Development of a patient reported outcome instrument for chronic sialadenitis
Abstract Background Sialendoscopy assisted treatments are a minimally invasive management modality for chronic sialadenitis. Clinicians report improved patient quality of life (QoL) following sialendoscopy assisted treatments, but there exist gaps in current literature about patient reported outcome...
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SAGE Publishing
2022-02-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | https://doi.org/10.1186/s40463-022-00555-z |
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| author | Fatemeh Ramazani Amr Hamour Caroline C. Jeffery Vincent Biron Yaser Alrajhi Daniel O’Connell David W. J. Côté |
| author_facet | Fatemeh Ramazani Amr Hamour Caroline C. Jeffery Vincent Biron Yaser Alrajhi Daniel O’Connell David W. J. Côté |
| author_sort | Fatemeh Ramazani |
| collection | DOAJ |
| description | Abstract Background Sialendoscopy assisted treatments are a minimally invasive management modality for chronic sialadenitis. Clinicians report improved patient quality of life (QoL) following sialendoscopy assisted treatments, but there exist gaps in current literature about patient reported outcomes (PROs). PROs are outcome measures developed based on patient perceptions. Objective The objective of this study was to create a PRO instrument for chronic sialadenitis, to assess the efficacy of sialendoscopy assisted treatments in improve patients’ QoL. Design This four-phase qualitative study employed grounded theory methodology and a modified Delphi technique. In Phase I, ten patients were interviewed to identify the QoL domains impacted by chronic sialadenitis. In Phase II, these QoL domains were presented to a focus group of different chronic sialadenitis patients, who were asked to rank them by order of importance. A conceptual framework of QoL domains impacted by chronic sialadenitis was created based on patient consensus. Itemization of the PRO questionnaire was done by a focus group of four Otolaryngologists in phase III. Lastly, the questionnaire was completed in Phase IV by cognitive interviewing of five new chronic sialadenitis patients; ensuring ease of understanding and clarity. Results Patients identified 15 domains of QoL impacted by chronic sialadenitis, divided into three sub-scales: physical symptoms, psychosocial symptoms, and activity restriction. These domains provided the basis for creation of a 22-item PRO questionnaire, with a Likert-type response scale. Conclusion Clinical application of the novel questionnaire produced by this study will allow for a patient-centered assessment of the patient reported effectiveness of sialendoscopy assisted therapies for management of chronic sialadenitis. Level of evidence Level V. Graphical Abstract |
| format | Article |
| id | doaj-art-1ec51772054743e39e6db46af2818bc0 |
| institution | Kabale University |
| issn | 1916-0216 |
| language | English |
| publishDate | 2022-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-1ec51772054743e39e6db46af2818bc02025-02-03T00:22:57ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162022-02-015111910.1186/s40463-022-00555-zDevelopment of a patient reported outcome instrument for chronic sialadenitisFatemeh Ramazani0Amr Hamour1Caroline C. Jeffery2Vincent Biron3Yaser Alrajhi4Daniel O’Connell5David W. J. Côté6Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, 1E4 Walter C. MacKenzie Health Sciences Centre, University of AlbertaDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, 1E4 Walter C. MacKenzie Health Sciences Centre, University of AlbertaDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, 1E4 Walter C. MacKenzie Health Sciences Centre, University of AlbertaDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, 1E4 Walter C. MacKenzie Health Sciences Centre, University of AlbertaDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, 1E4 Walter C. MacKenzie Health Sciences Centre, University of AlbertaDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, 1E4 Walter C. MacKenzie Health Sciences Centre, University of AlbertaDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, 1E4 Walter C. MacKenzie Health Sciences Centre, University of AlbertaAbstract Background Sialendoscopy assisted treatments are a minimally invasive management modality for chronic sialadenitis. Clinicians report improved patient quality of life (QoL) following sialendoscopy assisted treatments, but there exist gaps in current literature about patient reported outcomes (PROs). PROs are outcome measures developed based on patient perceptions. Objective The objective of this study was to create a PRO instrument for chronic sialadenitis, to assess the efficacy of sialendoscopy assisted treatments in improve patients’ QoL. Design This four-phase qualitative study employed grounded theory methodology and a modified Delphi technique. In Phase I, ten patients were interviewed to identify the QoL domains impacted by chronic sialadenitis. In Phase II, these QoL domains were presented to a focus group of different chronic sialadenitis patients, who were asked to rank them by order of importance. A conceptual framework of QoL domains impacted by chronic sialadenitis was created based on patient consensus. Itemization of the PRO questionnaire was done by a focus group of four Otolaryngologists in phase III. Lastly, the questionnaire was completed in Phase IV by cognitive interviewing of five new chronic sialadenitis patients; ensuring ease of understanding and clarity. Results Patients identified 15 domains of QoL impacted by chronic sialadenitis, divided into three sub-scales: physical symptoms, psychosocial symptoms, and activity restriction. These domains provided the basis for creation of a 22-item PRO questionnaire, with a Likert-type response scale. Conclusion Clinical application of the novel questionnaire produced by this study will allow for a patient-centered assessment of the patient reported effectiveness of sialendoscopy assisted therapies for management of chronic sialadenitis. Level of evidence Level V. Graphical Abstracthttps://doi.org/10.1186/s40463-022-00555-zSialendoscopySialadenitisPatient reported outcomes |
| spellingShingle | Fatemeh Ramazani Amr Hamour Caroline C. Jeffery Vincent Biron Yaser Alrajhi Daniel O’Connell David W. J. Côté Development of a patient reported outcome instrument for chronic sialadenitis Journal of Otolaryngology - Head and Neck Surgery Sialendoscopy Sialadenitis Patient reported outcomes |
| title | Development of a patient reported outcome instrument for chronic sialadenitis |
| title_full | Development of a patient reported outcome instrument for chronic sialadenitis |
| title_fullStr | Development of a patient reported outcome instrument for chronic sialadenitis |
| title_full_unstemmed | Development of a patient reported outcome instrument for chronic sialadenitis |
| title_short | Development of a patient reported outcome instrument for chronic sialadenitis |
| title_sort | development of a patient reported outcome instrument for chronic sialadenitis |
| topic | Sialendoscopy Sialadenitis Patient reported outcomes |
| url | https://doi.org/10.1186/s40463-022-00555-z |
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