Assessing the content validity of a Patient Reported Outcome Measure item pool for Rheumatoid Arthritis Disease Activity using cognitive interviews
Authors' conclusion
The findings indicate that the 12-item pool adequately captures relevant concepts of RA disease activity, with no additional items required and thus provide evidence of its content validity.
Study context
- Population
- Respondents to a survey containing RA disease activity PROMs, randomly sampled across age, sex and education level categories
- Participants
- 20 one-to-one cognitive interviews
- Outcome
- Content validity (relevance, comprehensiveness, comprehensibility) of a 12-item pool for RA disease activity
Methodological detailscognitive interviews, 'think aloud' technique, reflexive thematic analysis, content analysis, Interviews conducted between November 2022 and February 2023
- Cognitive interviews
- 'think aloud' technique
- Reflexive thematic analysis
- Content analysis
- Interviews conducted between November 2022 and February 2023
Main finding
As reported in the abstract
Content validity of the 12-item pool
- No participants raised concerns on comprehensiveness, comprehensibility or relevance of items
- Lack of consensus on ease of distinguishing RA symptoms from other conditions
- Lack of consensus on whether tenderness and swelling should be asked in a single item or separately
- Majority view: fatigue and general health not specific to RA disease activity
Original publication
Assessing the content validity of a Patient Reported Outcome Measure item pool for Rheumatoid Arthritis Disease Activity using cognitive interviews. Rheumatology (Oxford). Published 6 August 2025. doi:10. 1093/ rheumatology/ keaf421
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