Validity, reliability, and responsiveness of daily monitoring visual analog scales in MASK‐air

Background MASK‐air® is an app that supports allergic rhinitis patients in disease control. Users register daily allergy symptoms and their impact on activities using visual analog scales (VASs). We aimed to assess the concurrent validity, reliability, and responsiveness of these daily VASs. Methods...

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Veröffentlicht in:Clinical and translational allergy Jg. 11; H. 7; S. e12062 - n/a
Hauptverfasser: Sousa‐Pinto, Bernardo, Eklund, Patrik, Pfaar, Oliver, Klimek, Ludger, Zuberbier, Torsten, Czarlewski, Wienczyslawa, Bédard, Annabelle, Bindslev‐Jensen, Carsten, Bedbrook, Anna, Bosnic‐Anticevich, Sinthia, Brussino, Luisa, Cardona, Victoria, Cruz, Alvaro A., Vries, Govert, Devillier, Philippe, Fokkens, Wytske J., Fuentes‐Pérez, José Miguel, Gemicioğlu, Bilun, Haahtela, Tari, Huerta‐Villalobos, Yunen Rocío, Ivancevich, Juan Carlos, Kull, Inger, Kuna, Piotr, Kvedariene, Violeta, Larenas Linnemann, Désirée E., Laune, Daniel, Makris, Michael, Melén, Erik, Morais‐Almeida, Mário, Mösges, Ralph, Mullol, Joaquim, O'Hehir, Robyn E., Papadopoulos, Nikolaos G., Pereira, Ana Margarida, Prokopakis, Emmanuel P., Psarros, Fotis, Regateiro, Frederico S., Reitsma, Sietze, Samolinski, Boleslaw, Scichilone, Nicola, Silva, Jane, Stellato, Cristiana, Todo‐Bom, Ana, Tomazic, Peter Valentin, Salmi, Sanna Toppila, Valero, Antonio, Valiulis, Arunas, Valovirta, Erkka, Eerd, Michiel, Ventura, Maria Teresa, Yorgancioglu, Arzu, Basagaña, Xavier, Antó, Josep M., Bousquet, Jean, Fonseca, João Almeida
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England John Wiley & Sons, Inc 01.08.2021
Wiley
John Wiley and Sons Inc
Schlagworte:
allergic rhinitis
Allergies
Allergology
Asthma
Hay fever
Immunology
Life Sciences
mobile health
Nose
Productivity
Questionnaires
reliability
responsiveness
Review
Rhinitis
Validity
Values
visual analog scales
allergic rhinitis
mobile health
visual analog scales
reliability
responsiveness
ISSN:2045-7022, 2045-7022
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Zusammenfassung:Background MASK‐air® is an app that supports allergic rhinitis patients in disease control. Users register daily allergy symptoms and their impact on activities using visual analog scales (VASs). We aimed to assess the concurrent validity, reliability, and responsiveness of these daily VASs. Methods Daily monitoring VAS data were assessed in MASK‐air® users with allergic rhinitis. Concurrent validity was assessed by correlating daily VAS values with those of the EuroQol‐5 Dimensions (EQ‐5D) VAS, the Control of Allergic Rhinitis and Asthma Test (CARAT) score, and the Work Productivity and Activity Impairment Allergic Specific (WPAI‐AS) Questionnaire (work and activity impairment scores). Intra‐rater reliability was assessed in users providing multiple daily VASs within the same day. Test–retest reliability was tested in clinically stable users, as defined by the EQ‐5D VAS, CARAT, or “VAS Work” (i.e., VAS assessing the impact of allergy on work). Responsiveness was determined in users with two consecutive measurements of EQ‐5D‐VAS or “VAS Work” indicating clinical change. Results A total of 17,780 MASK‐air® users, with 317,176 VAS days, were assessed. Concurrent validity was moderate–high (Spearman correlation coefficient range: 0.437–0.716). Intra‐rater reliability intraclass correlation coefficients (ICCs) ranged between 0.870 (VAS assessing global allergy symptoms) and 0.937 (VAS assessing allergy symptoms on sleep). Test–retest reliability ICCs ranged between 0.604 and 0.878—“VAS Work” and “VAS asthma” presented the highest ICCs. Moderate/large responsiveness effect sizes were observed—the sleep VAS was associated with lower responsiveness, while the global allergy symptoms VAS demonstrated higher responsiveness. Conclusion In MASK‐air®, daily monitoring VASs have high intra‐rater reliability and moderate–high validity, reliability, and responsiveness, pointing to a reliable measure of symptom loads.
Bibliographie:Jean Bousquet and João Almeida Fonseca are last authors of this publication.
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PMCID: PMC8449952
ISSN:2045-7022
2045-7022
DOI:10.1002/clt2.12062