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COA Instruments Distributed by Mapi Research Trust

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DES-SF / Diabetes Empowerment Scale Short Form Diabetes Empowerment Scale Short Form

Anderson RM, Oh MS, Fitzgerald JT, Gruppen LD, Funnell MM et al.

To assess diabetes-related psychosocial self-efficacy

Therapeutic indications : Diabetes Mellitus

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DFS / Diabetic Foot Ulcer Scale Diabetic Foot Ulcer Scale

Janssen Global Services, LLC (USA), Mapi et al.

To assess the impact of diabetic foot ulcers and their treatment on quality of life from the patient’s perspective.

Therapeutic indications : Diabetes Mellitus, Leg Ulcer

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DFS-SF / Diabetic Foot Ulcer Scale - Short Form Diabetic Foot Ulcer Scale - Short Form

Janssen Global Services, LLC (USA), Mapi et al.

To assess the impact of diabetic foot ulcers and their treatment on patients’ quality of life

Therapeutic indications : Diabetes Mellitus, Leg Ulcer

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DiabMedSat / Diabetes Medication Satisfaction Diabetes Medication Satisfaction

Novo Nordisk (Denmark) et al.

To measure diabetes treatment satisfaction, applicable to a wide range of diabetes therapies

Therapeutic indications : Diabetes Mellitus

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DIVA / Déterminants des Intentions de VAccination Déterminants des Intentions de VAccination

Mapi, Société Française de Médecine Générale (SFMG) et al.

To assess primary care physician's (PCPs) attitudes and beliefs toward vaccination

Therapeutic indications : All

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DKT / Diabetes Knowledge Test Diabetes Knowledge Test

Fitzgerald JT, Nwankwo R, Stansfield RB, Piatt GA, Funnell MM, Anderson RM et al.

To obtain a general assessment of a patient's knowledge about diabetes and its care

Therapeutic indications : Diabetes Mellitus

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DN4 / Neuropathic Pain 4 Questions Neuropathic Pain 4 Questions

Bouhassira D et al.

To detect neuropathic pain

Therapeutic indications : Pain

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DPM / Diabetes Productivity Measure Diabetes Productivity Measure

Novo Nordisk (Denmark) et al.

To assess productivity impairment in patients with diabetes mellitus

Therapeutic indications : Diabetes Mellitus

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DSDS / Diabetes Semantic Differential Scales Diabetes Semantic Differential Scales

Fitzgerald JT, Wray LA, Shay BR, Gruppen LD, Anderson RM et al.

To measure patient and health professional/provider perceptions of 18 diabetes-related concepts

Therapeutic indications : Diabetes Mellitus

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DSM / Diabetes Symptom Measure Diabetes Symptom Measure

Novo Nordisk (Denmark) et al.

To assess symptom experience of patients with diabetes mellitus

Therapeutic indications : Diabetes Mellitus

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EASI / Eczema Area and Severity Index Eczema Area and Severity Index

Hanifin JM, Thurston M, Omoto M, Cherill R., Tofte SJ, Graeber M, EASI Evaluator Group et al.

To assess the extent and severity of atopic dermatitis (AD) or eczema at 4 body sites (Head/neck, Trunk, Upper extremities and Lower extremities) and measure 4 clinical signs, Erythema, Inuration/Papulation, Excoriation and Lichenification, in a simple, effective, comprehensive, consistent, and flexible way for a range of patients

Therapeutic indications : Eczema, Dermatitis, Atopic

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ESS / Epworth Sleepiness Scale Epworth Sleepiness Scale

Johns MW et al.

To measure a subject's usual level of daytime sleepiness or average sleep propensity

Therapeutic indications : Sleep Disorders (includes apnea)

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ESS-CHAD / Epworth Sleepiness Scale - Child Adolescent Epworth Sleepiness Scale - Child Adolescent

Johns MW et al.

To measure the subject’s average level of daytime sleepiness in daily life

Therapeutic indications : Sleep Disorders (includes apnea)

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ETDQ-7 / Eustachian Tube Dysfunction Questionnaire Eustachian Tube Dysfunction Questionnaire

McCoul ED, Anand VK, Christos PJ et al.

To clinically assess symptoms and treatment outcome in Eustachian tube dysfunction (ETD)

Therapeutic indications : Eustachian tube dysfunction

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FACE-Q / FACE-Q FACE-Q

Klassen AF, Cano S, Pusic AL et al.

To measure appearance, quality of life and experience of health care among patients undergoing any type of surgical or nonsurgical facial aesthetic treatment.

Therapeutic indications : Esthetics

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FBA / Food Benefits Assessment Food Benefits Assessment

Danone (France), Mapi et al.

To assess the perceived outcomes associated with diet/food intake in the general adult population

Therapeutic indications : All

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FBDSI / Functional Bowel Disorder Severity Index Functional Bowel Disorder Severity Index

Drossman DA, Li Z, Toner BB, Diamant NE, Creed FH, Thompson DR, Read NW, Babbs C, Barreiro M, Bank L, Whitehead WE, Schuster MM, Guthrie EA et al.

To quantify illness severity in patients with painful functional bowel disorders

Therapeutic indications : Gastrointestinal Diseases

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FDDQL / Quality of Life Questionnaire for Functional Digestive Disorders Quality of Life Questionnaire for Functional Digestive Disorders

Mapi, Chassany O, Parke D et al.

To measure the specific physical, psychological, and perpetual impacts of dyspepsia and irritable bowel syndrome

Therapeutic indications : Dyspepsia, Irritable Bowel Syndrome

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FIQ / Fibromyalgia Impact Questionnaire Fibromyalgia Impact Questionnaire

Bennett R, Burckhardt C, Clark S et al.

To measure fibromyalgia patient status, progress and outcomes

Therapeutic indications : Fibromyalgia

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FIQR / Revised Fibromyalgia Impact Questionnaire Revised Fibromyalgia Impact Questionnaire

Bennett R, Friend R et al.

To measure fibromyalgia patient status, progress and outcomes

Therapeutic indications : Fibromyalgia