Psychometric Validation of the Mucopolysaccharidosis Health Assessment Questionnaire (MPS-HAQ) for Mucopolysaccharidosis IVA
Author(s)
Christina Due, BSc, MSc, PhD1, Maureen Cleary, MD2, Derralynn Hughes, MD3, Saikat Santra, MD4, James Davison, MD5, Alexandra Morrison, MSc6, Karolina Stepien, MD7, Charlotte Camp, BSc, MSBA8.
1BioMarin, LONDON, United Kingdom, 2The Royal Hospital for Children, Glasgow, United Kingdom, 3Royal Free Hospital NHS Foundation Trust, London, United Kingdom, 4Birmingham Children's Hospital, Birmingham, United Kingdom, 5Great Ormond Street Hospital, London, United Kingdom, 6Rare Disease Research Partners, Amersham, United Kingdom, 7Salford Royal, Manchester, United Kingdom, 8BioMarin UK, Ltd., London, United Kingdom.
1BioMarin, LONDON, United Kingdom, 2The Royal Hospital for Children, Glasgow, United Kingdom, 3Royal Free Hospital NHS Foundation Trust, London, United Kingdom, 4Birmingham Children's Hospital, Birmingham, United Kingdom, 5Great Ormond Street Hospital, London, United Kingdom, 6Rare Disease Research Partners, Amersham, United Kingdom, 7Salford Royal, Manchester, United Kingdom, 8BioMarin UK, Ltd., London, United Kingdom.
OBJECTIVES: This is the first study to assess the psychometric properties of the mucopolysaccharidosis Health Assessment Questionnaire (MPS-HAQ) for the mucopolysaccharidosis (MPS) IVA population.
METHODS: The data used for the analysis were derived from the MOR-004 study and the UK Managed Access Agreement (MAA). Psychometric analyses included calculation of floor and ceiling effects, inter-item correlations, corrected item-total correlations, internal consistency reliability, convergent and discriminant validity, and test-retest reliability.
RESULTS: At a 35% threshold, the Self-care and Caregiver assistance domains had ceiling effects for 44% and 53% of items, respectively. Floor effects were only seen in the Self-care domain (7% of items). Inter-item correlations were within the expected range for all domains, supporting the structure of the domains. Corrected item-total correlations indicated good discrimination between the different items of the MPS-HAQ. Cronbach’s alpha indicated good internal consistency for all domains. The convergent and discriminant validity analysis results indicated that the MPS-HAQ and EuroQol 5 dimensions, 5 levels (EQ-5D-5L) tools are conceptually similar. The MPS-HAQ also demonstrated excellent test-retest reliability.
CONCLUSIONS: The MPS-HAQ displays good validity and reliability in patients with MPS IVA, supporting its use as an outcome measure in clinical trials and real-world studies in this population.
METHODS: The data used for the analysis were derived from the MOR-004 study and the UK Managed Access Agreement (MAA). Psychometric analyses included calculation of floor and ceiling effects, inter-item correlations, corrected item-total correlations, internal consistency reliability, convergent and discriminant validity, and test-retest reliability.
RESULTS: At a 35% threshold, the Self-care and Caregiver assistance domains had ceiling effects for 44% and 53% of items, respectively. Floor effects were only seen in the Self-care domain (7% of items). Inter-item correlations were within the expected range for all domains, supporting the structure of the domains. Corrected item-total correlations indicated good discrimination between the different items of the MPS-HAQ. Cronbach’s alpha indicated good internal consistency for all domains. The convergent and discriminant validity analysis results indicated that the MPS-HAQ and EuroQol 5 dimensions, 5 levels (EQ-5D-5L) tools are conceptually similar. The MPS-HAQ also demonstrated excellent test-retest reliability.
CONCLUSIONS: The MPS-HAQ displays good validity and reliability in patients with MPS IVA, supporting its use as an outcome measure in clinical trials and real-world studies in this population.
Conference/Value in Health Info
2025-11, ISPOR Europe 2025, Glasgow, Scotland
Value in Health, Volume 28, Issue S2
Code
PCR197
Topic
Clinical Outcomes, Patient-Centered Research
Topic Subcategory
Instrument Development, Validation, & Translation, Patient-reported Outcomes & Quality of Life Outcomes
Disease
Diabetes/Endocrine/Metabolic Disorders (including obesity), Rare & Orphan Diseases