Validation of a novel patient reported tool to assess the impact of treatment in erythropoietic protoporphyria: the EPP-QoL

Abstract Background A novel treatment has been developed for erythropoietic protoporphyria (EPP) (a rare condition that leaves patients highly sensitive to light). To fully understand the burden of EPP and the benefit of treatment, a novel patient reported outcome (PRO) measure was developed called...

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Main Authors: G. Biolcatti, S. Hanneken, E. I. Minder, N. J. Neumann, J. H. P. Wilson, P. J. Wolgen, D. J. Wright, A. J. Lloyd
Format: Article
Language:English
Published: SpringerOpen 2021-08-01
Series:Journal of Patient-Reported Outcomes
Subjects:
Online Access:https://doi.org/10.1186/s41687-021-00345-7
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author G. Biolcatti
S. Hanneken
E. I. Minder
N. J. Neumann
J. H. P. Wilson
P. J. Wolgen
D. J. Wright
A. J. Lloyd
author_facet G. Biolcatti
S. Hanneken
E. I. Minder
N. J. Neumann
J. H. P. Wilson
P. J. Wolgen
D. J. Wright
A. J. Lloyd
author_sort G. Biolcatti
collection DOAJ
description Abstract Background A novel treatment has been developed for erythropoietic protoporphyria (EPP) (a rare condition that leaves patients highly sensitive to light). To fully understand the burden of EPP and the benefit of treatment, a novel patient reported outcome (PRO) measure was developed called the EPP-QoL. This report describes work to support the validation of this measure. Methods Secondary analysis of trial data was undertaken. These analyses explored the underlying factor structure of the measure. This supported the deletion of some items. Further work then explored the reliability of these factors, their construct validity and estimates of meaningful change. Results The factor analyses indicated that the items could be summarised in terms of two factors. One of these was labelled EPP Symptoms and the other EPP Wellbeing, based on the items included in the domain. EPP Symptoms had evidence to support its reliability and validity. EPP Wellbeing had poor psychometric properties. Conclusions Based on the analysis it was recommended to drop the EPP Wellbeing domain (and associated items). EPP Symptoms, despite limitations in the development of items, showed evidence of validity. This work is consistent with the recommendations of a task force that provided recommendations regarding the development, modification and use of PROs in rare diseases.
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spelling doaj.art-2c9d15ce8ed5409c8a84cc284a18d9282022-12-21T21:46:42ZengSpringerOpenJournal of Patient-Reported Outcomes2509-80202021-08-01511810.1186/s41687-021-00345-7Validation of a novel patient reported tool to assess the impact of treatment in erythropoietic protoporphyria: the EPP-QoLG. Biolcatti0S. Hanneken1E. I. Minder2N. J. Neumann3J. H. P. Wilson4P. J. Wolgen5D. J. Wright6A. J. Lloyd7Centre for Porphyrias, Istituto Dermatologico S. Gallicano - Istituti Fisioterapici OspitalieriPrivate Practice EmpodermStadtspital Triemli, Porphyria Outpatient ClinicsDepartment of Dermatology, Heinrich Heine UniversityThe Department of Internal Medicine, Center of Lysosomal and Metabolic Diseases, Erasmus Medical CenterClinuvel Pharmaceuticals LimitedClinuvel Pharmaceuticals LimitedAcaster Lloyd Consulting LtdAbstract Background A novel treatment has been developed for erythropoietic protoporphyria (EPP) (a rare condition that leaves patients highly sensitive to light). To fully understand the burden of EPP and the benefit of treatment, a novel patient reported outcome (PRO) measure was developed called the EPP-QoL. This report describes work to support the validation of this measure. Methods Secondary analysis of trial data was undertaken. These analyses explored the underlying factor structure of the measure. This supported the deletion of some items. Further work then explored the reliability of these factors, their construct validity and estimates of meaningful change. Results The factor analyses indicated that the items could be summarised in terms of two factors. One of these was labelled EPP Symptoms and the other EPP Wellbeing, based on the items included in the domain. EPP Symptoms had evidence to support its reliability and validity. EPP Wellbeing had poor psychometric properties. Conclusions Based on the analysis it was recommended to drop the EPP Wellbeing domain (and associated items). EPP Symptoms, despite limitations in the development of items, showed evidence of validity. This work is consistent with the recommendations of a task force that provided recommendations regarding the development, modification and use of PROs in rare diseases.https://doi.org/10.1186/s41687-021-00345-7Erythropoietic protoporphyriaEPP-QoLPatient reported outcomesPsychometric validation
spellingShingle G. Biolcatti
S. Hanneken
E. I. Minder
N. J. Neumann
J. H. P. Wilson
P. J. Wolgen
D. J. Wright
A. J. Lloyd
Validation of a novel patient reported tool to assess the impact of treatment in erythropoietic protoporphyria: the EPP-QoL
Journal of Patient-Reported Outcomes
Erythropoietic protoporphyria
EPP-QoL
Patient reported outcomes
Psychometric validation
title Validation of a novel patient reported tool to assess the impact of treatment in erythropoietic protoporphyria: the EPP-QoL
title_full Validation of a novel patient reported tool to assess the impact of treatment in erythropoietic protoporphyria: the EPP-QoL
title_fullStr Validation of a novel patient reported tool to assess the impact of treatment in erythropoietic protoporphyria: the EPP-QoL
title_full_unstemmed Validation of a novel patient reported tool to assess the impact of treatment in erythropoietic protoporphyria: the EPP-QoL
title_short Validation of a novel patient reported tool to assess the impact of treatment in erythropoietic protoporphyria: the EPP-QoL
title_sort validation of a novel patient reported tool to assess the impact of treatment in erythropoietic protoporphyria the epp qol
topic Erythropoietic protoporphyria
EPP-QoL
Patient reported outcomes
Psychometric validation
url https://doi.org/10.1186/s41687-021-00345-7
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