Collecting clinical data in primary ciliary dyskinesia- challenges and opportunities

Abstract

Rationale: Primary ciliary dyskinesia (PCD) is under diagnosed and underestimated. Most clinical research has used some form of questionnaires to capture data but none has been critically evaluated particularly with respect to its end-user feasibility and utility. Objective: To critically appraise a clinical data collection questionnaire for PCD used in a large national PCD consortium in order to apply conclusions in future PCD research. Methods: We describe the development, validation and revision process of a clinical questionnaire for PCD and its evaluation during a national clinical PCD study with respect to data collection and analysis, initial completion rates and user feedback. Results: 14 centers participating in the consortium successfully completed the revised version of the questionnaire for 173 patients with various completion rates for various items. While content and internal consistency analysis demonstrated validity, there were methodological deficiencies impacting completion rates and end-user utility. These deficiencies were addressed resulting in a more valid questionnaire. Conclusions: Our experience may be useful for future clinical research in PCD. Based on the feedback collected on the questionnaire through analysis of completion rates, judgmental analysis of the content, and feedback from experts and end users, we suggest a practicable framework for development of similar tools for various future PCD research.

Keywords: clinical trial; cohorts; questionnaire; response rate; symptoms.

Figure 1.. Changes in response rate (%) between initial completion (red columns) and following reminders (green columns) for selected questions.

All questions ending with a (?) had yes/no/unknown answers. The rest had free text answers (e.g. birth date). A, B, C and D are the questionnaire sections. Abbreviations: NRDS-Neonatal Respiratory Distress Syndrome; LFT- Lung Function Test; FVC- Forced Vital Capacity; FEV1-Forced Expiratory Volume at 1 ^st second; CT- Computed Tomography; CF- Cystic Fibrosis.