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. 2010 Mar 18:10:22.
doi: 10.1186/1471-2288-10-22.

The COSMIN checklist for evaluating the methodological quality of studies on measurement properties: a clarification of its content

Lidwine B Mokkink  1 , Caroline B Terwee, Dirk L Knol, Paul W Stratford, Jordi Alonso, Donald L Patrick, Lex M Bouter, Henrica Cw de Vet
Affiliations

The COSMIN checklist for evaluating the methodological quality of studies on measurement properties: a clarification of its content

Lidwine B Mokkink et al. BMC Med Res Methodol. .

Abstract

Background: The COSMIN checklist (COnsensus-based Standards for the selection of health status Measurement INstruments) was developed in an international Delphi study to evaluate the methodological quality of studies on measurement properties of health-related patient reported outcomes (HR-PROs). In this paper, we explain our choices for the design requirements and preferred statistical methods for which no evidence is available in the literature or on which the Delphi panel members had substantial discussion.

Methods: The issues described in this paper are a reflection of the Delphi process in which 43 panel members participated.

Results: The topics discussed are internal consistency (relevance for reflective and formative models, and distinction with unidimensionality), content validity (judging relevance and comprehensiveness), hypotheses testing as an aspect of construct validity (specificity of hypotheses), criterion validity (relevance for PROs), and responsiveness (concept and relation to validity, and (in) appropriate measures).

Conclusions: We expect that this paper will contribute to a better understanding of the rationale behind the items, thereby enhancing the acceptance and use of the COSMIN checklist.

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Figures

Figure 1
Figure 1
Box A. Internal consistency.
Figure 2
Figure 2
Box D. Content validity (including face validity).
Figure 3
Figure 3
Box F. Hypotheses testing.
See this image and copyright information in PMC

Comment in

References

    1. Powell C. The Delphi technique: myths and realities. J Adv Nurs. 2003;41:376–382. doi: 10.1046/j.1365-2648.2003.02537.x. - DOI - PubMed
    1. Mokkink LB, Terwee CB, Knol DL, Stratford PW, Alonso J, Patrick DL, Bouter LM, De Vet HCW. Protocol of the COSMIN study: COnsensus-based Standards for the selection of health Measurement INstruments. BMC Med Res Methodol. 2006;6:2. doi: 10.1186/1471-2288-6-2. - DOI - PMC - PubMed
    1. Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, Bouter LM, De Vet HCW. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual Life Res. 2010. in press . - PMC - PubMed
    1. Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, Bouter LM, De Vet HCW. The COSMIN checklist manual. http://cosmin.nl - PubMed
    1. Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, Bouter LM, De Vet HCW. International consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes: results of the COSMIN study. J Clin Epidemiol. 2010. in press . - PubMed

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