Table 1.

Recommended end points and measures for PROs in SCD

Outcome/End pointRecommended measurement/tool(s)
Pain  
 Intensity For patients at least 8 y of age, an 11-point NRS or appropriately reproduced and administered VAS 
 Interference/impact PROMIS Pain Interference measures for studies of adult, pediatric, or mixed age groups 
ASCQ-ME Pain Impact for adults or the Brief Pain Impact for adults 
PedsQL Pain Impact and Pain and Hurt for children 
 Behavior PROMIS Pain Behavior domain for children and adults 
Affect  
 Depression/negative emotional impact PedsQL SCD Module Emotions measure for children 
ASCQ-ME Emotional Impact measure for adults 
PROMIS Depression and Anxiety measures for more general measures of negative affect, particularly when mixed age samples are used 
 Fatigue PROMIS or PedsQL Fatigue measures in children 
PROMIS Fatigue measure in adults 
Function  
 Emotional/social, physical, cognitive domains Relevant domains of the PROMIS and ASCQ-ME in adults and PROMIS and PedsQL in children to measure emotional/social, physical, and cognitive function PRO domains 
The Canadian Occupational Performance Measure may be used to measure functional capacity that integrates self-report and expert interview 
 Occupational status One item in PhenX for assessment of employment status and the more detailed WHO’s Health and Work Performance Questionnaire to assess multiple factors related to work performance 
 Self-efficacy Sickle Cell Efficiency Scale to measure self-efficacy in adolescents and adults with SCD 
Outcome/End pointRecommended measurement/tool(s)
Pain  
 Intensity For patients at least 8 y of age, an 11-point NRS or appropriately reproduced and administered VAS 
 Interference/impact PROMIS Pain Interference measures for studies of adult, pediatric, or mixed age groups 
ASCQ-ME Pain Impact for adults or the Brief Pain Impact for adults 
PedsQL Pain Impact and Pain and Hurt for children 
 Behavior PROMIS Pain Behavior domain for children and adults 
Affect  
 Depression/negative emotional impact PedsQL SCD Module Emotions measure for children 
ASCQ-ME Emotional Impact measure for adults 
PROMIS Depression and Anxiety measures for more general measures of negative affect, particularly when mixed age samples are used 
 Fatigue PROMIS or PedsQL Fatigue measures in children 
PROMIS Fatigue measure in adults 
Function  
 Emotional/social, physical, cognitive domains Relevant domains of the PROMIS and ASCQ-ME in adults and PROMIS and PedsQL in children to measure emotional/social, physical, and cognitive function PRO domains 
The Canadian Occupational Performance Measure may be used to measure functional capacity that integrates self-report and expert interview 
 Occupational status One item in PhenX for assessment of employment status and the more detailed WHO’s Health and Work Performance Questionnaire to assess multiple factors related to work performance 
 Self-efficacy Sickle Cell Efficiency Scale to measure self-efficacy in adolescents and adults with SCD 
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