Evidence map›Paper›PMID 41313545›Full record

ArticleAdvances in therapy2026

Qualitative Research in Children and Parents of Children with Achondroplasia to Evaluate the Content Validity of Multiple Clinical Outcome Assessments.

Julie E Hoover-Fong, Ravi Savarirayan, Inês Alves, Chandler Crews, Amer Haider, Susana Noval Iruretagoyena, Anne Grumet, Hilary H Colwell, Daniela Rogoff, Elena Muslimova and 1 more

Abstract read
In one paragraph

Article in Advances in therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Julie E Hoover-FongSchool of Medicine, Johns Hopkins University, 733 N. Broadway, Suite 579, Baltimore, MD, 21205, USA.
Ravi SavarirayanMurdoch Children's Research Institute, 59 Flemington Road, Parkville, Melbourne, VIC, Australia.
Inês AlvesANDO Portugal, Av. D. Leonor Fernandes 46, 7005-144, Évora, Portugal.
Chandler CrewsThe Chandler Project, Little Rock, AR, 72207, USA.
Amer HaiderSchool of Medicine, Johns Hopkins University, 733 N. Broadway, Suite 579, Baltimore, MD, 21205, USA.
Susana Noval IruretagoyenaFundación ALPE Achondroplasia, Calle Conde Real Agrado, 2, 33205, Gijón, Spain.
Anne GrumetBridgeBio Pharma Inc., 1800 Owens St., San Francisco, CA, 94158, USA.
Hilary H ColwellHealth Outcomes Solutions, 1149 Crystal Drive, Palm Beach Gardens, FL, 33418, USA.
Daniela RogoffBridgeBio Pharma Inc., 1800 Owens St., San Francisco, CA, 94158, USA.
Elena MuslimovaBridgeBio Pharma Inc., 1800 Owens St., San Francisco, CA, 94158, USA.
Susan D MathiasHealth Outcomes Solutions, 1149 Crystal Drive, Palm Beach Gardens, FL, 33418, USA. smathias@healthoutcomessolutions.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAchondroplasia is the most common skeletal dysplasia condition, characterized by disproportionate short stature and delayed motor development. Additional potential complications include bowed legs and hypotonia, otitis media, sleep apnea, and complications from spinal stenosis, which may impose potential burden on individuals with achondroplasia, as well as their families. No reliable, validated, and publicly available achondroplasia-specific clinical outcome assessment (COA) is currently available that can capture the experiences of children and adolescents with achondroplasia. We sought to determine whether existing COA measures have adequate concept coverage for use in clinical studies and understand the challenges for children/adolescents with achondroplasia and their parents through concept elicitation and cognitive debriefing interviews.

methodsChildren/adolescents with achondroplasia and parents of children with achondroplasia participated in combined concept elicitation and cognitive debriefing interviews. Issues raised by participants were mapped to four COA measures to evaluate their clarity, relevance, and appropriateness for use in achondroplasia studies.

resultsEight children/adolescents (aged 11-16) and 18 parents were interviewed. The challenges most often reported by children/adolescents were feeling hot/sweaty (88%), pain (88%), balance issues or falls (75%), fatigue (63%), muscle fatigue/loose joints (63%), and speech issues (63%). Pain (83%), ear infections (78%), and feeling hot/sweaty (78%) were frequently reported by parents. Difficulty reaching things (88%), running (88%), and walking (75%) were the functional challenges most reported by children/adolescents, while parents most commonly reported difficulty reaching things (78%), toileting (63%), bathing (56%), walking (56%), running (56%), and dressing (50%). Results of response mapping indicated that the QoLISSY, PedsQL, WeeFIM, and Pain-NRS cover most of the important concepts mentioned by parents and children/adolescents.

conclusionsThe PedsQL, QoLISSY, Pain-NRS, and WeeFIM are content valid, appropriate, and relevant to include in future studies of individuals with achondroplasia.

Indexed as

AchondroplasiaOutcome Assessment, Health CareParentsAdolescentChildFemaleHumansMaleQualitative ResearchAchondroplasiaClinical outcome assessmentCognitive debriefingConcept elicitationQualitativeQuality of life

Identifiers

PMID41313545
PMCPMC12858474

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.