PROM | Construct | Therapeutic area | Domains | Total No. of items | Scoring method | Recall period | Administration | Completion time | Data collectiona | Cost & permissionb |
---|---|---|---|---|---|---|---|---|---|---|
15 D © | HRQOL | Generic | Mobility,Vision,Hearing, Breathing, Sleeping, Eating, Speech, Elimination, Usual Activities, Mental function,Discomfort, symptoms, Depression, Distress, Vitality, Sexual Activity | 15 | 1 to 5 levels | Present health status | Self-administered | 5–10 min | PP | A, B |
5-D Itch | Pruritus | Severity of symptoms | Duration, Degree, Direction, Disability, Distribution | 5 | 0–5 (0 being least problematic and 5 most problematic) | Last 2 weeks | Self-administered | < 5 min | PP | Unknown |
BDI | Psychological functioning (incl. coping) | Psychology/ Behaviour | Cognitive-affective, Somatic | 21 | Higher score = greater depression | Last 2 weeks including today | Self-administered/ Interviewer-administered | 5–10 min | E, PP | B,D |
CGQOL | HRQOL | Disease specific (IBD) | Unknown | 3 | 0–1.0 (1 being the best) | Unknown | Unknown | Unknown | PP | Unknown |
CLDQ | HRQOL | Digestive System Diseases | Abdominal symptoms, Fatigue, Systemic symptoms, Activity, Emotional function, Worry | 29 | Higher score = better QoL | Last two weeks | Self-administered | 10 min | E, PP | B,D |
COMPASS | Autonomic nervous system diseases | Signs and symptoms | Orthostatic intolerance, vasomotor, secretomotor, gastrointestinal, bladder and pupilometer | 31 | Higher score = higher autonomic symptom severity | In past year/ past 5 years | Self-administered | No information | PP | No information |
EQ -5D | HRQOL | Generic | Mobility, Self-care, Usual activities, Pain/discomfort, Anxiety/depression | 5 + VAS (20 cm) | Higher score = better QoL | Today | Interviewer-administeredProxy-ratedSelf-administered | A few minutes | E, PP, IVR, T | B,D |
ESS | Sleep disorder | Signs and symptoms | Sleep | 8 | Higher score = higher sleepiness | Over recent times | Self-administered | 2–3 min | E, PP | A,B |
FFSS | HRQOL | Signs & symptoms | Fatigue | 9 | High score = higher fatigue | Past two weeks | Self-administered | < 5 min | E, PP | B,D |
FIS | Symptoms of fatigue | Pathological Conditions, Signs and Symptoms | Cognitive functioning, Physical functioning, Psychosocial functioning | 40 | Lower score = less fatigue | Past four weeks | Self -administered | 10 min | PP | A,B |
FSFI | Signs and symptoms | Female Urogenital Diseases & Pregnancy | Desire, Arousal, Lubrication, Orgasm, Global satisfaction, Pain | 19 | Higher score = better functioning | During the past 4 weeks | Self-administered | Information not found | E, PP | C |
Grading system for fatigue & pruritus | Fatigue and Pruritus | Severity of symptoms | Unknown | Unknown |
Pruritus, grades 0 -no, 1-mild, 2- sleep interference,3- substantial sleep disturbance Fatigue, grade 0- no; 1- present, but no interference with activity; 2-extra rest required & activity limited 3- patient unable to work a full day. | Unknown | Unknown | Unknown | Unknown | Unknown |
GSRS | Signs and symptoms | Signs & symptoms, Digestive system diseases | Abdominal pain syndrome, Reflux syndrome, Indigestion syndrome, Diarrhoea syndrome, Constipation syndrome | 15 | Lower score-better QoL | Last week | Self-administered | 10 min | PP | B,D |
HADS | Signs and symptoms | Nervous System Diseases Mental Disorders | Anxiety, Depression | 14 | Lower score = better QoL | In the past week | Self-administered | 2–5 min | E, PP | C |
HHHQ | Diet | Dietary habits | Patient demographics, Education, Medical surgical history and environmental exposure including dietary habits | 370 questions | Unknown | Unknown | Self-report | Unknown | Unknown | Unknown |
IDS-SRS 30 | Signs and symptoms | Psychiatry/Psychology/Behaviour | Vegetative features, Cognitive changes, Mood disturbance, Endogenous symptoms, Anxiety symptoms | 30(28 initial version) | Higher score = higher severity | Past 7 days | Clinical-rated, interviewer-administered, self-administered | 10–15 min | E, IVR, PP | C |
IIEF | HRQOL | Erectile Dysfunction | Erectile function, Orgasmic function, Sexual desire, Intercourse satisfaction, Overall satisfaction | 15 | Higher score = better QoL. Scores by dimension | Past 4 weeks | Self-administered | 15 min | PP | B,D |
LDH | Alcohol consumption patterns | Intake assessment | Consumption levels (quantity), frequency of use, variability in consumption, types of beverages, drinking pattern, solitary versus social drinking, time of the day alcohol consumption | Unclear | Scored by hand or calculator | Unknown | Unknown | 20 min | Unknown | Cost nominal (copyright) |
LDQOL 1.0 | HRQOL | Digestive System Diseases |
- Generic core SF-36v2 - Disease-targeted scales: Liver disease-related symptoms, Effects of liver disease, Concentration/Memory, Health distress, Sleep, Loneliness, Hopelessness, Stigma of liver disease, Sexual functioning/problems | 72 | Higher score = Better HRQOL. | The past 4 weeks; Presently (for few items) | Self-administered | 18 (+/− 9) min | PP | D |
MFI | Signs and symptoms | Pathological conditions, signs and symptoms | General fatigue, Physical fatigue, reduced activity, Reduced motivation, Mental fatigue | 20 | Lower score = better QoL | Lately | Self-administered | 5 min | PP | B |
NIDDK-QA | HRQOL | Patients undergoing Liver transplant |
Liver disease symptoms, physical functioning, health satisfaction & overall well-being (OWB) | 47 | Higher scores indicate better QOL | Unknown | Unknown | Unknown | Unknown | Unknown |
OS | Functional outcome | IPAA or IRA | Bowel movements, urgency, evacuation difficulties, soiling or seepage, perianal/stomal soreness, protective pad, dietary restrictions and social handicap | Unclear | best 0, worst 15 | Unknown | Unknown | Unknown | Unknown | Unknown |
PBC-27 | HRQOL | Disease specific | Symptoms, Dryness,Itch, Fatigue, Cognitive, Emotional and Social | 40 | Higher scores = greater symptoms impact & poorerHRQOL. | Last four weeks | Self-completion | < 5 min | PP | Unknown |
PBC-40 | HRQOL | Disease specific | Other Symptoms domain, Itch, Fatigue, Cognitive, Social and Emotional | 27 | Higher scores = greater symptoms impact & poorerHRQOL. | Last four weeks | Self-completion | 5 min | PP | Free access |
PedsQL 4.0 | HRQOL | Generic | Physical functioning, Emotional functioning, Social functioning,school functioning | 21 to 23 | Higher score = better QoL | Standard version: past one month. Acute version: past 7 days |
Interviewer-administered Proxy-rated Self-administered | 5 min | PP | A,B |
PGWB | HRQOL | Generic | Anxiety, Depression mood, Positive well-being, Self-control, General health, Vitality | 22 | Higher score = better QoL | Standard version = past month/ acute version = last week/ last four weeks | Self-administered/Interviewer-administered | 15 min | PP | |
PHQ-9 | Depression | Severity of depression | Nine questions on symptoms | 10 | Depression severity:1–4: None; 5–9: Mild; 10–14: Moderate, 15–19: Moderately severe, 20 to 27: Severe | over past 2 weeks | Self-completion | 2 to 5 min | PP | Unknown |
Pruritus numerical rating scale | Pruritus | Severity of symptoms | Unknown | Unknown | Numerical rating scale 0–10 (0 for having no symptoms and 10 for having the worst imaginable pruritus) | Unknown | Unknown | Unknown | Unknown | Unknown |
PSC PRO | HRQOL | Disease specific | PSC symptoms, Physical function, Activities of Daily Living, Work Productivity, Role Function, Emotional Impact, Social/Leisure Impact, Q uality of Life, Total Impact of Symptoms | 42 | Module 1: 0–10 scale; Module 2 has 7 four item domains: 1–5 scale, summed within dmains and domain mean summed to give overall impact score | Module 1–24 h recall | Self-administered | 7–15 min | E, PP | Unknown |
Rome ll modular questionnaire | Symptoms | Functional bowel disorder | Esophageal symptoms, Gastroduodenal symptoms, Bowel symptoms, Abdominal pain symptoms, Biliary symptoms and Anorectal symptoms | Unknown | Unknown | Unknown | Unknown | Unknown | Unknown | Unknown |
SADS | Signs and symptoms | Depression | Depressive mood and ideation, Endogenous (ie. Melancholic, vital or vegetative) features, Depressive syndrome, Suicidal ideation and behaviour | 30 | Unknown | Past week only | Unknown | Unknown | Unknown | Unknown |
SF-36 | HRQOL | Generic |
Physical Functioning, Role-Physical, Bodily Pain, General Health,Vitality, Social Functioning, Role-Emotional,Mental Health | 36 | 0 to 100, higher score = better health status | Standard version 4 weeks / Acute version 1 week | Self-administered/Interviewer-administered | 5–10 min | E, C, IVR, T, PP | B |
SF-6D | Utilities & Health states | Generic- preference based measure | Physical functioning, role limitation, social functioning, pain, mental health, vitality | Unknown | 0.296-most severe problems 1.0-no problems | Unknown | Unknown | Unknown | Unknown | Unknown |
SIBDQ | HRQOL | Digestive System Diseases | Bowel symptoms, systematic symptoms, Emotional function, Social function | 10 | 1 to 7, higher score = better QOL | Last two weeks | Self-administered/Interviewer-administered | 5 min | E, PP | D |
VAS | Fatigue and Pruritus | Severity of symptoms | Fatigue, Energy, Pruritus | Pruritus: 10 cm line | Pruritus 0 -no pruritus / 10- worst pruritus imaginable | Right now | Self-administered | Vas: Fatigue < 2 min | PP | Free access |
WHOQOL-BREF | HRQOL | Generic | Physical, Psychological, social relationship, Environment, + 2 overall QOL & general health status | 26 | Higher score = better QoL | Last 2 weeks | Interviewer-administered, self-administered | 5 min self-administration, 15–20 min interviewer-administration | PP | D |