Abstract
BackgroundMeasure Yourself Medical Outcome Profile (MYMOP) is a patient-generated outcome instrument capable of measuring effects from a wide range of health care interventions. This paper reports the translation of this instrument into German (MYMOP-D) and the assessment of validity and sensitivity to change for the MYMOP-D. The instrument was piloted in a German primary care context.MethodsThe translation process was conducted according to international guidelines. Recruited patients of both general practitioners and non-medical Complementary and Alternative Medicine (CAM) practitioners (“Heilpraktiker”) in the German state of Baden-Wuerttemberg completed a questionnaire comprised of the MYMOP-D and the EQ-5D. Responses were analysed to assess construct validity. For assessing the instrument’s sensitivity to change, patients received the MYMOP-D again after four weeks at which point they were also asked for their subjective views on change of symptoms. Correlation between MYMOP-D and EQ-5D and sensitivity to change as gradient in score change and as standardized response mean (SRM) were calculated.Results476 patients from general practices and 91 patients of CAM practitioners were included. Construct validity of the MYMOP-D was given with a correlation of r = .47 with the EQ-5D. Sensitivity to change for subjective change of symptoms could only be analysed for improvement or no change of symptoms, as only 12 patients reported deterioration of symptoms. Results showed the expected smooth gradient with 2.2, 1.3, and 0.5 points of change for large, little improvement and no change, respectively. SRM for MYMOP-D Profile Score was 0.88.ConclusionsThe MYMOP-D shows excellent construct validity. It is able to detect changes when symptoms in patients improve or remain unchanged. Deterioration of symptoms could not be evaluated due to too few data. With its brevity and simplicity, it might be an important tool for enhancing patient-centred care in the German health care context.Electronic supplementary materialThe online version of this article (doi:10.1186/s12955-014-0112-5) contains supplementary material, which is available to authorized users.
Highlights
Measure Yourself Medical Outcome Profile (MYMOP) is a patient-generated outcome instrument capable of measuring effects from a wide range of health care interventions
The MYMOP has been used in several studies and has proven to be a sensitive measure of within-person change over time [8,9]
MYMOP has been mostly implemented in studies in the field of Complementary and Alternative Medicine (CAM), it is capable of measuring effects from a wide variety of health care interventions and is more sensitive to change than the Short Form 36 (SF-36) instrument [6]
Summary
Measure Yourself Medical Outcome Profile (MYMOP) is a patient-generated outcome instrument capable of measuring effects from a wide range of health care interventions. According to Lloyd et al, who have recently published a review on PROMs, a simple set of questions that asks patients to assess outcomes of treatment can be time and resource efficient in comparison to administering lengthy measures [5]. It is not a single-item outcome, a similar brief approach is pursued with the Measure Yourself Medical Outcome Profile (MYMOP) [6]. Due to its brevity and simplicity, it can be incorporated in other research settings including primary care
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