Item Banks for Measuring Emotional Distress From the Patient-Reported Outcomes Measurement Information System (PROMIS®): Depression, Anxiety, and Anger

Pilkonis, Paul A.; Choi, Seung W.; Reise, Steven P.; Stover, Angela M.; Riley, William T.; Cella, David

doi:10.1177/1073191111411667

Cited by 1,726 publications

(1,571 citation statements)

References 98 publications

Supporting

Mentioning

1,534

Contrasting

Unclassified

Order By: Relevance

“…Directly after the visit, patients completed a sociodemographic survey (including age, sex, race, work status, marital status), the Newest Vital Sign (NVS) health literacy test [39], and three Patient-Reported Outcomes Measurement Information System-based (PROMIS) computerized adaptive questionnaires: Upper-Extremity Function [12], Pain Interference [3], and Depression [33]. The NVS health literacy test is based on a nutrition label from an ice cream container, and the overall score ranges from 0 to 6.…”

Section: Methodsmentioning

confidence: 99%

Patients With Limited Health Literacy Ask Fewer Questions During Office Visits With Hand Surgeons

Menendez

Hoorn

Mackert

et al. 2017

Clinical Orthopaedics &Amp; Related Research

110

View full text Add to dashboard Cite

Background In the midst of rapid expansion of medical knowledge and decision-support tools intended to benefit diverse patients, patients with limited health literacy (the ability to obtain, process, and understand information and services to make health decisions) will benefit from asking questions and engaging actively in their own care. But little is known regarding the relationship between health literacy and question-asking behavior during outpatient office visits. Questions/purposes (1) Do patients with lower levels of health literacy ask fewer questions in general, and as stratified by types of questions? (2) What other patient characteristics are associated with the number of questions asked? (3) How often do surgeons prompt patients to ask questions during an office visit? Methods We audio-recorded office visits of 84 patients visiting one of three orthopaedic hand surgeons for the first time. Patient questions were counted and coded using an adaptation of the Roter Interaction Analysis System in 11 categories: (1) therapeutic regimen; (2) medical condition; (3) lifestyle; (4) requests for services or medications; (5) psychosocial/feelings; (6) nonmedical/procedural; (7) asks for understanding; (8) asks for reassurance; (9) paraphrase/ checks for understanding; (10) bid for repetition; and (11) personal remarks/social conversation. Directly after the visit, patients completed the Newest Vital Sign (NVS) health literacy test, a sociodemographic survey (including age, sex, race, work status, marital status, insurance status), and three Patient-Reported Outcomes Measurement Information System-based questionnaires: Upper-Extremity Function, Pain Interference, and Depression. The NVS scores were divided into limited (0-3) and adequate (4-6) health literacy as done by the tool's creators. We also assessed whether the surgeons prompted patients to ask questions during the encounter. Results Patients with limited health literacy asked fewer questions than patients with adequate health literacy (5 ± 4 versus 9 ± 7; mean difference, À4; 95% CI, À7 to À1; p = 0.002). More specifically, patients with limited health literacy asked fewer questions regarding medical-care issues such as their therapeutic regimen (1 ± 2 versus 3 ± 4; Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. This work was performed at

show abstract

Section: Methodsmentioning

confidence: 99%

Patients With Limited Health Literacy Ask Fewer Questions During Office Visits With Hand Surgeons

Menendez

Hoorn

Mackert

et al. 2017

Clinical Orthopaedics &Amp; Related Research

110

View full text Add to dashboard Cite

show abstract

“…A researcher (ERT, not involved with patient treatment) obtained informed consent before patients saw their physician. Patients filled out their age, sex, traumatic versus discrete diagnosis, comorbidities, tobacco use, marital status, and work status in addition to the following questionnaires: the validated Patients Reported Outcome Measurement Information System (PROMIS) physical function-upper extremity [13], PRO-MIS pain interference [2], and PROMIS depression [22]. Average time necessary to complete these questionnaires was 5 ± 2 minutes (range, 2-13 minutes).…”

Section: Methodsmentioning

confidence: 99%

“…PROMIS pain interference CAT addresses the degree to which pain interferes with patient ability to achieve their goals [2]. PROMIS depression CAT evaluates nonsomatic symptoms of depression [22].…”

Section: Outcome Measuresmentioning

confidence: 99%

Time Seeing a Hand Surgeon Is Not Associated With Patient Satisfaction

Teunis

Thornton

Jayakumar

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Previous studies, predominantly in the primary care setting, identified time spent with the physician as an important predictor of satisfaction. It is unknown if the same holds true in hand surgery. Questions/purposes Is patient satisfaction measured immediately after an office visit associated with the duration of time spent with the hand surgeon? What other factors are associated with satisfaction directly after the visits and 2 weeks after the appointment?Methods We prospectively enrolled 81 patients visiting our hand and upper extremity surgery outpatient clinic. We recorded their demographics and measured physical function, pain behavior, symptoms of depression, time spent in the waiting room, time spent with the physician, and patient satisfaction. Office times were measured using our patient ambulatory tracking system and by a research assistant outside the clinic room. To assess satisfaction we used items from the Consumer Assessment of Healthcare Providers and Systems survey (a federally developed standardized survey instrument) relevant to our study. Two weeks later, 51 (64%) patients were available for telephone followup and the same measures were completed. Mean time spent with the hand surgeon was 8 ± 5 minutes and mean in-office wait time to see the hand surgeon was 32 ± 18 minutes. A priori power analyses indicated that 77 patients would provide 80% power to detect an effect size f 2 = 0.18 for a regression with five predictors. This means that we would detect time spent with the physician as a significant factor if it accounted for 7% or more of the variability in satisfaction. Results Time spent with the hand surgeon was not associated with patient satisfaction measured directly after the visit (r = -0.023; p = 0.84). Longer time waiting to see the physician correlated with decreased patient satisfaction (r = -0.30; p = 0.0057). The final multivariable model for increased satisfaction directly after the office visit included shorter waiting time (regression coefficient [b] -0.0014; partial R 2 0.094; 95% confidence interval [CI], -0.0024 to -0.00042; p = 0.006) and being married/living with a partner (b 0.057; partial R 2 0.11; 95% CI, 0.021-0.093; p = 0.002 [adjusted R 2 0.18; p \ 0.001]). Similarly, multivariable analysis found higher patient satisfaction 2 weeks after the visit to be independently associated with shorter waiting time (b -0.0037; partial R 2 0.10; 95% CI, One of the authors (DR) certifies that he, or a member of his immediate family, has or may receive payments or benefits, during the study period, from Wright Medical (Memphis, TN, USA) of less than USD 10,000; Skeletal Dynamics (Miami, FL, USA) of less than USD 10,000; Biomet (Warsaw, IN, USA) of less than USD 10,000; AO North America (Paoli, PA, USA) of less than USD 10,000; and AO International (Dubendorf, Switzerland) of less than USD 10,000. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can...

show abstract

“…A bilingual (English and Spanish) research fellow asked all 122 participants to complete three Patient-Reported Outcomes Measurement Information System (PROMIS)-based computerized adaptive testing (CAT) questionnaires: PROMIS Pain Interference [1], PROMIS Depression [28], and PROMIS Upper-Extremity Physical Function [15]. Unlike instruments with a fixed set of items, PROMIS utilizes CAT technology based on item response theory to filter items that are redundant or do not apply to the respondent, thus enabling the administration of individually tailored questionnaires with fewer items while still maintaining adequate psychometrics [7].…”

Section: Outcome Measuresmentioning

confidence: 99%

“…Somatic symptoms such as changes in appetite and sleep disturbance are not included, as they can be explained by comorbid physical conditions [28]. Higher scores represent greater symptoms of depression.…”

Section: Outcome Measuresmentioning

confidence: 99%

Language Barriers in Hispanic Patients: Relation to Upper-Extremity Disability

Menendez

Eberlin

Mudgal

et al. 2014

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Background Although upper-extremity disability has been shown to correlate highly with various psychosocial aspects of illness (e.g., self-efficacy, depression, kinesiophobia, and pain catastrophizing), the role of language in musculoskeletal health status is less certain. In an English-speaking outpatient hand surgery office setting, we sought to determine (1) whether a patient's primary native language (English or Spanish) is an independent predictor of upper-extremity disability and (2) whether there are any differences in the contribution of measures of psychological distress to disability between native English-and Spanish-speaking patients. Methods A total of 122 patients (61 native English speakers and 61 Spanish speakers) presenting to an orthopaedic hand clinic completed sociodemographic information and three Patient-Reported Outcomes Measurement Information System (PROMIS)-based computerized adaptive testing questionnaires: PROMIS Pain Interference, PROMIS Depression, and PROMIS Upper-Extremity Physical Function. Bivariate and multivariable linear regression modeling were performed. Results Spanish-speaking patients reported greater upperextremity disability, pain interference, and symptoms of depression than English-speaking patients. After adjusting for sociodemographic covariates and measures of psychological distress using multivariable regression modeling, the patient's primary language was not retained as an independent predictor of disability. PROMIS Depression showed a medium correlation (r=−0.35; p<0.001) with disability in Englishspeaking patients, while the correlation was large (r=−0.52; p < 0.001) in Spanish-speaking patients. PROMIS Pain Interference had a large correlation with disability in both patient cohorts (Spanish-speaking: r = −0.66; p < 0.001; English-speaking: r=−0.77; p<0.001). The length of time since immigration to the USA did not correlate with disability among Spanish speakers. Conclusion Primary language has less influence on symptom intensity and magnitude of disability than psychological distress and ineffective coping strategies. Interventions to optimize mood and to reduce pain interference should be considered in patients of all nationalities.Type of study/level of evidence: Prognostic II.

show abstract

Item Banks for Measuring Emotional Distress From the Patient-Reported Outcomes Measurement Information System (PROMIS®): Depression, Anxiety, and Anger

Cited by 1,726 publications

References 98 publications

Patients With Limited Health Literacy Ask Fewer Questions During Office Visits With Hand Surgeons

Patients With Limited Health Literacy Ask Fewer Questions During Office Visits With Hand Surgeons

Time Seeing a Hand Surgeon Is Not Associated With Patient Satisfaction

Language Barriers in Hispanic Patients: Relation to Upper-Extremity Disability

Contact Info

Product

Resources

About