Abstract:
:The success of long-term therapy in schizophrenia is contingent upon real-world effectiveness or improvements in several domains, including efficacy, safety and tolerability. This report describes the Investigator's Assessment Questionnaire (IAQ), a new 10-item instrument designed to assess relative effectiveness (efficacy, safety and tolerability) of antipsychotic medications in patients with schizophrenia or schizoaffective disorder. To measure content validity, 300 psychiatrists rated the importance of the IAQ items. Efficacy (i.e., positive and negative symptoms) was considered most important, but importance scores relative to the mean ranged only from 0.87 to 1.18, suggesting similar importance of the items. Cronbach's coefficient alpha values showed that the items were internally consistent. Factor analyses indicated that all IAQ items belong to a single domain. Data from the US Broad Effectiveness Trial of Aripiprazole were used for construct validation. Total IAQ score correlated significantly with time to treatment discontinuation (r=-0.50), Clinical Global Impressions-Improvement (CGI-I) score (r=0.76) and medication preference of patients (r=0.71) or caregivers (r=0.70). A one-unit decrease in IAQ score corresponded to an additional 1.35 days in the study and a decrease in CGI-I of 0.21 units. These results provide initial validation of the IAQ as a tool for evaluating antipsychotic response in patients with schizophrenia or schizoaffective disorder.
journal_name
Psychiatry Resjournal_title
Psychiatry researchauthors
Tandon R,Devellis RF,Han J,Li H,Frangou S,Dursun S,Beuzen JN,Carson W,Corey-Lisle PK,Falissard B,Jody DN,Kujawa MJ,L'italien G,Marcus RN,McQuade RD,Ray S,Van Peborgh P,IAQ Validation Study Group.doi
10.1016/j.psychres.2005.05.006subject
Has Abstractpub_date
2005-09-15 00:00:00pages
211-21issue
2-3eissn
0165-1781issn
1872-7123pii
S0165-1781(05)00152-6journal_volume
136pub_type
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