Later Stage HD Assessments (LSA) is an observational, multinational study aiming at developing two assessments that can be used to measure critical milestones and events during the later stages of Huntington's disease (HD). An important aspect of the evaluation will be to assess whether the assessments can be administered to a companion either in-person or remotely (i.e. by phone contact with the companion). Therefore, these assessments will be evaluated for their internal consistency, reliability and validity. Once established, these assessments may be incorporated into a large scale, global observational study of HD and/or other HD clinical studies as well as use them for planning clinical trials.
The primary objective of this study is to evaluate the internal consistency, reliability and validity of two assessments: (1) UHDRS Structured Interview of Function (SIF) that incorporates the UHDRS Total Functional Capacity, Functional Assessment Scale, and Independence Scale (UHDRS TFC, FAS and IS), and (2) the HD Clinical Status Questionnaire (HDCSQ). There will be two study parts: Part 1 will measure the performance of the UHDRS SIF assessment compared to the original UHDRS TFC, FAS and IS using a cross-over design by collecting data from the Manifest HD gene expansion carrier participants (Manifest HDGEC Participants) and their companions (Companion Participants) via an in-person baseline visit and a follow-up visit by phone. Part 2 will assess the UHDRS SIF and the HDCSQ using a cross-sectional design by collecting data from the Companion Participants via a follow-up visit by phone. Participants of Part 1 are eligible to participate in Part 2.
Study Type
OBSERVATIONAL
Enrollment
340
The Board of Trustees of the University of Alabama for the University of Alabama at Birmingham
Birmingham, Alabama, United States
Regents of the University of California, San Diego
La Jolla, California, United States
Regents of the University of California, Los Angeles
Los Angeles, California, United States
Rocky Mountain Movement Disorders Center, P.C
Englewood, Colorado, United States
Rush Universiity Medical Center
Chicago, Illinois, United States
Hereditary Neurological Disease Centre, Inc.
Wichita, Kansas, United States
Washington University
St Louis, Missouri, United States
Vanderbilt University Medical Center
Nashville, Tennessee, United States
University of Washington
Seattle, Washington, United States
The Chancellor, Masters and Scholars of the University of Cambridge
Cambridge, Cambridgeshire, United Kingdom
...and 10 more locations
The UHDRS SIF ratings
The equivalence of the original UHDRS function scales (TFC, FAS and IS) and the UHDRS SIF will be evaluated using a cross-over design study, with two baseline measurements and one follow up measurement. We will use ICC (Intraclass Correlation Coefficient) and Lin's correlation coefficient will be used to measure the agreement between raters across Participants.
Time frame: 3 weeks
Clinimetric properties of the UHDRS SIF
To assess the clinimetric properties of the UHDRS SIF we will use Classical Test Theory (CTT) and Item Response Theory (IRT)
Time frame: 3 weeks
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