may not fully capture the specific concerns of these children and their families.
- Developing targeted patient-reported outcome measures is crucial for effective care.
Purpose of the Study:
- To identify specific health-related quality of life (HRQOL) and functional vision concerns in children with eye conditions.
- To create comprehensive lists of potential questionnaire items for developing patient-reported outcome measures.
- To address both child and parent perspectives on the impact of pediatric eye conditions.
Main Methods:
- Conducted interviews with 180 children and 328 parents of children with various eye conditions.
- Independently coded transcribed interviews to identify specific HRQOL and functional vision concerns.
- Formulated and grouped questions based on child and parent concerns into comprehensive lists.
Main Results:
- Generated 614 child-related questions categorized into 36 bins (e.g., appearance, learning).
- Formulated 589 parent-related questions grouped into 61 bins (e.g., caregiver assistance, safety concerns).
- Identified a wide range of functional vision and HRQOL issues from both child and parent viewpoints.
Conclusions:
- Developed comprehensive lists of questionnaire items derived from patient and parent interviews.
- These items address functional vision and HRQOL concerns in pediatric eye conditions.
- The identified items will aid in developing formal pediatric outcome measures and support future research.
Purpose:
To identify specific health-related quality of life (HRQOL) and functional vision concerns of children with eye conditions, and create comprehensive lists of potential questionnaire items as a first step in developing patient-reported outcome measures.
Methods:
Children experiencing a range of pediatric eye conditions, along with one of their parents, were interviewed to identify specific concerns. Transcribed interviews were reviewed, and specific HRQOL and functional vision concerns were coded independently by two reviewers. Coded concerns were reviewed to formulate questions to address specific child concerns (derived from child and parent interviews) and specific parent concerns. Questions were grouped into bins of like questions. Two comprehensive lists of questions were formulated, one addressing child-related concerns and one addressing parent-related concerns.
Results:
This study included 180 children and 328 parents. A total of 614 individual child questions were grouped into 36 bins (eg, appearance, coordination, glasses, learning), and 589 parent questions were formulated and grouped into 61 bins (eg, having to assist the child, worry about deterioration, time off work, safety).
Conclusions:
Using rigorous methods based on individual interviews, we identified a comprehensive list of patient- and parent-derived questionnaire items that address functional vision and HRQOL concerns of children with eye conditions and of their parents. We plan to use this large pool of potential questionnaire items to develop a formal set of pediatric outcome measures, and this pool of questions may also be a resource for future research.
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