Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items

Hays, Ron D.; Bjørner, Jakob Bue; Revicki, Dennis A.; Spritzer, Karen; Cella, David

doi:10.1007/s11136-009-9496-9

Cited by 1,493 publications

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“…Even with the seemingly strong correlation between the item and the scale, it is possible for the item to have different correlations with a criterion measure. 15 For example, Hays et al 8 found that the PROMIS global physical health scale had a higher polyserial correlation than the single item with the EuroQol EQ-5D (0.82 vs. 0.65). In addition, the respondents to the survey were primarily members of an Internet panel.…”

Section: Discussionmentioning

confidence: 99%

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U.S. General Population Estimate for “Excellent” to “Poor” Self-Rated Health Item

et al. 2015

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BACKGROUND:The most commonly used self-reported health question asks people to rate their general health from excellent to poor. This is one of the Patient-Reported Outcomes Measurement Information System (PROMIS) global health items. Four other items are used for scoring on the PROMIS global physical health scale. Because the single item is used on the majority of large national health surveys in the U.S., it is useful to construct scores that can be compared to U.S. general population norms. OBJECTIVE: To estimate the PROMIS global physical health scale score from the responses to the single excellent to poor self-rated health question for use in public health surveillance, research, and clinical assessment. DESIGN: A cross-sectional survey of 21,133 individuals, weighted to be representative of the U.S. general population. PARTICIPANTS: The PROMIS items were administered via a Web-based survey to 19,601 persons in a national panel and 1,532 subjects from PROMIS research sites. The average age of individuals in the sample was 53 years, 52 % were female, 80 % were non-Hispanic white, and 19 % had a high school degree or lower level of education. MAIN OUTCOME MEASURES: PROMIS global physical health scale. KEY RESULTS: The product-moment correlation of the single item with the PROMIS global physical health scale score was 0.81. The estimated scale score based on responses to the single item ranged from 29 (poor selfrated health, 2.1 SDs worse than the general population mean) to 62 (excellent self-rated health, 1.2 SDs better than the general population mean) on a T-score metric (mean of 50). CONCLUSIONS: This item can be used to estimate scores for the PROMIS global physical health scale for use in monitoring population health and achieving public health objectives. The item may also be used for individual assessment, but its reliability (0.52) is lower than that of the PROMIS global health scale (0.81).

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Section: Discussionmentioning

confidence: 99%

“…Three of these are administered using five-category response scales, and one item (rating of pain on average) uses a response scale of 0-10: 8 …”

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confidence: 99%

U.S. General Population Estimate for “Excellent” to “Poor” Self-Rated Health Item

et al. 2015

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“…The PF-CAT is based on modern psychometric techniques using item response theory, which has been used in the educational field to optimize test administration for decades by reducing time constraints to the participant, test length, data entry errors, and organizational cost while preserving data efficacy [3,4]. The PF-CAT includes a total of 124 physical function items across five categories related to activities of daily living and the Global10 is a 10-item instrument representing five primary domains (physical functioning, pain, fatigue, emotional distress, social health) with cutoffs across domains [4,5,10]. Both outcome measures have demonstrated appropriate psychometric properties [4,5,10,11].…”

Section: Methodsmentioning

confidence: 99%

“…The PF-CAT includes a total of 124 physical function items across five categories related to activities of daily living and the Global10 is a 10-item instrument representing five primary domains (physical functioning, pain, fatigue, emotional distress, social health) with cutoffs across domains [4,5,10]. Both outcome measures have demonstrated appropriate psychometric properties [4,5,10,11]. Preoperative physical health was assessed using the ASA Physical Status classification system, which is a 6-point categorical scale and evaluates the degree of a patient's physical health before undergoing anesthesia and surgery [24].…”

Section: Methodsmentioning

confidence: 99%

Higher Frequency of Reoperation With a New Bicruciate-retaining Total Knee Arthroplasty

Christensen

Stoddard

Anderson

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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Background With as many as 25% of patients reporting residual knee symptoms after primary total knee arthroplasty (TKA), alternative implant designs and surgical techniques have been proposed to further reduce these symptoms. There is growing evidence that retention of the anterior cruciate ligament (ACL) results in more natural knee kinematics; thus, implants with more normal joint mechanics could provide improved physical function postoperatively and reduce the amount of residual symptoms. Advancements in the bicruciate-retaining (BCR) TKA implant design have been made, and based on these, we wished to compare the BCR with a more traditional cruciate-retaining (CR) implant. Questions/purposes (1) Was there a difference in the risk of reoperation after primary TKA between BCR and CR implant designs? (2) Was there a difference in the radiographic findings of radiolucent lines (RLLs) between the implant designs? (3) Was there a difference in patient-reported and clinical outcomes between the two implant designs? Methods Between January 2013 and May 2014, two surgeons performed 475 primary TKAs. During this time, 78 (16%) of these were performed with BCR implants and 294 (62%) with CR implants; the remainder were performed with anterior-stabilized or more constrained designs as a result of increased deformity and/or ligamentous deficiencies. During this period, the general indications for BCR TKA were arthritic knees with only slight to moderate deformity and sufficient ligamentous integrity of both the ACL and posterior cruciate ligament. The indications for CR TKA were similar other than these patients presented with a deficient ACL. A total of 66 (85%) of the BCR and 237 (81%) of the CR TKAs were available for followup at a minimum of 12 months or when reoperation occurred before 12 months (mean, 18 months; range, 2-32 months). With the numbers available, there were no differences between the groups in terms of age and sex, but the patients undergoing CR TKA had a greater mean body mass index (33 ± 7 versus 31 ± 5 kg/m 2 , p = 0.032). The frequency of early reoperation was compared between the groups as were radiographic evidence of RLL, patient-reported outcomes, and knee range of motion (ROM).

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“…21 Anxiety and depression were measured using the Patient Reported Outcomes Measurement Information Service (PROMIS) short form subscales. 22 Anxiety scores ranged from 7 to 35, depression from 8 to 40, and physical function from 0 to 100. Northwestern University's Institutional Review Board approved the study.…”

Section: Measurementmentioning

confidence: 99%

The Mini Mental Status Exam as a Surrogate Measure of Health Literacy

Dahlke¹,

Curtis

Federman

et al. 2013

J GEN INTERN MED

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BACKGROUND: Studies have documented strong associations between cognitive function, health literacy skills, and health outcomes, such that outcome performance may be partially explained by cognitive ability. Common cognitive assessments such as the Mini Mental Status Exam (MMSE) therefore may be measuring the same latent construct as existing health literacy tools. OBJECTIVES: We evaluated the potential of the MMSE as a surrogate measure of health literacy by comparing its convergent and predictive validity to the three most commonly used health literacy assessments and education. SUBJECTS: 827 older adults recruited from an academic general internal medicine ambulatory care clinic or one of five federally qualified health centers in Chicago, IL. Non-English speakers and those with severe cognitive impairment were excluded. MEASURES: Pearson correlations were completed to test the convergent validity of the MMSE with assessments of health literacy and education. Receiver Operating Characteristic (ROC) curves and the d statistic were calculated to determine the optimal cut point on the MMSE for classifying participants with limited health literacy. Multivariate logistic regression models were completed to measure the predictive validity of the new MMSE cut point. KEY RESULTS: The MMSE was found to have moderate to high convergent validity with the existing health literacy measures. The ROC and d statistic analyses suggested an optimal cut point of ≤ 27 on the MMSE. The new threshold score was found to predict health outcomes at least as well as, or better than, existing health literacy measures or education alone. CONCLUSIONS: The MMSE has considerable face validity as a health literacy measure that could be easily administered in the healthcare setting. Further research should aim to validate this cut point and examine the constructs being measured by the MMSE and other literacy assessments.

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Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items

Cited by 1,493 publications

References 16 publications

U.S. General Population Estimate for “Excellent” to “Poor” Self-Rated Health Item

U.S. General Population Estimate for “Excellent” to “Poor” Self-Rated Health Item

Higher Frequency of Reoperation With a New Bicruciate-retaining Total Knee Arthroplasty

The Mini Mental Status Exam as a Surrogate Measure of Health Literacy

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