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Individualized health-related quality of life instrument Measure Yourself Medical Outcome Profile (MYMOP) and its adaptations: a critical appraisal

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Abstract

Background

Health-related quality of life (HRQL) is increasingly recognized for its importance in health research. As there is increasing recognition of the inter-individual difference in response to therapeutic interventions, it may be helpful to apply individualized measures of HRQL. The MYMOP is a commonly used example of such measures, although several adaptations have been developed.

Objective

This review was conducted to identify adaptations of MYMOP, and evaluate the measurement properties of MYMOP and its adaptations.

Methods

Adaptations were identified using MYMOP website and personal communication, supplemented by a SCOPUS search in April 2017. Bibliographies of included studies were hand-searched. COSMIN criteria were used to evaluate the measurement properties.

Results

Sixteen studies were included in this review. Adaptations were developed to evaluate individualized therapies in cancer, psychiatry, and acupuncture. The included measures were MYMOP, measure yourself concern and wellbeing, psychological outcome profiles (PSYCHLOPS), and MYMOP-pictorial (MYMOP-P). The quality of the measurement properties varied; none of the included measures met all currently recommended quality criteria for measurement properties.

Conclusion

Current literature provides evidence that MYMOP and its adaptations offer individualized assessment of patient-centered outcomes, and thereby provide a means to understand heterogeneity of treatment effects. However, current recommendations for psychometric testing suggest further validation of these measures would be beneficial.

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Abbreviations

CORE-OM:

Clinical outcomes routine evaluation-outcome measure

COSMIN:

Consensus-based standards for the selection of health status measurement instruments

EQ-5D:

EuroQol Group health status index 5-dimensions

FACIT-SpEx:

Functional assessment of chronic illness therapy questionnaire-spiritual subscale

HRQL:

Health-related quality of life

ICC:

Intraclass correlation coefficient

MOS-6A:

Medical outcome study 6-item general health survey

MYCaW:

Measure yourself concerns and wellbeing

MYMOP:

Measure yourself medical outcome profile

MYMOP-P:

MYMOP-pictorial

PSYCHLOPS:

Psychological outcome profiles

SD:

Standard deviation

SF-36:

Medical outcomes study 36-item short-form health survey

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Acknowledgements

The authors are grateful to Charlotte Paterson for her helpful comments. During the time of this work, Jeffrey Johnson was a Senior Scholar with Alberta Innovates- Health Solutions and a Centennial Professor at the University of Alberta. During the time of this work, Sunita Vohra was a Health Scholar with Alberta Innovates-Health Solutions and a Killam Professor at the University of Alberta.

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Correspondence to Sunita Vohra.

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This review does not contain any studies with human participants performed by any of the authors.

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Informed consent was not applicable to this review as no primary data were collected.

Appendix

Appendix

See Table 4.

Table 4 Quality criteria for measurement properties

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Ishaque, S., Johnson, J.A. & Vohra, S. Individualized health-related quality of life instrument Measure Yourself Medical Outcome Profile (MYMOP) and its adaptations: a critical appraisal. Qual Life Res 28, 879–893 (2019). https://doi.org/10.1007/s11136-018-2046-6

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