Severe Asthma Questionnaire (SAQ)

Conditions of Use

A license agreement must be completed and a user fee is required by all users (commercial & academic users) and a screenshot review agreement must be signed by commercial users. Please submit a request.

Conditions to Implement in Electronic Applications

The work performed can be certified once it has been confirmed as being in line with the instructions of the SAQ e-Booklet.

Screenshots review of the original version:

The review of the screenshots is mandatory and should be performed exclusively by MRT. This work is subject to a specific budget
The review of the screenshots is not mandatory but can be performed by MRT. This work is subject to a specific budget
The review of the screenshots is mandatory and should be performed exclusively by the Authors

Usability testing of the original version performed by Experts:

If applicable for a specific scope and budget, after implementation of the SAQ into the device(s), the User and/or eCOA Company will provide Mapi/ICON with a test device or the on-line connection, in order to assess the overall usability of the solution, with the target patient population(s) in mind including clarity, navigation, font size, and device usability.

Screenshots review of target language:

The review of target language screenshots is mandatory and should be performed exclusively by Mapi/ICON. This work is subject to a specific budget
The review of target language screenshots is not mandatory but can be performed by Mapi/ICON. This work is subject to a specific budget
The review of target language screenshots is mandatory and should be performed exclusively by the Authors

e-Booklets Information

The Questionnaire e-Booklet, developed in collaboration with the Owner, is intended to accompany the User through the development of official, validated, and approved electronic versions of the Questionnaire. It includes instructions and checklists on instrument properties and configuration, content, navigation, workflow diagram, format and provides a model about how the electronic version of the Questionnaire must be displayed (i.e. the “Original electronic Versions” (“OeVs”) of the Questionnaire).

e-Booklet Status:

Yes
Under Development
No

e-Booklet Current Version: SAQ_AU1.0_e-Booklet_1.1

Compatible Devices:

Handheld Device  
Tablet
Web(1)(2)(3)  
BYOD(3)

Please do make sure to consider the target population when selecting a device for a specific study.

(1)for password protected clinical trial projects only.
(2)Web versions should only be authorized for screens of 1024px or larger, i.e. mobile device cannot access the Web versions or a disclaimer should be stated otherwise. Upon termination of the User Agreement between the User and MRT, the User shall immediately cease the use of the e-PRO and shall destroy any material related to the e-PRO in the system by erasing them from the magnetic mediate on which they are stored and certify in writing that they have been destroyed.
(3)The User acknowledges that devices, non-compliant with the approved modalities specification as detailed above, will not be certified. The User shall be responsible for any consequences arising out from the use by the patients of any non-approved devices and in particular non-approved screen sizes.