Acute Otitis Media Symptoms Diary (AOM-Diary)

Sanofi Aventis

Distributed by Mapi Research Trust

Basic description

Authors

Sanofi Aventis

Objective

To capture data on the child’s daily level of Acute Otitis Media (AOM) symptom severity and to systematically assess resolution of symptoms

Therapeutic area

Otorhinolaryngologic Diseases

Therapeutic indication

Otitis Media

Type of Clinical Outcome Assessment (COA)

Original language(s)

English for the USA

Bibliographic reference(s) of the original questionnaire

The information displayed on this page was provided by the author based on official development and/or validation reports.

Contact and conditions of use

Authors

Sanofi Aventis

Sanofi-Aventis France

Contact information

Mapi Research Trust
PROVIDE™
27 rue de la Villette
69003 Lyon
France
Phone: +33 (0)4 72 13 66 66

Conditions of use

Non-Commercial Users

If you do not receive specific funding for your study, you may download the questionnaire directly:

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Click the 'Online distribution' tab in the left menu bar and follow the instructions

Tutorials are available on our FAQs.

Commercial Users

All requests have to be submitted through our online request management:

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Submit your request (Tutorials are available on our FAQs)
In order to accelerate the process, you may attach the User Agreement (even if not finalized) to your online request. Click the link below for the user agreement template.
Our PROVIDE team will get back to you with the needed information in a timely manner

AOM-Diary User-Agreement

Access fees

ROYALTY FEES*	Commercial users	Cost per study	1 000 €
	Commercial users	Cost per language	1 000 €
	Funded academic research	Cost per study	Free
	Funded academic research	Cost per language	Free
	Not funded academic users	Cost per study	Free
	Not funded academic users	Cost per language	Free

DISTRIBUTION FEES*	Commercial users	Cost per study	700 €
	Commercial users	Cost per language	300 €
	Funded academic research	Cost per study	300 €
	Funded academic research	Cost per language	50 €
	Not funded academic users	Cost per study	Free
	Not funded academic users	Cost per language	Free

* Excluding VAT
Commercial users: Industry, CRO, any for-profit companies
Funded Academic research: Projects receiving funding from commerce, government, EU or registered charity. Funded academic research– sponsored by industry fits the “commercial users” category.
Not funded academic users, individual medical practice: Projects are not explicitly funded, but funding comes from overall departmental funds or from the University or individual funds

Author Website(s)

Sanofi PRO Questionnaires website

Review copy

Examination copies can only be used for the limited purpose of examining the suitability of the Questionnaire for subsequent research and/or clinical use, and cannot be used in research or in clinical practice or distributed to others.
You are not authorized to modify, retype, translate, copy or otherwise duplicate the Questionnaire except with the further and prior written permission of Mapi Research Trust / the developers / copyright holders / distributors.

AOM-Diary in English for the USA

Languages

Original language(s)

English for the USA

Translations

The listed translations may not have undergone a full linguistic validation process and may require further work to be suitable for use in a study. This list is subject to constant changes, therefore please check the status of translations with Mapi Research Trust / the developers / copyright holders / distributors.

AOM-Diary

Arabic for Israel*
Finnish for Finland*
Finnish for Sweden*
French for France*
German for Germany*
Hebrew for Israel*
Mandarin for Taiwan*

Portuguese for Brazil*
Portuguese for Portugal*
Russian for Israel*
Russian for Russia*
Spanish for Argentina*
Spanish for Chile*
Spanish for Costa Rica*

Spanish for Dominican Republic*
Spanish for Guatemala*
Spanish for Mexico*
Spanish for Panama*
Spanish for Peru*
Spanish for the USA*

* Performed by Mapi

The author has selected Mapi as exclusive linguistic validation company to ensure the production of harmonized and consistent language versions.

For additional information on available translations of this instrument, or for a project involving new languages, please submit a request (tutorials available on our FAQs).

Conditions to translate

Commercial Users

Exclusive vendor for translation work for commercial users: Mapi

Academic Translation

If you wish to translate the questionnaire:

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Submit your request for translation online (Tutorials are available on our FAQs)
Our PROVIDE team will send you a translation agreement along with Linguistic Validation Guidelines.

More information on translations

Online distribution

My study is not funded

I am a non-commercial user
I do not receive specific funding for my study
I intend to use the questionnaire in individual clinical practice or research study

My study is funded

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