Patient-reported outcomes in Huntington's disease: Quality of life in neurological disorders (Neuro-QoL) and Huntington's disease health-related quality of life (HDQLIFE) physical function measures
- PMID: 28556412
- PMCID: PMC5605785
- DOI: 10.1002/mds.27046
Patient-reported outcomes in Huntington's disease: Quality of life in neurological disorders (Neuro-QoL) and Huntington's disease health-related quality of life (HDQLIFE) physical function measures
Abstract
Background: There is a need for patient-reported outcome measures that capture the impact that motor impairments have on health-related quality of life in individuals with Huntington's disease.
Objectives: The objectives of this study were to establish the reliability and validity of new physical functioning patient-reported outcome measures in Huntington's disease.
Methods: A total of 510 individuals with Huntington's disease completed 2 Quality of Life in Neurological Disorders (Lower Extremity Function and Upper Extremity Function) and 3 Huntington's Disease Health-Related Quality of Life (Chorea, Speech Difficulties, and Swallowing Difficulties) measures. Clinician-rated and generic self-report measures were also administered.
Results: Reliabilities for the new patient reported physical functioning measures were excellent (all Cronbach's α > .92). Convergent, discriminant validity and known group validity was supported.
Conclusions: The results provide psychometric support for new patient-reported physical functioning measures and the fact that these measures can be used as clinically meaningful endpoints in Huntington's disease research and clinical practice. © 2017 International Parkinson and Movement Disorder Society.
Keywords: HDQLIFE; Huntington's disease; Neuro-QoL; chorea; health-related quality of life; motor symptoms; patient-reported outcome (PRO); physical functioning.
© 2017 International Parkinson and Movement Disorder Society.
Conflict of interest statement
Carlozzi, N.E. currently has research grants from the NIH; she is also supported by grant funding from the NIH and CHDI. She provides patient reported outcome measurement selection and application consultation for Teva Pharmaceuticals.
Ready, R.E. declares that she has no conflicts of interest.
Frank, S. receives salary support from the Huntington Study Group for a study sponsored by Auspex Pharmaceuticals. There is no conflict of interest.
Cella, D. receives grant funding from the National Institutes of Health and reports that he has no conflicts of interest.
Hahn, E.A. currently has research grants from the NIH; she is also supported by grant funding from the NIH and PCORI, and by research contracts from Merck and EMMES; she declares no conflicts of interest.
Goodnight, S.M. is supported by grant funding from the NIH and the Craig H. Neilsen Foundation; she declares no conflicts of interest.
Schilling, S.G. has a research grant from NSF. He also is supported by grant funding from NIH. He declares no conflicts of interest.
Boileau, N. R. is supported by grant funding from the NIH; he declares no conflicts of interest.
Dayalu, P. currently has research grants from the NIH, Astra-Zeneca, and Vaccinex. He declares no conflicts of interest.
Similar articles
-
HDQLIFE and neuro-QoL physical function measures: Responsiveness in persons with huntington's disease.Mov Disord. 2020 Feb;35(2):326-336. doi: 10.1002/mds.27908. Epub 2019 Nov 14. Mov Disord. 2020. PMID: 31724237 Free PMC article.
-
Understanding speech and swallowing difficulties in individuals with Huntington disease: Validation of the HDQLIFE Speech Difficulties and Swallowing Difficulties Item Banks.Qual Life Res. 2021 Jan;30(1):251-265. doi: 10.1007/s11136-020-02608-0. Epub 2020 Aug 24. Qual Life Res. 2021. PMID: 32839864 Free PMC article.
-
Reliability and Validity of the HD-PRO-TriadTM, a Health-Related Quality of Life Measure Designed to Assess the Symptom Triad of Huntington's Disease.J Huntingtons Dis. 2017;6(3):201-215. doi: 10.3233/JHD-170238. J Huntingtons Dis. 2017. PMID: 28968239 Free PMC article.
-
Quality of Life in Huntington's Disease: Critique and Recommendations for Measures Assessing Patient Health-Related Quality of Life and Caregiver Quality of Life.Mov Disord. 2018 May;33(5):742-749. doi: 10.1002/mds.27317. Epub 2018 Mar 23. Mov Disord. 2018. PMID: 29570848 Review.
-
Neuro-QoL health-related quality of life measurement system: Validation in Parkinson's disease.Mov Disord. 2016 May;31(5):725-33. doi: 10.1002/mds.26546. Epub 2016 Feb 26. Mov Disord. 2016. PMID: 26919664 Review.
Cited by
-
HDQLIFE and neuro-QoL physical function measures: Responsiveness in persons with huntington's disease.Mov Disord. 2020 Feb;35(2):326-336. doi: 10.1002/mds.27908. Epub 2019 Nov 14. Mov Disord. 2020. PMID: 31724237 Free PMC article.
-
Meaning and purpose in Huntington's disease: a longitudinal study of its impact on quality of life.Ann Clin Transl Neurol. 2021 Aug;8(8):1668-1679. doi: 10.1002/acn3.51424. Epub 2021 Jul 20. Ann Clin Transl Neurol. 2021. PMID: 34288600 Free PMC article.
-
Perceptions of the impact of chorea on health-related quality of life in Huntington disease (HD): A qualitative analysis of individuals across the HD spectrum, family members, and clinicians.Neuropsychol Rehabil. 2020 Jul;30(6):1150-1168. doi: 10.1080/09602011.2018.1564675. Epub 2019 Mar 8. Neuropsychol Rehabil. 2020. PMID: 30849283 Free PMC article.
-
Understanding speech and swallowing difficulties in individuals with Huntington disease: Validation of the HDQLIFE Speech Difficulties and Swallowing Difficulties Item Banks.Qual Life Res. 2021 Jan;30(1):251-265. doi: 10.1007/s11136-020-02608-0. Epub 2020 Aug 24. Qual Life Res. 2021. PMID: 32839864 Free PMC article.
-
Understanding How Chorea Affects Health-Related Quality of Life in Huntington Disease: An Online Survey of Patients and Caregivers in the United States.Patient. 2018 Oct;11(5):547-559. doi: 10.1007/s40271-018-0312-x. Patient. 2018. PMID: 29750428 Free PMC article.
References
-
- Albin RL, Reiner A, Anderson KD, Penney JB, Young AB. Striatal and Nigral Neuron Subpopulations in Rigid Huntingtons-Disease - Implications for the Functional-Anatomy of Chorea and Rigidity-Akinesia. Annals of Neurology. 1990;27(4):357–365. - PubMed
-
- Coyle JT, Schwarcz R. Lesion of Striatal Neurons with Kainic Acid Provides a Model for Huntingtons-Chorea. Nature. 1976;263(5574):244–246. - PubMed
-
- Marshall FJ, Walker F, Frank S, et al. Tetrabenazine as antichorea therapy in Huntington disease - A randomized controlled trial. Neurology. 2006;66(3):366–372. - PubMed
-
- Metman LV, Morris MJ, Farmer C, et al. Huntington’s disease - A randomized, controlled trial using the NMDA-antagonist amantadine. Neurology. 2002;59(5):694–699. - PubMed
-
- Jankovic J, Roos RA. Chorea associated with Huntington’s disease: to treat or not to treat? Mov Disord. 2014;29(11):1414–1418. - PubMed
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical