PROMIS fatigue, pain intensity, pain interference, pain behavior, physical function, depression, anxiety, and anger scales demonstrate ecological validity

Stone, Arthur A.; Broderick, Joan E.; Junghaenel, Doerte U.; Schneider, Stefan; Schwartz, Joseph E.

doi:10.1016/j.jclinepi.2015.08.029

Cited by 156 publications

(99 citation statements)

References 28 publications

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“…(11) The PROMIS measures are generic patient reported outcome measures developed with high methodological rigor and proven validity. (12) Most PROMIS items employ five response options (e.g., 1=Not at all, 2=A little bit, 3=Somewhat, 4=Quite a bit, 5=Very much) with the exception of the Pain Behavior instrument which uses six response options to allow for respondents to endorse “no pain.” PROMIS pain intensity, pain behavior, and pain interference instruments were used in this study. The pain intensity measure is a simple 3 item battery exploring perceptions of severity of pain.…”

Section: Participants and Methodsmentioning

confidence: 99%

National Study of Muscle Cramps in ALS in the USA

Stephens¹,

Joyce

Oskarsson³

2016

Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration

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Objective The objective of this study was to describe muscle cramps in an US sample of amyotrophic lateral sclerosis (ALS) patients. Methods Utilizing an anonymous web based questionnaire we queried ALS patients regarding the severity, frequency, time course, treatment of muscle cramps and their relationship to pain. Results The survey had 282 respondents with 92% reporting having cramps. For 20% of the sample, cramps were stated to be the presenting ALS symptom. Cramp severity was rated at a mean of 5.2/10 and the mean cramp frequency was 5.3 cramps per day. Cramp intensity and frequency did not correlate to duration or severity of ALS. Pain as measured with the Patient Reported Outcome Measurement Information System (PROMIS) pain scales was not statistically different from the US general population. Cramp severity and frequency significantly and positively correlated with the PROMIS pain scales. Patients with more severe cramps were more likely to use prescription medications for their cramps compared to patients with milder symptoms. Treatments directed at cramps were tried by 57%. Conclusion Cramps are a common symptom in ALS and it does not correlate with disease duration or severity. The severity of cramps is on average moderate and many patients try treatments.

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Section: Participants and Methodsmentioning

confidence: 99%

National Study of Muscle Cramps in ALS in the USA

Stephens¹,

Joyce

Oskarsson³

2016

Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration

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“…Daily Fatigue was assessed with the PROMIS fatigue 6-item short-form, which has demonstrated validity across conditions 63,65,66 and ecological validity when administered in diary format 67 , and has been linked to legacy fatigue measures in MS 66 . Respondents rated general, mental, and physical fatigue, and fatigue impact on a 1 (not at all) to 5 (very much) scale.…”

Section: Methodsmentioning

confidence: 99%

Ecological Momentary Assessment of Pain, Fatigue, Depressive, and Cognitive Symptoms Reveals Significant Daily Variability in Multiple Sclerosis

Kratz

Murphy

Braley

2017

Archives of Physical Medicine and Rehabilitation

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Objective To describe the daily variability and patterns of pain, fatigue, depressed mood, and cognitive function in persons with multiple sclerosis (MS). Design Repeated-measures observational study of seven consecutive days of home monitoring, including ecological momentary assessment (EMA) of symptoms. Multilevel mixed models were used to analyze data. Setting General community. Participants Ambulatory adults (N=107) with MS recruited through [Masked] and surrounding community. Interventions Not applicable. Main Outcome Measure(s) EMA measures of pain, fatigue, depressed mood, and cognitive function rated on a 0–10 scale, collected five times a day for seven days. Results Cognitive function and depressed mood exhibited more stable within-person patterns compared to pain and fatigue, which varied considerably within-person. All symptoms increased in intensity across the day (all p<0.02) with fatigue showing the most substantial increase. Notably, this diurnal increase varied by sex and age; women showed a continuous increase from wake to bedtime, whereas fatigue plateaued after 7PM for men (wake-bed B=1.04, p=0.004). For the oldest subgroup, diurnal increases were concentrated to the middle of the day compared to younger subgroups, which showed an earlier onset of fatigue increase and sustained increases until bed time (wake-3pm B=0.04, p=0.01; wake-7pm B=0.03, p=0.02). Diurnal patterns of cognitive function varied by education; those with advanced college degrees showed a more stable pattern across the day, with significant differences compared to those with bachelor-level degrees in the evening (wake-7pm B=−0.47, p=0.02; wake-bed B=−.45, p=0.04). Conclusions Findings suggest that chronic symptoms in MS are not static, even over a short time frame; rather, symptoms –fatigue and pain in particular - vary dynamically across and within days. Incorporation of EMA methods should be considered in the assessment of these chronic MS symptoms to enhance assessment and treatment strategies.

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“…Concerning other validated measures, it appears that PROMIS instruments faithfully capture information in respondents’ natural environments and reflect the participants’ real-life symptom, but the number of components for future work should be limited in order to reduce patient burden and the analytic workload while delivering results (Stone et al 2015; Bingener et al 2015). In the absence of a Health-Related Quality of Life (HRQoL) instrument specifically validated for the postoperative pain setting, Taylor and colleagues used two generic questionnaires, the 12-item Short-Form health survey (SF-12) and EQ-5D in general surgery and orthopedic procedure patients to measure impact of pain on quality of life on postoperative day seven (Taylor et al 2013).…”

Section: Postoperative—transition From Ward To Homementioning

confidence: 99%

American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) Joint Consensus Statement on Optimal Analgesia within an Enhanced Recovery Pathway for Colorectal Surgery: Part 2—From PACU to the Transition Home

et al. 2017

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BackgroundWithin an enhanced recovery pathway (ERP), the approach to treating pain should be multifaceted and the goal should be to deliver “optimal analgesia”, which we define in this paper as a technique that optimizes patient comfort and facilitates functional recovery with the fewest medication side effects.MethodsWith input from a multidisciplinary, international group of experts and through a structured review of the literature and use of a modified Delphi method, we achieved consensus surrounding the topic of optimal analgesia in the perioperative period for colorectal surgery patients.DiscussionAs a part of the first Perioperative Quality Improvement (POQI) workgroup meeting, we sought to develop a consensus document describing a comprehensive, yet rational and practical, approach for developing an evidence-based plan for achieving optimal analgesia, specifically for a colorectal surgery within an ERP. The goal was twofold: (a) that application of this process would lead to improved patient outcomes and (b) that investigation of the questions raised would identify knowledge gaps to aid the direction for research into analgesia within ERPs in the years to come. This document details the evidence for a wide range of analgesic components, with particular focus on care in the post-anesthesia care unit, general care ward, and transition to home after discharge. The preoperative and operative consensus statement for analgesia was covered in Part 1 of this paper. The overall conclusion is that the combination of analgesic techniques employed in the perioperative period is not important as long as it is effective in delivering the goal of “optimal analgesia” as set forth in this document.

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PROMIS fatigue, pain intensity, pain interference, pain behavior, physical function, depression, anxiety, and anger scales demonstrate ecological validity

Cited by 156 publications

References 28 publications

National Study of Muscle Cramps in ALS in the USA

National Study of Muscle Cramps in ALS in the USA

Ecological Momentary Assessment of Pain, Fatigue, Depressive, and Cognitive Symptoms Reveals Significant Daily Variability in Multiple Sclerosis

American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) Joint Consensus Statement on Optimal Analgesia within an Enhanced Recovery Pathway for Colorectal Surgery: Part 2—From PACU to the Transition Home

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