MP40-12 ESTABLISHING A MINIMAL CLINICALLY MEANINGFUL DIFFERENCE IN THE MSHQ: NEW INSIGHTS

Difference, significant difference and clinically meaningful difference: The meaning of change in rehabilitation

The valid confirmation of a positive change (improvement) in a patient's health status due to intervention has been at the core of medicine and rehabilitation since their very inception as clinicians always aspired to ensure that treating their patients had led to successful outcomes both in acute and chronic conditions. However what is change: either improvement or worsening (aggravation), is ...

When Is Diabetes Distress Clinically Meaningful? Establishing cut points for the Diabetes Distress Scale

RESEARCH DESIGN AND METHODSdRecruited were 506 study 1 and 392 study 2 adults with type 2 diabetes from community medical groups. Multiple regression equations associated the DDS17, a 17-item scale that yields a mean-item score, with HbA1c, diabetes self-efficacy, diet, and physical activity. Associations also were undertaken for the two-item DDS (DDS2) screener. Analyses included control varia...

Minimal clinically important difference: defining what really matters to patients.

When assessing the clinical utility of therapies intended to improve subjective outcomes, the amount of improvement that is important to patients must be determined.1 The smallest benefit of value to patients is called the minimal clinically important difference (MCID). The MCID is a patient-centered concept, capturing both the magnitude of the improvement and also the value patients place on t...

Minimal clinically important difference module: summary, recommendations, and research agenda.

Health status measurement in COPD: the minimal clinically important difference of the clinical COPD questionnaire

BACKGROUND Patient-reported outcomes (PRO) questionnaires are being increasingly used in COPD clinical studies. The challenge facing investigators is to determine what change is significant, ie what is the minimal clinically important difference (MCID). This study aimed to identify the MCID for the clinical COPD questionnaire (CCQ) in terms of patient referencing, criterion referencing, and by ...