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. 2023 Jul 28;7:e43210. doi: 10.2196/43210

Table 2.

Content validity of PROMsa: comparison of domains and subthemes in blogs with domains and items in PROMs.

Domain Breast cancer Rheumatoid arthritis Parkinson disease Diabetes mellitus
PROMs BREAST-Q HAQb PDQ-39/PDQ-8c WHO-5d

Domains matching with subthemes blogs
  • Psychosocial well-being

  • Sexual well-being

  • Satisfaction with breast

  • Satisfaction with nipple reconstruction

  • Satisfaction with implants

  • Breast animation deformity (implants)

  • Physical well-being: chest

  • Physical well-being: back and shoulder

  • Adverse effects of radiation

  • Satisfaction with information

  • Satisfaction with information—breast surgeon

  • Satisfaction with information—radiation oncologist

  • Satisfaction with surgeon

  • Satisfaction with office staff

  • Satisfaction with medical team

  • Daily activities

  • Physical health

  • Pain

  • Mobility

  • Activities of daily living

  • Bodily discomfort

  • Cognition

  • Communication

  • Emotional well-being

  • Autonomy

  • Social support

  • Stigma

  • Feeling cheerful and in good spirits

  • Feeling calm and relaxed

  • Feeling active and vigorous

  • Waking up fresh and rested


Domains not matching with subthemes blogs
  • Satisfaction with back

  • Physical well-being: abdomen

  • Satisfaction with abdomen

  • Personal care

e
  • Daily life filled with interesting things

PROMS EORTC QLQ-BR45f SF-36g PHQ-9h

Domainsi matching with subthemes blogs
  • Hair loss

  • Upset by hair loss

  • Ill or unwell feeling

  • Hot flushes

  • Headaches

  • Feeling physically less attractive

  • Feeling less feminine

  • Dissatisfaction with body

  • Worries about future health

  • Pain in arm or shoulder

  • Swollen breast

  • Skin problems breast

  • Pain in hands or feet

  • Tingling in fingers or toes

  • Problems with joints

  • Stiffness in joints

  • Pain in joints

  • Aches or pain in bones

  • Weight gain

  • Problem of weight gain

  • Satisfaction with cosmetic result of surgery

  • Satisfaction with appearance of the skin of affected breast

  • Daily activities

  • Physical health

  • Psychological well-being

  • Social activities

  • Pain

  • Fatigue

  • Mobility

  • General health



  • Feeling down, depressed, or hopeless

  • Trouble falling or staying asleep, or sleeping too much

  • Feeling tired or having little energy

  • Poor appetite or overeating

  • Feeling bad about oneself, or that one is a failure or let oneself or one’s family down

  • Thoughts that one would be better off dead, or of hurting oneself


Domainsi not matching with subthemes blogs
  • Dry mouth

  • Different taste

  • Painful, irritated, or watery eyes

  • Problems looking at yourself naked

  • Interest in sex

  • Sexually active

  • Sex is enjoyable

  • Swollen arm or hand

  • Problems raising or moving arm

  • Excessive sweat

  • Dizzy

  • Soreness in mouth

  • Reddening in mouth

  • Aches or pain in muscles

  • Dry vagina

  • Discomfort in vagina

  • Pain in vagina during sexual activity

  • Dry vagina during sexual activity

  • Personal care


  • Little interest or pleasure in doing things

  • Trouble concentrating on things

  • Moving or speaking slowly, or being fidgety or restless

PROMs EORTC QLQ-C30j PAIDk

Domainsi matching with subthemes blogs
  • Trouble with strenuous activities

  • Trouble taking a long walk

  • Trouble taking a short walk

  • The need to stay in bed during the day

  • Limited in doing work or other activities

  • Limited in pursuing hobbies or leisure time activities

  • Short of breath

  • Feeling pain

  • Need to rest

  • Feeling weak

  • Lack of appetite

  • Feeling nauseated

  • Having vomited

  • Being constipated

  • Having diarrhea

  • Feeling tired

  • Pain interfered with daily activities

  • Difficulty concentrating

  • Feeling tense

  • Feeling irritable

  • Feeling depressed

  • Having difficulties remembering things

  • Condition or treatment has interfered with family life

  • Condition or treatment has interfered with social activities

  • Condition or treatment caused financial difficulties



  • Feeling scared about living with diabetes

  • Uncomfortable social situations related diabetes care

  • Feeling depressed about living with diabetes

  • Feeling overwhelmed by diabetes

  • Worrying about low blood glucose reactions

  • Feeling angry about living with

  • Diabetes

  • Feeling constantly concerned about food and eating

  • Worrying about the future and the possibility of serious complications

  • Feelings of guilt or anxiety about getting off track with diabetes management

  • Not “accepting” diabetes

  • Feeling unsatisfied with diabetes physician

  • Feeling that diabetes is taking up too much mental and physical energy every day

  • Feeling that friends and family are not supportive of diabetes management efforts

  • Coping with complications of diabetes

  • Feeling “burned-out” by the constant effort needed to manage diabetes


Domainsi not matching with subthemes blogs
  • Need help with eating, dressing, washing or using the toilet

  • Trouble sleeping



  • Not having clear and concrete goals for diabetes care

  • Feeling discouraged with diabetes treatment plan

  • Feelings of deprivation regarding food and meals

  • Not knowing if mood or feelings are related to diabetes

Domains missing in all PROMs
  • Coping strategies

  • Fertility or pregnancy support

  • Side effect drugs

  • Flares

  • Experiences treatment

  • Fulfilment

  • Impact on social life

  • Perceived quality of care

  • Personality change

  • Relationship

  • Self-management

  • Sleep disorder

aPROM: patient-reported outcome measure.

bHAQ: Health Assessment Questionnaire.

cPDQ: Parkinson Disease Quality of Life Questionnaire.

dWHO-5: 5-item World Health Organization Well-Being Index.

e—: not available.

fEORTC QLQ-BR45: European Organization for Research and Treatment of Cancer Quality of Life Questionnaire—Breast Cancer.

gSF-36: Short-Form 36.

hPHQ-9: 9-item Patient Health Questionnaire.

iThe EORTC QLQ-C30, EORTC QLQ-BR45, WHO-5, PHQ-9, and PAID consist of lists of items not grouped into domains; therefore, the analyses for these 2 PROMs took place at the level of items.

jEORTC QLQ-C30: EORTC Core Quality of Life Questionnaire.

kPAID: Problem Areas in Diabetes.