Psychometric Validation of the Perception of Injection (PIN) Questionnaire Using Data From Two Phase III, Open-Label, Active-Controlled, Non-Inferiority Studies in People Living With HIV

Adv Ther. 2023 Dec;40(12):5300-5314. doi: 10.1007/s12325-023-02656-1. Epub 2023 Sep 30.

Abstract

Introduction: Currently, there are no patient-reported outcome tools specifically validated for use in people living with human immunodeficiency virus (PLHIV) to measure treatment injection acceptance and experience. The Perception of Injection (PIN) questionnaire was modified with consent from the Vaccinees' Perception of Injection (VAPI), a validated instrument developed by Sanofi Pasteur. The objective of developing the PIN was to provide information on participant experience with injectable therapies, including acceptance of pain, injection-site reactions, and tolerability following injections in PLHIV.

Methods: This post hoc analysis used data from participants who received the long-acting intramuscular cabotegravir plus rilpivirine combination treatment every 4 weeks, as part of the ATLAS (NCT02951052) and FLAIR (NCT02938520) studies, to evaluate the psychometric properties of the PIN questionnaire.

Results: These findings support the reliability, validity, and responsiveness to change for the PIN questionnaire in PLHIV.

Conclusion: As a clinical trial endpoint, the PIN questionnaire could provide valuable evidence around the acceptance and experience of injections in PLHIV which could have implications for treatment adherence in this population.

Trial registration: ATLAS (NCT02951052); 1 November, 2016. FLAIR (NCT02938520); 19 October, 2016.

Keywords: Cabotegravir plus rilpivirine; Experience of injection; HIV; Patient-reported outcome (PRO); Psychometric validation.

Publication types

  • Clinical Trial, Phase III
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-HIV Agents* / adverse effects
  • HIV Infections* / drug therapy
  • HIV-1*
  • Humans
  • Injections, Intramuscular
  • Perception
  • Psychometrics
  • Pyridones / therapeutic use
  • Reproducibility of Results
  • Surveys and Questionnaires

Substances

  • Anti-HIV Agents
  • Pyridones

Associated data

  • ClinicalTrials.gov/NCT02938520
  • ClinicalTrials.gov/NCT02951052