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. 2012 Aug 16;12:74. doi: 10.1186/1471-2377-12-74

Table 1.

Data collection

Data collection tool Time point of study When collected/given to patient By who Purpose
Informed consent form
Recruitment
In clinic, face to face
Neurology or respiratory consultant
Ensure participants have been consented appropriately
Screening and eligibility assessment form
Recruitment/Screening
In clinic
Neurology or respiratory consultant or research nurse
Ensure protocol violations or deviations are avoided. Include ECG, blood gases, blood test, FVC and phrenic nerve evaluation tests
ALSFRSr
Screening
As above
As above
Allows minimisation on bulbar function
Survival
1 week, 2, 3, 6, 9, 12 months, then finally at last follow up for last patient
In clinic, telephone
Research nurse
Primary outcome measure
*EQ5D questionnaire (patient and carer)
Screening, 2, 3, 6, 9 and 12 months
In clinic or over the phone
Neurology or respiratory consultant or research nurse
QALYs, secondary outcome measure
SF36
Screening, 2, 3, 6 and 12 months
As above
As above
Generic quality of life, secondary outcome measure
Sleep Apnoea Quality of Life (SAQLI)
Screening, 2, 3, 6 and 12 months
As above
As above
Respiratory specific quality of life, secondary outcome measure
*Caregiver Burden Inventory questionnaire
Screening, 2, 3, 6 and 12 months
As above
As above
Secondary outcome measure
Side effects/ adverse event/concomitant medications and devices forms
All time points as required
As above
As above
AE/SAEs
Healthcare resource use
2, 3, 6, 9 and 12 months
As above
As above
Economic, secondary outcome measure
Patient Diary incorporating:
1 week, 2, 3, 6, 9 and 12 months
In clinic, at hospital or at home
Neurology or respiratory consultant and Patient and Carer
Main outcome Record DP and NIV use
* NIV use
* DP use and
* DP Parameters setting
NIV use
Screening
As above
As above
Main outcome
Medical history and examination on CRF
Screening and 12 months
In clinic
Neurology or respiratory consultant
Eligibility for trial, safety
Surgery evaluation form/ pre op safety check
Screening, Surgery and 1 week
In clinic or hospital
Neurology or respiratory consultant or Surgeon
Safety and eligibility for surgery
Surgical implantation/ intra operative form
Surgery
In hospital
Neurology consultant or Surgeon
Testing DP device in situ
Discharge evaluation form
Surgery
In hospital
Neurology or respiratory consultant or surgeon
Demonstrate patient and carer competent to use and care for DP device
DP parameters setting
Surgery
Clinic
Neurology or respiratory consultant
Evaluate the DP device, allow optimal use of device
*Qualitative interview (n = 12, Patient and carer) 1 and 6 months post implantation Participants place of choice Qualitative fellow Sub study outcome