The Reflux Disease Questionnaire: a measure for assessment of treatment response in clinical trials

<p>Abstract</p> <p>Background</p> <p>Critical needs for treatment trials in gastroesophageal reflux disease (GERD) include assessing response to treatment, evaluating symptom severity, and translation of symptom questionnaires into multiple languages. We evaluated the p...

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Main Authors: Junghard Ola, Beebe Timothy, Dent John, Shaw Michael, Wiklund Ingela, Lind Tore, Johnsson Folke
Format: Article
Language:English
Published: BMC 2008-04-01
Series:Health and Quality of Life Outcomes
Online Access:http://www.hqlo.com/content/6/1/31
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author Junghard Ola
Beebe Timothy
Dent John
Shaw Michael
Wiklund Ingela
Lind Tore
Johnsson Folke
author_facet Junghard Ola
Beebe Timothy
Dent John
Shaw Michael
Wiklund Ingela
Lind Tore
Johnsson Folke
author_sort Junghard Ola
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Critical needs for treatment trials in gastroesophageal reflux disease (GERD) include assessing response to treatment, evaluating symptom severity, and translation of symptom questionnaires into multiple languages. We evaluated the previously validated Reflux Disease Questionnaire (RDQ) for internal consistency, reliability, responsiveness to change during treatment and the concordance between RDQ and specialty physician assessment of symptom severity, after translation into Swedish and Norwegian.</p> <p>Methods</p> <p>Performance of the RDQ after translation into Swedish and Norwegian was evaluated in 439 patients with presumed GERD in a randomized, double-blind trial of active treatment with a proton pump inhibitor.</p> <p>Results</p> <p>The responsiveness was excellent across three RDQ indicators. Mean change scores in patients on active treatment were large, also reflected in effect sizes that ranged from a low of 1.05 (dyspepsia) to a high of 2.05 (heartburn) and standardized response means 0.99 (dyspepsia) and 1.52 (heartburn). A good positive correlation between physician severity ratings and RDQ scale scores was seen. The internal consistency reliability using alpha coefficients of the scales, regardless of language, ranged from 0.67 to 0.89.</p> <p>Conclusion</p> <p>The results provide strong evidence that the RDQ is amenable to translation and represents a viable instrument for assessing response to treatment, and symptom severity.</p>
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spelling doaj.art-a21506d4758941639bdb3a6174d581422022-12-21T19:41:31ZengBMCHealth and Quality of Life Outcomes1477-75252008-04-01613110.1186/1477-7525-6-31The Reflux Disease Questionnaire: a measure for assessment of treatment response in clinical trialsJunghard OlaBeebe TimothyDent JohnShaw MichaelWiklund IngelaLind ToreJohnsson Folke<p>Abstract</p> <p>Background</p> <p>Critical needs for treatment trials in gastroesophageal reflux disease (GERD) include assessing response to treatment, evaluating symptom severity, and translation of symptom questionnaires into multiple languages. We evaluated the previously validated Reflux Disease Questionnaire (RDQ) for internal consistency, reliability, responsiveness to change during treatment and the concordance between RDQ and specialty physician assessment of symptom severity, after translation into Swedish and Norwegian.</p> <p>Methods</p> <p>Performance of the RDQ after translation into Swedish and Norwegian was evaluated in 439 patients with presumed GERD in a randomized, double-blind trial of active treatment with a proton pump inhibitor.</p> <p>Results</p> <p>The responsiveness was excellent across three RDQ indicators. Mean change scores in patients on active treatment were large, also reflected in effect sizes that ranged from a low of 1.05 (dyspepsia) to a high of 2.05 (heartburn) and standardized response means 0.99 (dyspepsia) and 1.52 (heartburn). A good positive correlation between physician severity ratings and RDQ scale scores was seen. The internal consistency reliability using alpha coefficients of the scales, regardless of language, ranged from 0.67 to 0.89.</p> <p>Conclusion</p> <p>The results provide strong evidence that the RDQ is amenable to translation and represents a viable instrument for assessing response to treatment, and symptom severity.</p>http://www.hqlo.com/content/6/1/31
spellingShingle Junghard Ola
Beebe Timothy
Dent John
Shaw Michael
Wiklund Ingela
Lind Tore
Johnsson Folke
The Reflux Disease Questionnaire: a measure for assessment of treatment response in clinical trials
Health and Quality of Life Outcomes
title The Reflux Disease Questionnaire: a measure for assessment of treatment response in clinical trials
title_full The Reflux Disease Questionnaire: a measure for assessment of treatment response in clinical trials
title_fullStr The Reflux Disease Questionnaire: a measure for assessment of treatment response in clinical trials
title_full_unstemmed The Reflux Disease Questionnaire: a measure for assessment of treatment response in clinical trials
title_short The Reflux Disease Questionnaire: a measure for assessment of treatment response in clinical trials
title_sort reflux disease questionnaire a measure for assessment of treatment response in clinical trials
url http://www.hqlo.com/content/6/1/31
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