1. A brief patient-reported outcome instrument for primary care: German translation and validation of the Measure Yourself Medical Outcome Profile (MYMOP)
- Author
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Hermann, Katja, Kraus, Katharina, Herrmann, Kathrin, and Joos, Stefanie
- Subjects
Questionnaires ,Complementary Therapies ,Male ,Psychometrics ,Primary Health Care ,Research ,Public Health, Environmental and Occupational Health ,Instrument translation ,Measure yourself medical outcome profile ,Patient-reported outcome measure ,Sensitivity to change ,610 Medical sciences Medicine ,Germany ,Patient-Centered Care ,Surveys and Questionnaires ,Outcome Assessment, Health Care ,Humans ,Female ,Translations ,sense organs ,skin and connective tissue diseases ,Instrument validation - Abstract
Background Measure Yourself Medical Outcome Profile (MYMOP) is a patient-generated outcome instrument capable of measuring effects from a wide range of health care interventions. This paper reports the translation of this instrument into German (MYMOP-D) and the assessment of validity and sensitivity to change for the MYMOP-D. The instrument was piloted in a German primary care context. Methods The translation process was conducted according to international guidelines. Recruited patients of both general practitioners and non-medical Complementary and Alternative Medicine (CAM) practitioners (“Heilpraktiker”) in the German state of Baden-Wuerttemberg completed a questionnaire comprised of the MYMOP-D and the EQ-5D. Responses were analysed to assess construct validity. For assessing the instrument’s sensitivity to change, patients received the MYMOP-D again after four weeks at which point they were also asked for their subjective views on change of symptoms. Correlation between MYMOP-D and EQ-5D and sensitivity to change as gradient in score change and as standardized response mean (SRM) were calculated. Results 476 patients from general practices and 91 patients of CAM practitioners were included. Construct validity of the MYMOP-D was given with a correlation of r = .47 with the EQ-5D. Sensitivity to change for subjective change of symptoms could only be analysed for improvement or no change of symptoms, as only 12 patients reported deterioration of symptoms. Results showed the expected smooth gradient with 2.2, 1.3, and 0.5 points of change for large, little improvement and no change, respectively. SRM for MYMOP-D Profile Score was 0.88. Conclusions The MYMOP-D shows excellent construct validity. It is able to detect changes when symptoms in patients improve or remain unchanged. Deterioration of symptoms could not be evaluated due to too few data. With its brevity and simplicity, it might be an important tool for enhancing patient-centred care in the German health care context. Electronic supplementary material The online version of this article (doi:10.1186/s12955-014-0112-5) contains supplementary material, which is available to authorized users.
- Published
- 2014