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Validation of Portuguese-translated computer touch-screen questionnaires in patients with rheumatoid arthritis and spondyloarthritis, compared with paper formats

  • Original Article - Validation Studies
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Abstract

The aim of this paper was to assess the validity and reliability of the touch-screen standard Portuguese version of the following patient-reported outcomes (PROs), compared with paper format, in patients with rheumatoid arthritis (RA) and spondyloarthritis: Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Ankylosing Spondylitis Quality of Life scale (ASQoL), Short-Form 36 (SF-36), Health Assessment Questionnaire (HAQ) and visual analogue scales (VAS) measuring pain and burden of disease. Adult patients with RA and spondyloarthritis attending the Portuguese Institute of Rheumatology were recruited from March 2013 to January 2014. Patients filled the paper and touch-screen formats of the standard Portuguese versions of the PROs. Two groups of VAS were used, RA and psoriatic arthritis (Global VAS) and another specific for spondyloarthrites (Spa-VAS). Paper questionnaires were filled 15 min before touch-screen formats. Agreement between formats (validity) was assessed by intraclass correlation coefficient (ICC), while internal consistency of scales (reliability) was assessed by Cronbach’s alpha. Overall, 134 patients were included with a mean age of 51 years, 74.6 % female and 57.5 % presenting RA. BASDAI, BASFI, HAQ and ASQoL showed high ICC between paper and touch-screen formats (0.977, 0.958, 0.974 and 0.940, respectively). ICC for Global VAS ranged from 0.906 to 0.921, while Spa-VAS ranged from 0.867 to 0.943. The mean ICC for all SF-36 domains was 0.889 (ICC for each domain ranged from 0.781 to 0.944). Touch-screen standard Portuguese formats of these PROs may be valid and reliable tools for PRO measurement in rheumatology.

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References

  1. Greenwood MC, Hakim AJ, Carson E, Doyle DV (2006) Touch-screen computer systems in the rheumatology clinic offer a reliable and user-friendly means of collecting quality-of-life and outcome data from patients with rheumatoid arthritis. Rheumatology (Oxford) 45(1):66–71. doi:10.1093/rheumatology/kei100

    Article  CAS  Google Scholar 

  2. Heiberg T, Kvien TK, Dale O, Mowinckel P, Aanerud GJ, Songe-Moller AB, Uhlig T, Hagen KB (2007) Daily health status registration (patient diary) in patients with rheumatoid arthritis: a comparison between personal digital assistant and paper–pencil format. Arthritis Rheum 57(3):454–460. doi:10.1002/art.22613

    Article  PubMed  Google Scholar 

  3. Kvien TK, Mowinckel P, Heiberg T, Dammann KL, Dale O, Aanerud GJ, Alme TN, Uhlig T (2005) Performance of health status measures with a pen based personal digital assistant. Ann Rheum Dis 64(10):1480–1484. doi:10.1136/ard.2004.030437

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  4. Richter JG, Becker A, Koch T, Nixdorf M, Willers R, Monser R, Schacher B, Alten R, Specker C, Schneider M (2008) Self-assessments of patients via Tablet PC in routine patient care: comparison with standardised paper questionnaires. Ann Rheum Dis 67(12):1739–1741. doi:10.1136/ard.2008.090209

    Article  CAS  PubMed  Google Scholar 

  5. Williams CA, Templin T, Mosley-Williams AD (2004) Usability of a computer-assisted interview system for the unaided self-entry of patient data in an urban rheumatology clinic. J Am Med Inform Assoc 11(4):249–259. doi:10.1197/jamia.M1527

    Article  PubMed Central  PubMed  Google Scholar 

  6. Bischoff-Ferrari HA, Vondechend M, Bellamy N, Theiler R (2005) Validation and patient acceptance of a computer touch screen version of the WOMAC 3.1 osteoarthritis index. Ann Rheum Dis 64(1):80–84. doi:10.1136/ard.2003.019307

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  7. Salaffi F, Gasparini S, Grassi W (2009) The use of computer touch-screen technology for the collection of patient-reported outcome data in rheumatoid arthritis: comparison with standardized paper questionnaires. Clin Exp Rheumatol 27(3):459–468

    CAS  PubMed  Google Scholar 

  8. Bent H, Ratzlaff CR, Goligher EC, Kopec JA, Gillies JH (2005) Computer-administered bath ankylosing spondylitis and Quebec Scale outcome questionnaires for low back pain: agreement with traditional paper format. J Rheumatol 32(4):669–672

    PubMed  Google Scholar 

  9. Kirwan JR, Hewlett SE, Heiberg T, Hughes RA, Carr M, Hehir M, Kvien TK, Minnock P, Newman SP, Quest EM, Taal E, Wale J (2005) Incorporating the patient perspective into outcome assessment in rheumatoid arthritis—progress at OMERACT 7. J Rheumatol 32(11):2250–2256

    PubMed  Google Scholar 

  10. Gwaltney CJ, Shields AL, Shiffman S (2008) Equivalence of electronic and paper-and-pencil administration of patient-reported outcome measures: a meta-analytic review. Value Health 11(2):322–333. doi:10.1111/j.1524-4733.2007.00231.x

    Article  PubMed  Google Scholar 

  11. Pimentel-Santos FM, Pinto T, Santos H, Barcelos A, Cunha I, Branco JC, Ferreira PL (2012) Portuguese version of the bath indexes for ankylosing spondylitis patients: a cross-cultural adaptation and validation. Clin Rheumatol 31(2):341–346. doi:10.1007/s10067-011-1864-5

    Article  CAS  PubMed  Google Scholar 

  12. Ferreira PL (2000) Development of the Portuguese version of MOS SF-36. Part I. Cultural and linguistic adaptation. Acta Med Port 13(1–2):55–66

    CAS  PubMed  Google Scholar 

  13. Ferreira PL (2000) Development of the Portuguese version of MOS SF-36. Part II—validation tests. Acta Med Port 13(3):119–127

    CAS  PubMed  Google Scholar 

  14. André Santos R, Reus P, Rebelo L, Costa Dias F, Miranda Rosa C, Viana de Queiroz M (1996) “Health assessment questionnaire” adaptação para língua portuguesa e estudo da sua aplicabilidade. Acta Reumatol Port 21(76):15–20

    Google Scholar 

  15. Mateus C, Pimentel-Santos FM, Mourão AF, Barcelos A, Ribeiro C, Vieira-Sousa E, Sequeira G, Santos H, Costa JA, Pinto P, Tavares V, Fonseca JE, Branco JC, Pita Baros P (2014) P33—Índices de qualidade de vida e seus determinantes em doentes com espondilite anquilosante. Paper presented at the XVII Congresso Português de Reumatologia, Algarve, Portugal

  16. Enderlein G (1988) FleissJL The design and analysis of clinical experiments. Wiley, New York–Chichester–Brislane–Toronto–Singapore 1986, 432 S., £38.35. Biom J 30:304

    Article  Google Scholar 

  17. Andreou E, Alexopoulos EC, Lionis C et al (2011) Perceived stress scale: reliability and validity study in Greece. Int J Environ Res Public Health 8:3287–3298

    Article  PubMed Central  PubMed  Google Scholar 

  18. Athale N, Sturley A, Skoczen S, Kavanaugh A, Lenert L (2004) A web-compatible instrument for measuring self-reported disease activity in arthritis. J Rheumatol 31(2):223–228

    PubMed  Google Scholar 

  19. Lee SJ, Kavanaugh A, Lenert L (2007) Electronic and computer-generated patient questionnaires in standard care. Best Pract Res Clin Rheumatol 21(4):637–647. doi:10.1016/j.berh.2007.02.001

    Article  PubMed  Google Scholar 

  20. MacKenzie H, Thavaneswaran A, Chandran V, Gladman DD (2011) Patient-reported outcome in psoriatic arthritis: a comparison of Web-based versus paper-completed questionnaires. J Rheumatol 38(12):2619–2624. doi:10.3899/jrheum.110165

    Article  PubMed  Google Scholar 

  21. Salaffi F, Gasparini S, Ciapetti A, Gutierrez M, Grassi W (2013) Usability of an innovative and interactive electronic system for collection of patient-reported data in axial spondyloarthritis: comparison with the traditional paper-administered format. Rheumatology (Oxford) 52(11):2062–2070. doi:10.1093/rheumatology/ket276

    Article  Google Scholar 

  22. Schefte DB, Hetland ML (2010) An open-source, self-explanatory touch screen in routine care. Validity of filling in the Bath measures on Ankylosing Spondylitis Disease Activity Index, Function Index, the Health Assessment Questionnaire and Visual Analogue Scales in comparison with paper versions. Rheumatology (Oxford) 49(1):99–104. doi:10.1093/rheumatology/kep333

    Article  Google Scholar 

  23. Ribeiro C, Moreira L, Silveira A, Silva I, Gestal J, Vasconcelos C (2010) Development and use of touch-screen computer-assisted self interviewing in Portuguese patients with chronic immune diseases: evaluation of an electronic version of sf-36v2. Acta Reumatol Port 35(2):208–214

    PubMed  Google Scholar 

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Acknowledgments

The authors would like to acknowledge the role of Laboratórios Pfizer, Lda in the funding of this work.

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Authors and Affiliations

  1. Instituto Português de Reumatologia, Rua da Beneficência, nº7, 1050-034, Lisbon, Portugal

    Luís Cunha-Miranda, Helena Santos, Cláudia Miguel, Cândida Silva, Filipe Barcelos, Joana Borges & Ricardo Trinca

  2. Eurotrials Scientific Consultants, Rua Tierno Galvan, Torre 3, Piso 16, 1070-274, Lisbon, Portugal

    Vera Vicente & Tiago Silva

Authors
  1. Luís Cunha-Miranda
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  2. Helena Santos
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  3. Cláudia Miguel
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  4. Cândida Silva
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  5. Filipe Barcelos
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  6. Joana Borges
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  7. Ricardo Trinca
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  8. Vera Vicente
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  9. Tiago Silva
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Corresponding author

Correspondence to Luís Cunha-Miranda.

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Conflict of interest

The co-authors Tiago Silva and Vera Vicente are employees of Eurotrials, Scientific Consultants. This company received honoraria from the funders of this project, for statistical analysis and support in medical writing activities. The remaining authors have no conflicts of interest to declare.

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Cunha-Miranda, L., Santos, H., Miguel, C. et al. Validation of Portuguese-translated computer touch-screen questionnaires in patients with rheumatoid arthritis and spondyloarthritis, compared with paper formats. Rheumatol Int 35, 2029–2035 (2015). https://doi.org/10.1007/s00296-015-3347-5

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  • DOI: https://doi.org/10.1007/s00296-015-3347-5

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