PATIENTS' PERCEPTION OF LIFE FREE OF GLASSES AFTER CATARACT SURGERY- DEVELOPMENT OF THE FREEDOM FROM GLASSES VALUE SCALE (FGVS©)

Author(s)

Benoit Arnould, MSc, MA, Director, Patient Scales for Clinical Practice1, Khadra Benmedjahed, BA, Senior Project Manager1, Gilles Berdeaux, MD, Associate Director2, Irène Gil-Campos, MA, Project Manager3, Marc Vigneux, MSc, Project leader4, Isabelle Guillemin, PhD, Scientific Writer11Mapi Values France, Lyon, France; 2 Alcon France, Rueil-Malmaison, France; 3 Mapi Research Institute, Lyon, France; 4 Mapi Values, Lyon, France

Objective: To develop a patient self-administered questionnaire assessing the added value of complete independence from glasses in patients after multifocal intraocular lens surgery. Methods: A qualitative study was performed to develop the questionnaire. Exploratory interviews with five cataract patients and six presbyopia patients with ReSTOR® implanted in both eyes for at least 6 months were conducted. After interview analysis, a conceptual model was developed. Items were generated simultaneously in French and Spanish based on the identified concepts and using patients' own words. Six patients completed the French test questionnaire and provided comments regarding questionnaire's structure and content. The questionnaire was refined. The Spanish test questionnaire then underwent a clinician review and was tested with four patients. Test versions were refined and the French and Spanish pilot versions of the questionnaire were subsequently produced. Results: Nine global concepts were included in the conceptual model: global vision, practical constraints related to wearing glasses, impact of eye surgery on patient's life, improvement of the practical issues without glasses, improvement of the psychological constraints without glasses, physical appearance / aesthetic aspect (self-image and in the eyes of the others), surgery left behind, recommendation of surgery to others. The first version of the test questionnaire contained 26 items. After the test with French patients, two items were deleted. The Spanish test questionnaire was modified accordingly. Minor additional changes were brought after clinician review and patient tests of the Spanish version. The final questionnaire named ‘Freedom from Glasses Value Scale (FGVS©)' contained 21 items and four general additional questions. Conclusion: Beyond functional aspects, this qualitative study identified additional benefits in cataract and presbyopic patients' living free of glasses after receiving ReSTOR®. The FGVS© will allow these benefits to be assessed. It is available in French and Spanish. UK English and Danish linguistically validated versions are also available.

Conference/Value in Health Info

2008-05, ISPOR 2008, Toronto, Ontario, Canada

Value in Health, Vol. 11, No. 3 (May/June 2008)

Code

PSS38

Topic

Methodological & Statistical Research, Patient-Centered Research

Topic Subcategory

Patient-reported Outcomes & Quality of Life Outcomes, PRO & Related Methods

Disease

Sensory System Disorders

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