English speaking sites within EARCO will be asked to complete the new PRO as an optional extra within the EARCO protocol (n=200 patients). Cross-sectional comparison of PRO score to disease severity and QOL will be conducted, stratified by country, compared between countries and the original Birmingham cohort (n=70)
Validation in language(s) other than English
Forward translations into Spanish by translation software and an independent translator will be merged into one, back translated into English, checked by a panel of 5-10 native Spanish speakers (including patients) from mainland Spain, reaching consensus on final content via a focus group. Similar native speaker review prior to use in South-Central America is also needed. To test construct validity we will do test-retest within 7 days (n=50 patients). To test criterion validity and maximise feasibility simultaneously we will conduct the first test alongside a usual EARCO review and the second remotely by self-completion of the PRO. Criterion validity can be assessed by comparison of the result from the new PRO to SGRQ and CAT