Abstract
Introduction Tuberous Sclerosis Complex Associated Neuropsychiatric Disorders (TAND) are often present but under-identified and under-treated in individuals with Tuberous Sclerosis Complex (TSC). The clinician-completed TAND-Lifetime Checklist (TAND-L) was developed to address this identification and treatment gap. Stakeholder engagement identified the need for a TAND Checklist that can 1) be completed by caregivers or individuals with TSC, and 2) quantify TAND difficulties. The aim of this study was to develop a self-report quantified TAND Checklist (TAND-SQ), and conduct feasibility and acceptability testing.
Methods This aim was addressed in three phases: 1) development of the TAND-SQ Checklist, 2) feasibility and acceptability testing of the ‘near-final’ TAND-SQ Checklist, and 3) preparation of the final TAND-SQ Checklist. Participants included 23 technical experts from the TAND consortium in all phases, and 58 lived experts (caregivers and individuals with TSC) in phase 2. All participants completed a TAND-SQ Checklist and a checklist feedback form.
Results Phase 1 additions to the TAND-SQ, in comparison to the TAND-L, included four new items and a quantification rating. Phase 2 showed high ratings for the ‘near-final’ TAND-SQ Checklist on comprehensiveness, clarity, ease of use, and overall acceptability. In phase 3, questions on strengths, strategies and a TAND Cluster Profile were added.
Conclusion The TAND-SQ Checklist is presented here for use by TSC individuals and their caregivers. Next steps as part of the TANDem project include internal and external validation of the checklist, and linking of TAND Cluster Profiles generated from the checklist to evidence-informed consensus recommendations within a smartphone application.
Methods This aim was addressed in three phases: 1) development of the TAND-SQ Checklist, 2) feasibility and acceptability testing of the ‘near-final’ TAND-SQ Checklist, and 3) preparation of the final TAND-SQ Checklist. Participants included 23 technical experts from the TAND consortium in all phases, and 58 lived experts (caregivers and individuals with TSC) in phase 2. All participants completed a TAND-SQ Checklist and a checklist feedback form.
Results Phase 1 additions to the TAND-SQ, in comparison to the TAND-L, included four new items and a quantification rating. Phase 2 showed high ratings for the ‘near-final’ TAND-SQ Checklist on comprehensiveness, clarity, ease of use, and overall acceptability. In phase 3, questions on strengths, strategies and a TAND Cluster Profile were added.
Conclusion The TAND-SQ Checklist is presented here for use by TSC individuals and their caregivers. Next steps as part of the TANDem project include internal and external validation of the checklist, and linking of TAND Cluster Profiles generated from the checklist to evidence-informed consensus recommendations within a smartphone application.
Original language | English |
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Journal | Pediatric Neurology |
Early online date | 7 Jul 2023 |
DOIs | |
Publication status | E-pub ahead of print - 7 Jul 2023 |