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Table 2 Concepts spontaneously reported by participants in the CE interviews and participant example quotes

From: The Severity of Chronic Cough Diary (SCCD): development and content validation of a novel patient-reported outcome instrument for evaluating the symptom experience of chronic cough

Concept

Number of participants reporting concept, n (%)

Participant example quotes

Overall

N = 29

Round 1

n = 9

Round 2

n = 10

Round 3

n = 10

Experiences of cough with RCC

Cough characteristics

29 (100)

9 (100)

10 (100)

10 (100)

“It first starts like a tickle, like you have something in your throat, and then you just start choking.”

Duration of cough

19 (66)

9 (100)

10 (100)

0 (0)

“[The cough] started, well, it would be over a year ago now, went on for weeks…It went on and on…I was just coughing the whole time.”

Variability of cough frequency

19 (66)

9 (100)

10 (100)

0 (0)

“Sometimes it’s frequent and sometimes it’s not. Sometimes you may have a couple of bouts in a day and then nothing.”

Cough symptoms and symptoms related to cough

Ability to control cough

28 (97)

9 (100)

9 (90)

10 (100)

“If I start to cough, then it doesn’t stop…when it’s in full mode I have no control over that at all.”

Frequency of cough

27 (93)

9 (100)

10 (100)

8 (80)

“As the day goes on it gets more frequent, I cough more often.”

Coughing fits

26 (90)

9 (100)

10 (100)

7 (70)

“Once I have a coughing spell, they get closer together…but I feel like it gets out of control in a way where I feel like it’s getting worse by the second.”

Severity of cough

26 (90)

9 (100)

10 (100)

7 (70)

“Well, when it’s been very bad, it’s been bad to the point of choking or vomiting.”

Urge to cough

23 (79)

8 (89)

6 (60)

9 (90)

“It’s almost like a dryness in my throat…And then that’s when I cough and then it’s a constant.”

Breathlessness due to cough

16 (55)

3 (33)

5 (50)

8 (80)

“Not being able to breathe…I feel like my chest is tightening or itching on the inside.”

Pain due to cough

8 (28)

6 (67)

2 (20)

0 (0)

“Can be quite severe if I’ve had a proper coughing fit…My throat can be really, really sore.”

Leaking urine due to cough

5 (17)

0 (0)

5 (50)

0 (0)

“Because it’s [the coughing has] been going on for so long…my bladder muscles have been affected, resulting in incontinence.”

Physical discomfort due to cough

4 (14)

3 (33)

1 (10)

0 (0)

“It’s pretty uncomfortable, it’s very draining.”

Impacts and disruptions due to cough

Disruptions to social interaction

18 (62)

9 (100)

9 (90)

0 (0)

“I really don’t want to be around people because…I guess you couldn’t really socialize or anything like that because I didn’t want to be coughing non-stop in front of people.”

Disruptions to daily activity

17 (59)

2 (22)

6 (60)

9 (90)

“It’s scary and it also ruins my days. If I’m planning on going someplace like going to the supermarket and if I know that that’s happening, that’s cancelled, so I’ll have to wait until another day and maybe my husband will take me.”

Emotional impactsa

13 (45)

8 (89)

5 (50)

0 (0)

“[I] feel really depressed and sad over it because I want to be able to do everything that other people are doing.”

Disruptions to strenuous physical activities

12 (41)

6 (67)

6 (60)

0 (0)

“I actually limit my physical activity…because the more active I am, it’ll just aggravate things.”

Disturbance of sleep

25 (86)

9 (100)

9 (90)

7 (70)

“I’ll have to change my sleeping position, instead of me laying down, I’ll have to prop up to try to sit up.”

Waking up from sleep

22 (76)

6 (67)

9 (90)

7 (70)

“Sometimes I’ll only get 2 hours’ sleep; I’m up all night or I fall asleep and then I wake up in the middle of the night coughing.”

Difficulty falling asleep

13 (45)

7 (78)

6 (60)

0 (0)

“You might just be kind of like relaxing and drifting off, and then suddenly you end up having a coughing fit. And it can kind of startle you, wake you up again, as well as the person lying next to you.”

  1. Text in bold and italic indicates the first mention of the concept
  2. aSaturation was not reached at the symptom impact level, only at the domain level
  3. CE concept elicitation, RCC refractory chronic cough