PROMs | Standard time points | Variable time points | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
B | 3 m | 6 m | 9 m | 12 m | 15 m | 18 m | 21 m | 24 m | ||||
ID | PROMs by MSmonitor Plus, for MS patients, with or without a caregiver/partner | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | |
1a 1b | Actionable SF-Qualiveen | Screening questionnaire for bladder disorders. | X | X | X | X | X | X | X | X | X | Â |
In order to assess health-related quality of life of patients with urinary disorders in neurologic conditions | X | X | X | X | X | X | X | X | X | Â | ||
2 | Checklist | For individual tension strength | X | X | X | X | X | X | X | X | X | Â |
3 | MSIP | Multiple sclerosis impact profile | X | X | X | X | X | X | X | X | X | Â |
4 | MSIS-29 | Multiple sclerosis impact scale 29 | X | X | X | X | X | X | X | X | X | Â |
5 | NBD | Neurogenic bowel dysfunction score | X | X | X | X | X | X | X | X | X | Â |
6 | Quick Scan | Five questions about the impact of fatigue on daily life, the Modified Fatigue Impact Scale-5 item Version (MFIS-5) and eight questions about health-related quality of life, the Leeds MS Quality of Life (LMSQol) and the registration of medication use | X | X | X | X | X | X | X | X | X | Every day if needed |
7 | HADS | Hospital anxiety and depression scale. Consists of a depression scale and anxiety scale, both are determined by means of seven questions | X | Â | X | Â | X | Â | X | Â | X | Â |
8 | MSISQ-15 | Questionnaire on intimacy and sexuality in multiple sclerosis (MS) or spinal cord injury | X | Â | X | Â | X | Â | X | Â | X | Â |
9 | MSQOL-54 | MS-specific quality of life | X | Â | X | Â | X | Â | X | Â | X | Â |
10 | Natalizumab checklist | 16 questions every 28 days, submitted 2 days prior to the infusion of natalizumab | X |  |  |  |  |  |  |  |  | Every 28 days, if needed |
11 | Do I have a schub | Consists of 4 questions that the patient must answer. This shows whether he/she should contact the doctor to check if they have a schub | X | Â | Â | Â | Â | Â | Â | Â | Â | Daily available |
12 | Diary | The patient can keep track of activities and moments of rest in order to gain insight into fatigue | X | Â | Â | Â | Â | Â | Â | Â | Â | Daily available |
ID | PROMs by eCRF, for patients, with or without a caregiver/partner | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | |
13 | iMCQ | iMTA Medical Consumption Questionnaire | X | X | X | X | X | X | X | X | X | Â |
14 | iPCQ | iMTA Productivity Cost Questionnaire | X | X | X | X | X | X | X | X | X | Â |
15 | CFQ | Cognitive failure questionnaire | X | Â | X | Â | X | Â | X | Â | X | Â |
16 | EQ-5D-5L | Health questionnaire (Dutch version) | X | Â | X | Â | X | Â | X | Â | X | Â |
17 | IPA | Impact on participation and autonomy | X | Â | X | Â | X | Â | X | Â | X | Â |
18 | MSSES | MS Self Efficacy Scale | X | Â | X | Â | X | Â | X | Â | X | Â |
19 | PIH | Partners in Heath Scale | X | Â | X | Â | X | Â | X | Â | X | Â |
 | PREMs by eCRF for patients, with or without a caregiver/partner |  |  |  |  |  |  |  |  |  |  | |
20 | PTO | Patient satisfaction questionnaire Isala | X | Â | Â | Â | X | Â | Â | Â | X | Â |
 | PROMs by eCRF for caregivers/partners of MS patients |  |  |  |  |  |  |  |  |  |  | |
21 | CarerQol-7D/VAS | Quality of life of informal caregivers for use in economic evaluations | X | Â | X | Â | X | Â | X | Â | X | Â |
15 | CFQ | Cognitive failure questionnaire | X | Â | X | Â | X | Â | X | Â | X | Â |
22 | iVICQ | iMTA Valuation of Informal Care Questionnaire | X | Â | Â | Â | X | Â | Â | Â | X | Â |