Summary
Objective:
The integration of similar clinical research questionnaires is a complex process
that can benefit from informatics approaches and tools that provide a systematic structure
for performing mapping and integration. This systematic approach is necessary to address
complex issues in integration such as data heterogeneity, differing levels of granularity
of questions and responses, and other issues involving semantic differences. Informatics
tools and approaches have been successfully applied to various standard clinical vocabulary
integration processes but not for questionnaire integration or mapping.
Methods:
A systematic approach to questionnaire integration was developed in the context of
a collaboration of researchers using Trial/DB, a database designed to support clinical
research. This approach was applied to the integration of questionnaires involving
breast cancer risk factors from each of three research sites.
Results:
From 375 questions on the three original questionnaires, we identified 65 concepts
that were measured by two or three of the sites. An algorithm was developed and used
to formalize the process of mapping questions and answers across the questionnaires.
The approach was applied to previously collected data and prospective data in disparate
database systems to import and merge the data from these three sites into Trial/DB.
Conclusion:
Informatics tools that support a systematic approach to mapping questionnaires can
be used throughout the research process from questionnaire integration and creation,
legacy data integration to data library maintenance and curation.
Keywords
Vocabulary mapping - data integration - pooled analysis - surveys - questionnaires