Development of a novel patient-reported outcome measure to assess signs and symptoms of COVID-19.

COVID-19 Content validity Patient experience Patient-reported outcome Signs and symptoms

Journal

Journal of patient-reported outcomes
ISSN: 2509-8020
Titre abrégé: J Patient Rep Outcomes
Pays: Germany
ID NLM: 101722688

Informations de publication

Date de publication:
29 Jul 2022
Historique:
received: 14 12 2021
accepted: 25 05 2022
entrez: 29 7 2022
pubmed: 30 7 2022
medline: 30 7 2022
Statut: epublish

Résumé

Given the urgent need for vaccines and treatments for coronavirus disease 2019 (COVID-19), the Symptoms of Infection with Coronavirus-19 (SIC), a comprehensive, patient-reported outcome (PRO) measure of signs and symptoms associated with COVID-19, was developed in full alignment with current US regulatory guidance to support evaluations of vaccines and treatments in development. An initial version of the SIC was developed to address concepts identified through a targeted literature review and consultation with experts in infectious diseases and clinicians routinely managing COVID-19 in a hospital setting. A qualitative study was conducted in sites in the United States among 31 participants aged ≥ 18 years who were English-speaking and willing and able to provide informed consent and a self-reported history by telephone or online method. The measure was refined based on additional feedback from the clinicians and three iterative rounds of combined concept elicitation and cognitive debriefing interviews conducted with patients, caregivers, and healthy volunteers. Among 39 scientific articles identified in the literature review, 35 COVID-19 signs and symptoms were reported and confirmed during interviews with clinicians, patients, and caregivers. Patients and healthy participants suggested changes for refining the draft SIC to ensure consistent interpretation and endorsed both the 24-h recall period and use of an 11-point numeric rating scale (NRS) for capturing change in symptom severity. The final version of the SIC captures the daily presence or absence of 30 symptoms and a rating of severity for 25 of the 30 symptoms using an NRS for those symptoms reported as present. The SIC comprehensively addresses observations described in the literature, by clinicians, and by patients, and captures patients' experiences with COVID-19 in a manner that minimizes complexity and facilitates completion for both patients and healthy volunteers. This measure is thus appropriate for use in clinical trials of both therapeutics and vaccines for COVID-19.

Sections du résumé

BACKGROUND BACKGROUND
Given the urgent need for vaccines and treatments for coronavirus disease 2019 (COVID-19), the Symptoms of Infection with Coronavirus-19 (SIC), a comprehensive, patient-reported outcome (PRO) measure of signs and symptoms associated with COVID-19, was developed in full alignment with current US regulatory guidance to support evaluations of vaccines and treatments in development.
METHODS METHODS
An initial version of the SIC was developed to address concepts identified through a targeted literature review and consultation with experts in infectious diseases and clinicians routinely managing COVID-19 in a hospital setting. A qualitative study was conducted in sites in the United States among 31 participants aged ≥ 18 years who were English-speaking and willing and able to provide informed consent and a self-reported history by telephone or online method. The measure was refined based on additional feedback from the clinicians and three iterative rounds of combined concept elicitation and cognitive debriefing interviews conducted with patients, caregivers, and healthy volunteers.
RESULTS RESULTS
Among 39 scientific articles identified in the literature review, 35 COVID-19 signs and symptoms were reported and confirmed during interviews with clinicians, patients, and caregivers. Patients and healthy participants suggested changes for refining the draft SIC to ensure consistent interpretation and endorsed both the 24-h recall period and use of an 11-point numeric rating scale (NRS) for capturing change in symptom severity. The final version of the SIC captures the daily presence or absence of 30 symptoms and a rating of severity for 25 of the 30 symptoms using an NRS for those symptoms reported as present.
CONCLUSIONS CONCLUSIONS
The SIC comprehensively addresses observations described in the literature, by clinicians, and by patients, and captures patients' experiences with COVID-19 in a manner that minimizes complexity and facilitates completion for both patients and healthy volunteers. This measure is thus appropriate for use in clinical trials of both therapeutics and vaccines for COVID-19.

Identifiants

pubmed: 35904710
doi: 10.1186/s41687-022-00471-w
pii: 10.1186/s41687-022-00471-w
pmc: PMC9336135
doi:

Types de publication

Journal Article

Langues

eng

Pagination

85

Informations de copyright

© 2022. The Author(s).

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Auteurs

Carla Romano (C)

Patient-Centered Outcomes Assessment, RTI Health Solutions, 3040 East Cornwallis Road, Research Triangle Park, NC, 27709, USA. demuromercon@rti.org.

Sheri Fehnel (S)

Patient-Centered Outcomes Assessment, RTI Health Solutions, 3040 East Cornwallis Road, Research Triangle Park, NC, 27709, USA.

Jeffrey Stoddard (J)

Patient Reported Outcomes, Janssen Global Services LLC, Raritan, NJ, USA.

Jerald Sadoff (J)

Janssen Research & Development, LLC, Raritan, NJ, USA.

Sandy Lewis (S)

Patient-Centered Outcomes Assessment, RTI Health Solutions, 3040 East Cornwallis Road, Research Triangle Park, NC, 27709, USA.

Pauline McNulty (P)

Patient Reported Outcomes, Janssen Global Services LLC, Raritan, NJ, USA.

Eric K H Chan (EKH)

Patient Reported Outcomes, Janssen Global Services LLC, Raritan, NJ, USA.

Emily Evans (E)

Patient-Centered Outcomes Assessment, RTI Health Solutions, 3040 East Cornwallis Road, Research Triangle Park, NC, 27709, USA.

Carol Jamieson (C)

Patient Reported Outcomes, Janssen Global Services LLC, Milpitas, CA, USA.

Ashley F Slagle (AF)

Aspen Consulting Services, LLC, Steamboat Springs, CO, USA.

Allen Mangel (A)

Patient-Centered Outcomes Assessment, RTI Health Solutions, 3040 East Cornwallis Road, Research Triangle Park, NC, 27709, USA.

Kelly McQuarrie (K)

Patient Reported Outcomes, Janssen Global Services LLC, Horsham Campus, 800 Ridgeview Drive, Horsham, PA, 19044, USA. kmcquarr@ITS.JNJ.com.

Classifications MeSH