Rheumatoid arthritis

Assessing the content validity of a Patient Reported Outcome Measure item pool for Rheumatoid Arthritis Disease Activity using cognitive interviews

Rheumatology (Oxford)Published Qualitative study

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

Composed by AI from the published abstract and checked against it. How Briefs are made →

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