Development of Two Patient Self-Reported Measures on Functional Health Status (FOD) and Health-Related Quality of Life (QOD) in Adults with Oropharyngeal Dysphagia Using the Delphi Technique
Abstract
:1. Introduction
2. Methods
2.1. Study Design
2.2. Participants
2.3. Procedure
2.3.1. Recruitment
2.3.2. e-Delphi Surveys
2.3.3. Patient Questionnaire
2.4. Analysis
3. Results
3.1. Delphi Participants
3.2. Delphi Process
3.3. Definitions for Dysphagia, FHS and HR-QoL
3.4. FHS and HR-QoL Items
3.5. Patient Stakeholder Group
4. Discussion
4.1. Content Validity
4.2. Instrument Development
4.3. Psychometrics
4.4. Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Concept | Definitions a | Delphi Round I | Delphi Round II | ||||
---|---|---|---|---|---|---|---|
Level of Agreement b | Preferred Definition c | Decision | Level of Agreement b | Preferred Definition c | Decision | ||
Dysphagia |
| 74.0% | 19.5% | Exclude | N/A | N/A | N/A |
| 90.9% | 44.2% | Move to round II d | 87.9% | 28.8% | Exclude | |
| 74.1% | 36.4% | Exclude | N/A | N/A | N/A | |
| N/A | N/A | New definition (feedback participants) | 87.9% | 71.2% | Final consensus | |
FHS |
| 87% | 22.1% | Exclude | N/A | N/A | N/A |
| 89.6% | 14.3% | Exclude | N/A | N/A | N/A | |
| 76.6% | 16.9% | Exclude | N/A | N/A | N/A | |
| 97.4% | 46.8% | Move to round II d | 90.9% | 37.9% | Exclude | |
| N/A | N/A | New definition (feedback participants) | 95.4% | 62.1% | Final consensus | |
HR-QoL |
| N/A | N/A | N/A | 94.0% | 48.5% | Final consensus |
| N/A | N/A | N/A | 86.4% | 45.5% | Exclude | |
| N/A | N/A | N/A | 39.4% | 6.1% | Exclude |
Construct | Round I | Round II | |||||
---|---|---|---|---|---|---|---|
Total Number of Items | Agreement | Decision | Total Number of Items | Agreement | Decision | Final Number of Items | |
FHS | 43 items | ≥75% agreement: 33 items |
| 17 items | ≥75% agreement: 8 items (including comparison: 1 item) b |
| Round I: 28 items agreement Round II: 9 items agreement 37 items f |
<75% agreement: 10 items |
| <75% agreement: 9 items |
| ||||
N/A |
| N/A |
| ||||
HR-QoL | N/A | 34 items | ≥75%: agreement 26 items |
| Round II: 25 items agreement 25 items f | ||
<75% agreement: 8 items |
|
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Speyer, R.; Cordier, R.; Denman, D.; Windsor, C.; Krisciunas, G.P.; Smithard, D.; Heijnen, B.J. Development of Two Patient Self-Reported Measures on Functional Health Status (FOD) and Health-Related Quality of Life (QOD) in Adults with Oropharyngeal Dysphagia Using the Delphi Technique. J. Clin. Med. 2022, 11, 5920. https://doi.org/10.3390/jcm11195920
Speyer R, Cordier R, Denman D, Windsor C, Krisciunas GP, Smithard D, Heijnen BJ. Development of Two Patient Self-Reported Measures on Functional Health Status (FOD) and Health-Related Quality of Life (QOD) in Adults with Oropharyngeal Dysphagia Using the Delphi Technique. Journal of Clinical Medicine. 2022; 11(19):5920. https://doi.org/10.3390/jcm11195920
Chicago/Turabian StyleSpeyer, Renée, Reinie Cordier, Deborah Denman, Catriona Windsor, Gintas P. Krisciunas, David Smithard, and Bas J. Heijnen. 2022. "Development of Two Patient Self-Reported Measures on Functional Health Status (FOD) and Health-Related Quality of Life (QOD) in Adults with Oropharyngeal Dysphagia Using the Delphi Technique" Journal of Clinical Medicine 11, no. 19: 5920. https://doi.org/10.3390/jcm11195920