Abstract

Who owns the rights to health outcome-related items and instruments? There are various responses to this question, and varying interpretations of what is meant by intellectual property rights. Intellectual property lawyers would likely have a complicated and involved interpretation and it is our understanding that collections of items can be copyrighted as instruments, but the question is less clear for the individual items. Does this mean that any researcher can take any collection of items from one or more existing instruments and create a new instrument? Yes, we think so, but (and this is an important but) the new instrument cannot be labeled as any of the existing instrument(s) used to derive the new form. Recently, a group of researchers examined the factor structure and psychometric qualities of the standardized version of the Asthma Quality of Life Questionnaire [1] and found that several of the items may not be relevant for the Greek translation of the instrument [2]. While the psychometric results are useful for understanding the measurement qualities of the AQLQ, the authors implied that they developed a new version of the instrument, the AQLQ-18. This resulted in an interesting exchange of perspectives related to intellectual property and copyright issues related to health outcome measures [3, 4]. We thought that we would take this opportunity to express our views on copyright issues and good research practice related to the field of health-related quality of life research. The definition of copyright is the exclusive legal right to reproduce, publish, sell, or distribute the matter and form of something (as a literary, musical, or artistic work) (www.merriam-webster.com/dictionary accessed July 21, 2009). Basically, in the case of instrument developers, this represents the legal right to control the use and reproduction of the original instrument. The maintenance of the scientific integrity of the copyrighted instrument ensures researchers and readers of scientific journals that the study used the correct version of the instrument and that there is evidence supporting the psychometric qualities of the instrument. This also ensures a consistency in versions across multiple clinical trials and other studies. Good research practice indicates that the relevant permission to use an instrument should be followed when deciding to use a HRQL or symptom-assessment instrument in a research study. Different instrument developers have different systems for registering use of their instrument for research purposes. Some of these systems require users to pay fees either by study or by individual subject, but not all instrument developers require payment. For example, the Patient-Reported Outcome Measurement Information System (PROMIS), a US National Institutes of Health sponsored initiative, makes all the developed and evaluated item banks and short-form measures publicly available and requires only completion of a standardized registration form [5; www.nihpromis.com]. Regardless, the instrument user should obtain permission from the developer before including a measure in a study. The research should also respect the scientific integrity of the instrument and not make modifications of the measure, but still retain the original copyrighted name of the instrument. A D. A. Revicki (&) United Biosource Corporation, Bethesda, MD, USA e-mail: Dennis.Revicki@unitedbiosource.com

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