Determination of the Minimal Clinically Important Difference (MCID) for Ocular Subjective Responses

Purpose: To determine the minimal clinically important difference (MCID) for contact lens (CL)–related subjective responses and explore whether MCID values differ between subjective responses and study designs. Methods: This was a retrospective analysis of data from seven one-week bilateral crossover studies and 14 one-day contralateral CL studies. For comfort, dryness, vision, or ease of insertion, participants rated on a 0–100 visual analogue scale (VAS) and indicated lens preference on a five-point Likert scale featuring strong, slight, and no preferences. For each criterion, four MCID estimates were calculated and averaged: mean VAS score difference for “slight preference,” lower limit of 95% confidence interval VAS score difference for “slight preference,” difference in mean VAS score difference between “slight”and “no preference”and 0.5 standard deviation of VAS scores. Results: The four calculation methods generated a small range of MCID values. For bilateral studies, the averaged MCID was 7.2 (range 5.4–8.8) for comfort, 8.1 (5.2–10.6) for dryness, 7.1 (5.5–9.3) for vision and 7.6 (6.0–10.5) for ease of insertion. For contralateral studies, the averaged MCID was 6.9 (6.1–7.6) for comfort at insertion and 7.5 (6.8–8.2) for end-of-day comfort. Conclusions: This work demonstrated very similar MCID values across subjective responses and study designs, in a population of habitual soft CL wearers. In all cases, MCID values were on average seven units on a 0 to 100 VAS. Translational Relevance: This work provides MCID values which are important for interpreting ocular subjective responses and planning clinical studies.