Table 3

Systematic results for the overall rating of MMD-HP and MMD-AP PROMs and their quality of evidence

PROMMMD-HPMMD-AP
COSMIN psychometric properties for content validityOverall ratingQuality of evidenceOverall ratingQuality of evidence
Relevance+Low±Low
Comprehensiveness+LowLow
Comprehensibility+LowLow
  • −, insufficient; +, sufficient; ±, inconsistent; COSMIN, Consensus-based Standards for the Selection of Health Measurement Instruments; MMD-AP, Measure of Moral Distress for Animal Professionals; MMD-HP, Measure of Moral Distress for Healthcare Professionals; PROM, patient-reported outcome measure.