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Table 6 Summary of measurement properties of questionnaires

From: Satisfaction and experience with colorectal cancer screening: a systematic review of validated patient reported outcome measures

Questionnaire

Context of use

Measurement property

Methodolo-gical qualitya

Ratingb

Quality of Evidence

Recommen-dationc

CSSQP32

Screening colonoscopy

Content validity

Doubtful

(+) Based on review ratings. Development and validation study not provide enough information to judge relevance, comprehensiveness or comprehensibility

Moderate

Serious RoB (content validity and development study of doubtful quality)

A

Structural validity

Adequate

(?) A confirmatory factor analysis was not conducted

*

Internal consistency

Very good

(+) Cronbach’s alpha 0.86 (≥0.7) Spearman-Brown coefficient 0.85

High

No RoB

Construct validity

Very good

(?) No hypothesis defined

High

No RoB

Patient Satisfaction Scale with Bowel Preparation33

Bowel preparation

Content validity

Doubtful

(−) Relevance doubtful, comprehensiveness (−) and comprehensibility (−) as patients and professionals were not asked

Low

Very serious RoB (no content validity study, development study of doubtful quality)

B

Internal consistency

Doubtful

(+) Cronbach’s alpha 0.79 (≥0.70)

Low

Very serious RoB (one study of doubtful quality)

Construct validity

Doubtful

(?) Results in accordance with hypothesis, associated with narra-tives, but no correlations calculated

*

Post-procedure questionnaire35

Upper and lower endoscopy

Content validity

Doubtful

(+) Relevance, comprehensiveness and comprehensibility were (+)

Low

Serious RoB (content validity and development study of doubtful quality) and indirectness

A

Structural validity

Adequate

(?) No results of exploratory factor analysis

*

Internal consistency

Very good

(+)

Cronbach’s alpha ≥0.7 for 4 of 8 items analyzed

Low

Serious RoB (one study of adequate quality) and indirectness

SmGHAA-9 m34

Upper and lower endoscopy

Content validity

Inadequate

(−) Relevance, comprehensiveness, and comprehensibility rated (−)

Very low

Serious RoB (no content validity study and development study of inadequate quality). Indirectness

B

Internal consistency

Doubtful

(+) Cronbach’s alpha ≥0.7

Very low

Very serious RoB (one study of doubtful quality) and indirectness

Reliability

Inadequate

(+) Weighted kappa of 0.78

Very low

Extremely serious RoB (one study of inadequate quality) and indirectness

Screening Flexible Sigmoidoscopy Assessment Questionnaire36

Screening sigmoidoscopy

Content validity

Doubtful

(+/−) Relevance (+) by reviewers, comprehensiveness (−) and comprehensibility (+/−)

Low

Serious RoB (content validity and development studies of doubtful quality) and indirectness

B

Structural validity

Adequate

(?) Comparative fit index, Tucker-Lewis index, Root Mean Square Error of approximation or Standardized root mean residuals not reported

*

Internal consistency

Very good

(+) Cronbach’s alpha 0.87 for overall satisfaction and 0.84 for pain and discomfort scale

Moderate

No serious RoB but indirectness

Reliability

Adequate

(+) Pearson correlation coefficient 0.82 (≥0.7)

Low

Serious RoB (only one study of adequate quality) and indirectness

Measurement error

Adequate

(?) Minimal important change not defined

*

Construct validity

Very good

(?) Results in accordance with hypothesis and associated with narratives, but no correlations calculated

*

Responsiveness

Very good

(+) responses in accordance to narratives

Moderate

No RoB but indirectness

  1. RoB Risk of bias
  2. a Assessed according to the COSMIN Risk of Bias checklist [23,24,25]: each measurement property was assigned a rating of “very good”, “adequate”, “doubtful”, “inadequate” or “not applicable”
  3. b Psychometric properties were rated according to the updated criteria for good measurement properties based on Terwee et al. [14] and Prinsen et al. [30]. (Annex B) Ratings can be:“+” = sufficient,” – “= insufficient, “?” = indeterminate, or “+/” inconsistent
  4. c Recommendations: A: Have the potential to be recommended as the most suitable questionnaire fo the construct and population of interest;B: May have the potential to be recommended, but further validation studies are needed; C:Should not be recommended
  5. *In case the overall rating is indeterminate (?), it is not possible to judge the quality of the instrument, and there is no grading of the quality of the evidence [23]