From: Cognitive interviews guide design of a new CAM patient expectations questionnaire
Round 1 | Round 2 | Round 3 | Round 4 | Round 5 | E.R. | Round 6 | Round 7 | |
---|---|---|---|---|---|---|---|---|
(4 ppts) | (7 ppts) | (4 ppts) | (4 ppts) | (9 ppts) | “Think-Aloud” trial + probes | “Think-Aloud” trial + probes | ||
(11 ppts) | (4 ppts) | |||||||
2) Expect | 2) Realistically expect | 2) Hope | 2) Hope | 2) Hope | 2) Hope | |||
3) Personally expect | 3) Hope | 3) Realistically Expect | 3) Realistically Expect | 3) Realistically Expect | 3) Think is likely to Occur | |||
4) Realistically expect | 4) Think/feel/believe | 4) Successful | 4) How likely (particular outcomes) | |||||
5) Hopeful | 5) Substantially reduce | 5) Substantially reduce VS reduce VS meaningfully | ||||||
6) Confident | VS reduce | |||||||
reduce | ||||||||
7) Think/Feel/Believe | ||||||||
8) Really think | ||||||||
Back pain terms | 1) Back condition | 1) Back pain | 1) Back pain | 1) Back pain | 1) Back pain | 1) Back Pain | 1) Back pain | |
2) Back pain problems | 2) Average/current/ worst pain | |||||||
3) Back pain | ||||||||
Back dysfunction and global effects terms + outcomes domains | 1) Limitations due to back pain | 1) Limitations due to back pain | 1) Impact of back pain on life | 1) Impact of back pain on life | 1) Impact of back pain on life | 1) Physical limitations due to back pain | 1) Impact of back pain on life | |
2) Impact of back pain on life | 2) Impact of back pain on life | 2) Impact on work; social and recreational activities; daily activities; interactions with family & friends | 2) Impact on work; social and recreational activities; daily activities; interactions with family & friends | 2) Impact on work; social and recreational activities; daily activities; interactions with family & friends | 2) Impact of back pain on life | |||
3) How BP interferes with life | 3) Impact on work; social and recreational activities; daily activities; interactions with family | 3) Sleep problems | 3) Mood/Irritability | 3) Mood/irritability | 3) Impact on work; social and recreational activities; daily activities; interactions with family & friends | |||
4) Sleep problems | 4) Energy | 4) Back-related sleep problems | ||||||
5) Mood | ||||||||
6) Energy | ||||||||
Coping | 1) Coping | 1) Coping | ||||||
Timeframe | 1) End of Tx period | 1) End of Tx period 2) 1 year after | 1) End of Tx period 2) One year from now | 1) One year from now (with additional instructions) | ||||
Response options | 1) words VS numbers | 1) Ppt defined scales | 1) 0-10 | 1) 0-10 | 1) 0-10 | 1) 0-10 | 1) 0-10 | |
2) Percent | 2) Word set (a little worse- better than ever) | 2) 0-100 | ||||||
3) Likert scale (Strongly agree – strongly disagree) | 3) 0-10 | 3) Percent | ||||||
4) Likert scale (Strongly agree – strongly disagree) | 4) Negative numbers | |||||||
5) Middle Anchors | ||||||||
6) 1-9 | ||||||||
Word Anchors | 1) 0 = a little worse, 10 = better than it’s ever been | 1) 0 = No change, 10 = completely cured/no pain/pain-free | 1) 0 = No change, 10 = no back pain | 1) 0 = no change, 10 = no back pain | 1) 0= no change/worse, 10 = complete relief | |||
2) Midpoint Anchor - somewhat | 2) 0 = No change, 10 = back pain does not affect my mood | 2) 0 = no change, 10 = back pain no longer impacts my life | ||||||
3) 0 = not at all likely, 10 = very likely | 3) Cope VS really cope VS cope well | 2) 10 = back pain no longer impacts my: (life) (sleep) (mood/irritability) (energy) (work) (Social and recreational activities) (daily activities) (relationships) | ||||||
4) NA | ||||||||
3) 10 = Limitations completely resolved | ||||||||
Decisions/Rationale | 1) Acupuncture Expectancy Scale eliminated – inconsistent meanings of questions | 1) Upper anchor changed to “no back pain” | 1) “How likely (specific outcomes)” was changed to questions of “how much change is expected” | 1) Tested Cherkin/Sherman question “how helpful…” | 1) Eliminated: Think is likely to occur – not as consistent as realistically expect | 1) Use order suggested by survey design expert for self-care questions | ||
2) “Limitations due to back pain” kept for later, not tested in all rounds due to clarity of concept | 2) Ppts prefer same scale throughout questionnaire | 2) Work on Energy as a domain – test “energy level” |