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COA Instruments Distributed by Mapi Research Trust

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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 : Neuralgia

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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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DSAS-1 / Type 1 Diabetes Stigma Assessment Scale Type 1 Diabetes Stigma Assessment Scale

Browne J, Mosely K, Ventura AD, Speight J et al.

To measure perceived and experienced stigma related to living with type 1 diabetes

Therapeutic indications : Diabetes Mellitus, Type 1

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DSAS-2 / Type 2 Diabetes Stigma Assessment Scale Type 2 Diabetes Stigma Assessment Scale

Browne J, Ventura AD, Speight J, Mosely K et al.

To measure perceived and experienced stigma related to living with type 2 diabetes

Therapeutic indications : Diabetes Mellitus, Type 2

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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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DSMQ / Diabetes Self-Management Questionnaire Diabetes Self-Management Questionnaire

Schmitt A et al.

To assess diabetes self-care activities associated with glycaemic control

Therapeutic indications : Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2

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DSMQ-R / Diabetes Self-Management Questionnaire - Revised Diabetes Self-Management Questionnaire - Revised

Schmitt A et al.

To assess diabetes self-care activities associated with glycaemic control

Therapeutic indications : Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2

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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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ESDS / Enforced Social Dependency scale Enforced Social Dependency scale

Benoliel JQ, Young K, McCorkle R et al.

To assess levels of social dependence, regarding self-care, mobility and social competencies, and their change over time during the course of illness or under treatment

Therapeutic indications : Chronic Diseases, Neoplastic Processes

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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 : Sleepiness

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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 : Sleepiness

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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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faVIQ / Functional ability Quality of Vision Functional ability Quality of Vision

Wolffsohn JS et al.

To assess visual-related difficulties in visually impaired people and the effectiveness of low vision rehabilitation services

Therapeutic indications : Vision Disorders

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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