scholarly journals Development of the PROMIS Pediatric Physical Activity Item Banks

2020 ◽  
Vol 100 (8) ◽  
pp. 1393-1410 ◽  
Author(s):  
Carole A Tucker ◽  
Katherine B Bevans ◽  
Brandon D Becker ◽  
Rachel Teneralli ◽  
Christopher B Forrest
Keyword(s):  
Physical Activity ◽  
Differential Item Functioning ◽  
Outcome Measurement ◽  
Self Report ◽  
Measurement Information ◽  
Response Options ◽  
Item Banks ◽  
Item Functioning ◽  
Patient Reported ◽  
Parent Proxy

Abstract Objective The purpose of this study was to develop self-report and parent-proxy measures of children’s physical activity for clinical research and practice and to demonstrate a valid and reliable instrument of children’s lived experience of physical activity as reported by the children themselves or their parent proxies. Methods This study involved qualitative development of item pools followed by 2 cross-sectional validity and reliability studies. The National Institutes of Health Patient Reported Outcome Measurement Information System (PROMIS) instrument development standards were applied to create child self-report and parent-proxy physical activity instruments from previously developed, content-valid pools of physical activity items. Each item used a 7-day recall period and had 5 response options. Item bank calibration was based on national samples totaling 3033 children aged 8 to 17 years and 2336 parents of children aged 5 to 17 years. Quantitative analyses included reliability assessments, factor analyses, item response theory calibration, differential item functioning, and construct validation. Results The final item banks comprised 10 items each. The items were selected based on content and psychometric properties. The item banks appeared to be unidimensional and free from differential item functioning. They showed excellent reliability and a high degree of precision across the range of the latent variable. Child-report and parent-proxy 4- and 8-item fixed-length instruments were specified. The instruments showed moderate correlation with existing self-report measures of physical activity. Conclusion The PROMIS Pediatric Physical Activity instruments provide precise and valid measurement of children’s lived experiences of physical activity. Impact The availability of the PROMIS Pediatric Physical Activity instruments will support advances in clinical practice and research that require measurement of pediatric physical activity by self- and parent-proxy report.

Patient-Reported Outcome Measurement Information System Pediatric Meaning and Purpose Item Banks

2019 ◽  
Author(s):  
Christopher B. Forrest ◽  
Katherine B. Bevans ◽  
Ania Filus ◽  
Janine Devine ◽  
Brandon D. Becker ◽  
...  
Keyword(s):  
Information System ◽  
Outcome Measurement ◽  
Patient Reported Outcome ◽  
Measurement Information ◽  
Item Banks ◽  
Patient Reported ◽  
Measurement Information System ◽  
Meaning And Purpose

scholarly journals Performance of Pediatric PROMIS CATs in Children With Upper Extremity Fractures

Hand ◽  
2018 ◽  
Vol 15 (2) ◽  
pp. 194-200 ◽  
Author(s):  
William D. Gerull ◽  
Ugochi C. Okoroafor ◽  
Jason Guattery ◽  
Charles A. Goldfarb ◽  
Lindley B. Wall ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Peer Relationships ◽  
Outcome Measurement ◽  
Pain Interference ◽  
Measurement Information ◽  
Strong Positive Correlation ◽  
Lower Extremity Function ◽  
Positive Correlation ◽  
Patient Reported ◽  
Parent Proxy

Background: This study was designed to quantify the performance of the pediatric Patient-Reported Outcome Measurement Information System (PROMIS) when delivered as part of routine care to children with upper extremity (UE) fractures. Methods: This cross-sectional study analyzed 964 new pediatric patients presenting with an UE fracture. All patients completed PROMIS computer adaptive tests for pain interference, peer relationships, UE function, and mobility domains at clinic registration. PROMIS was completed by parent-proxy (n = 418) for 5- to 7-year-olds and self-reported by 8- to 10-year-olds (n = 546). PROMIS score distributions were defined, and Pearson correlations assessed the interrelation between PROMIS domains. Student’s t tests compared mean PROMIS scores between parent-proxy and self-completion groups. Results: UE scores indicated the greatest average impairment of all PROMIS domains. However, 13% of patients reached the UE score ceiling indicating maximal UE function. UE scores and mobility scores had a strong positive correlation while UE scores had a moderate negative correlation with pain interference. In all patients, peer relationships were, at most, very weakly correlated with any other PROMIS domain. After grouping by fracture type, parent-proxy completion estimated worse UE function, more pain interference, and worse peer relationship. Conclusions: Pediatric PROMIS UE function scores capture impairment from UE fractures but do have a strong positive correlation with pediatric PROMIS Mobility, which assesses lower extremity function. Among children with UE fractures, parent-proxy completion of pediatric PROMIS appears associated with worse scores on most PROMIS domains.

scholarly journals Psychometrics of three Swedish physical pediatric item banks from the Patient-Reported Outcomes Measurement Information System (PROMIS)®: pain interference, fatigue, and physical activity

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Frida Carlberg Rindestig ◽  
Marie Wiberg ◽  
John Eric Chaplin ◽  
Eva Henje ◽  
Inga Dennhag
Keyword(s):  
Physical Activity ◽  
Patient Reported Outcomes ◽  
School Health ◽  
Factor Models ◽  
Pain Interference ◽  
Measurement Information ◽  
Outcomes Measurement ◽  
Item Banks ◽  
Patient Reported ◽  
Measurement Information System

Abstract Background The Patient-Reported Outcomes Measurement Information System (PROMIS®) aims to provide self-reported item banks for several dimensions of physical, mental and social health. Here we investigate the psychometric properties of the Swedish pediatric versions of the Physical Health item banks for pain interference, fatigue and physical activity which can be used in school health care and other clinical pediatric settings. Physical health has been shown to be more important for teenagers’ well-being than ever because of the link to several somatic and mental conditions. The item banks are not yet available in Sweden. Methods 12- to 19-year-old participants (n = 681) were recruited in public school settings, and at a child- and psychiatric outpatient clinic. Three one-factor models using CFA were performed to evaluate scale dimensionality. We analyzed monotonicity and local independence. The items were calibrated by fitting the graded response model. Differential Item analyses (DIF) for age, gender and language were calculated. Results As part of the three one-factor models, we found support that each item bank measures a unidimensional construct. No monotonicity or local dependence were found. We found that 11 items had significant lack of fit in the item response theory (IRT) analyses. The result also showed DIF for age (seven items) and language (nine items). However, the differences on item fits and effect sizes of McFadden were negligible. After considering the analytic results, graphical illustration, item content and clinical relevance we decided to keep all items in the item banks. Conclusions We translated and validated the U.S. PROMIS item banks pain interference, fatigue and physical activity into Swedish by applying CFA, IRT and DIF analyses. The results suggest adequacy of the translations in terms of their psychometrics. The questionnaires can be used in school health and other pediatric care. Future studies can be to use Computerized Adaptive Testing (CAT), which provide fewer but reliable items to the test person compared to classical testing.

The Impact of Education on Depression Assessment: Differential Item Functioning Analysis

Assessment ◽  
2020 ◽  
pp. 107319112097135
Author(s):  
Bayley J. Taple ◽  
Robert Chapman ◽  
Benjamin D. Schalet ◽  
Rylee Brower ◽  
James W. Griffith
Keyword(s):  
Health Care ◽  
Depressive Symptoms ◽  
Differential Item Functioning ◽  
Self Report ◽  
Health Concern ◽  
Level Of Education ◽  
Item Functioning ◽  
Patient Reported ◽  
Depression Assessment ◽  
The Impact

A person’s level of education can affect their access to health care, and their health outcomes. Increasing rates of depression are another looming public health concern. Therefore, vulnerability is compounded for individuals who have a lower level of education and depression. Assessment of depressive symptoms is integral to many domains of health care including primary care and mental health specialty care. This investigation examined the degree to which education influences the psychometric properties of self-report items that measure depressive symptoms. This study was a secondary data analysis derived from three large internet panel studies. Together, the studies included the Beck Depression Inventory–II, the Center for Epidemiologic Studies Depression Scale, the Patient Health Questionnaire, and the Patient Reported Outcomes Measurement Information System measures of depression. Using a differential item functioning (DIF) approach, we found evidence of DIF such that some items on each of the questionnaires were flagged for DIF with effect sizes ranging from McFadden’s Pseudo R2 = .005 to .022. For example, results included several double-barreled questions flagged for DIF. Overall, questionnaires assessing depression vary in level of complexity, which interacts with the respondent’s level of education. Measurement of depression should include consideration of possible educational disparities, to identify people who may struggle with a written questionnaire, or may be subject to subtle psychometric biases associated with education.

Patient-Reported Outcome Measurement Information System Pediatric Life Satisfaction Item Banks

2018 ◽  
Author(s):  
Christopher B. Forrest ◽  
Janine Devine ◽  
Katherine B. Bevans ◽  
Brandon D. Becker ◽  
Adam C. Carle ◽  
...  
Keyword(s):  
Information System ◽  
Life Satisfaction ◽  
Outcome Measurement ◽  
Patient Reported Outcome ◽  
Measurement Information ◽  
Item Banks ◽  
Patient Reported ◽  
Measurement Information System
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