The minimal clinically important difference of app‐based electronic patient‐reported outcomes for hay fever

Abstract Background Hay fever is a common allergic disease, with an estimated worldwide prevalence of 14.4% and a variety of symptoms. This study assessed the minimal clinically important difference (MCID) of nasal symptom score (NSS), non‐nasal symptom score (NNSS), and total symptoms score (TSS) f...

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Main Authors: Ken Nagino, Jaemyoung Sung, Akie Midorikawa‐Inomata, Atsuko Eguchi, Keiichi Fujimoto, Yuichi Okumura, Alan Yee, Kenta Fujio, Yasutsugu Akasaki, Tianxiang Huang, Maria Miura, Shokirova Hurramhon, Kunihiko Hirosawa, Mizu Ohno, Yuki Morooka, Hiroyuki Kobayashi, Takenori Inomata
Format: Article
Language:English
Published: Wiley 2023-05-01
Series:Clinical and Translational Allergy
Subjects:
Online Access:https://doi.org/10.1002/clt2.12244
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author Ken Nagino
Jaemyoung Sung
Akie Midorikawa‐Inomata
Atsuko Eguchi
Keiichi Fujimoto
Yuichi Okumura
Alan Yee
Kenta Fujio
Yasutsugu Akasaki
Tianxiang Huang
Maria Miura
Shokirova Hurramhon
Kunihiko Hirosawa
Mizu Ohno
Yuki Morooka
Hiroyuki Kobayashi
Takenori Inomata
author_facet Ken Nagino
Jaemyoung Sung
Akie Midorikawa‐Inomata
Atsuko Eguchi
Keiichi Fujimoto
Yuichi Okumura
Alan Yee
Kenta Fujio
Yasutsugu Akasaki
Tianxiang Huang
Maria Miura
Shokirova Hurramhon
Kunihiko Hirosawa
Mizu Ohno
Yuki Morooka
Hiroyuki Kobayashi
Takenori Inomata
author_sort Ken Nagino
collection DOAJ
description Abstract Background Hay fever is a common allergic disease, with an estimated worldwide prevalence of 14.4% and a variety of symptoms. This study assessed the minimal clinically important difference (MCID) of nasal symptom score (NSS), non‐nasal symptom score (NNSS), and total symptoms score (TSS) for app‐based hay‐fever monitoring. Methods MCIDs were calculated based on the data from a previous large‐scale, crowdsourced, cross‐sectional study using AllerSearch, an in‐house smartphone application. MCIDs were determined with anchor‐based and distribution‐based methods. The face scale score of the Japanese Allergic Conjunctival Disease Standard Quality of Life Questionnaire Domain III and the daily stress level due to hay fever were used as anchors for determining MCIDs. The MCID estimates were summarized as MCID ranges. Results A total of 7590 participants were included in the analysis (mean age: 35.3 years, 57.1% women). The anchor‐based method produced a range of MCID values (median, interquartile range) for NSS (2.0, 1.5–2.1), NNSS (1.0, 0.9–1.2), and TSS (2.9, 2.4–3.3). The distribution‐based method produced two MCIDs (based on half a standard deviation, based on a standard error of measurement) for NSS (2.0, 1.8), NNSS (1.3, 1.2), and TSS (3.0, 2.3). The final suggested MCID ranges for NSS, NNSS, and TSS were 1.8–2.1, 1.2–1.3, and 2.4–3.3, respectively. Conclusions MCID ranges for app‐based hay‐fever symptom assessment were obtained from the data collected through a smartphone application, AllerSearch. These estimates may be useful for monitoring the subjective symptoms of Japanese patients with hay fever through mobile platforms.
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spelling doaj.art-2eeb93d457d24b098d34d7426d02cea12023-05-25T14:32:30ZengWileyClinical and Translational Allergy2045-70222023-05-01135n/an/a10.1002/clt2.12244The minimal clinically important difference of app‐based electronic patient‐reported outcomes for hay feverKen Nagino0Jaemyoung Sung1Akie Midorikawa‐Inomata2Atsuko Eguchi3Keiichi Fujimoto4Yuichi Okumura5Alan Yee6Kenta Fujio7Yasutsugu Akasaki8Tianxiang Huang9Maria Miura10Shokirova Hurramhon11Kunihiko Hirosawa12Mizu Ohno13Yuki Morooka14Hiroyuki Kobayashi15Takenori Inomata16Department of Hospital Administration Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Ophthalmology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Hospital Administration Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Hospital Administration Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Ophthalmology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Ophthalmology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Ophthalmology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Ophthalmology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Ophthalmology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Ophthalmology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Ophthalmology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Ophthalmology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Ophthalmology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Ophthalmology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Ophthalmology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Hospital Administration Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Hospital Administration Juntendo University Graduate School of Medicine Tokyo JapanAbstract Background Hay fever is a common allergic disease, with an estimated worldwide prevalence of 14.4% and a variety of symptoms. This study assessed the minimal clinically important difference (MCID) of nasal symptom score (NSS), non‐nasal symptom score (NNSS), and total symptoms score (TSS) for app‐based hay‐fever monitoring. Methods MCIDs were calculated based on the data from a previous large‐scale, crowdsourced, cross‐sectional study using AllerSearch, an in‐house smartphone application. MCIDs were determined with anchor‐based and distribution‐based methods. The face scale score of the Japanese Allergic Conjunctival Disease Standard Quality of Life Questionnaire Domain III and the daily stress level due to hay fever were used as anchors for determining MCIDs. The MCID estimates were summarized as MCID ranges. Results A total of 7590 participants were included in the analysis (mean age: 35.3 years, 57.1% women). The anchor‐based method produced a range of MCID values (median, interquartile range) for NSS (2.0, 1.5–2.1), NNSS (1.0, 0.9–1.2), and TSS (2.9, 2.4–3.3). The distribution‐based method produced two MCIDs (based on half a standard deviation, based on a standard error of measurement) for NSS (2.0, 1.8), NNSS (1.3, 1.2), and TSS (3.0, 2.3). The final suggested MCID ranges for NSS, NNSS, and TSS were 1.8–2.1, 1.2–1.3, and 2.4–3.3, respectively. Conclusions MCID ranges for app‐based hay‐fever symptom assessment were obtained from the data collected through a smartphone application, AllerSearch. These estimates may be useful for monitoring the subjective symptoms of Japanese patients with hay fever through mobile platforms.https://doi.org/10.1002/clt2.12244hay feverminimal clinically important differencemobile healthpatient‐reported outcome measurespollen allergy
spellingShingle Ken Nagino
Jaemyoung Sung
Akie Midorikawa‐Inomata
Atsuko Eguchi
Keiichi Fujimoto
Yuichi Okumura
Alan Yee
Kenta Fujio
Yasutsugu Akasaki
Tianxiang Huang
Maria Miura
Shokirova Hurramhon
Kunihiko Hirosawa
Mizu Ohno
Yuki Morooka
Hiroyuki Kobayashi
Takenori Inomata
The minimal clinically important difference of app‐based electronic patient‐reported outcomes for hay fever
Clinical and Translational Allergy
hay fever
minimal clinically important difference
mobile health
patient‐reported outcome measures
pollen allergy
title The minimal clinically important difference of app‐based electronic patient‐reported outcomes for hay fever
title_full The minimal clinically important difference of app‐based electronic patient‐reported outcomes for hay fever
title_fullStr The minimal clinically important difference of app‐based electronic patient‐reported outcomes for hay fever
title_full_unstemmed The minimal clinically important difference of app‐based electronic patient‐reported outcomes for hay fever
title_short The minimal clinically important difference of app‐based electronic patient‐reported outcomes for hay fever
title_sort minimal clinically important difference of app based electronic patient reported outcomes for hay fever
topic hay fever
minimal clinically important difference
mobile health
patient‐reported outcome measures
pollen allergy
url https://doi.org/10.1002/clt2.12244
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