Psychometric Properties of the PROMIS Physical Function Item Bank in Patients With Spinal Disorders

Hung, Man; Hon, Shirley D.; Franklin, Jeremy D.; Kendall, Richard; Lawrence, Brandon D.; Neese, Ashley; Cheng, Christine; Brodke, Darrel S.

doi:10.1097/brs.0000000000000097

Cited by 149 publications

(92 citation statements)

References 14 publications

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“…Expressed as an r-value between 0 and 1, person and item reliabilities greater than or equal to 0.80 are considered good whereas values greater than 0.90 are considered excellent. 20–23 Similar to reliability, both the person separation index (PSI) and item separation index (ISI) were also conducted. An advantage of PSI and ISI is that their values do not have an upper bound such as in the case of an r-value.…”

Section: 0 Methodsmentioning

confidence: 99%

Examination of the PROMIS upper extremity item bank

Hung

Voss

Bounsanga

et al. 2017

Journal of Hand Therapy

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Study Design Clinical measurement Purpose The Patient-Reported Outcomes Measurement Information System (PROMIS) v1.2 Upper Extremity (UE) item bank was recently developed in response to research demonstrating UE function to be a separate domain from general physical function as measured with PROMIS instruments. In particular, the PROMIS v1.2 UE item bank assesses upper extremity physical function in patients with hand and upper extremity conditions. Though validation on a general sample was conducted prior to its release, the psychometric properties of the PROMIS v1.2 UE item bank have not been fully evaluated in specific populations. This study assesses the performance of the PROMIS v1.2 UE within the UE orthopaedic patient population. Methods A total of 1,197 adult patients presenting to a tertiary orthopaedic clinic specializing in hand and upper extremity conditions were administered the PROMIS v1.2 UE items and three other PROMIS scales. Descriptive statistics of patient demographics and item raw scores were performed, as well as Rasch analysis of the PROMIS v1.2 UE item bank. Results The PROMIS v1.2 UE item bank fits a unidimensional Rasch model. It demonstrated adequate reliabilities, item local independence and model fit. There was essentially no issue with gender differential item functioning. The test items mostly targeted low levels of function, thus revealing large ceiling effect. Conclusions The PROMIS v1.2 UE item bank is a useful clinical assessment tool with good psychometric properties that can be implemented in clinical settings. Consideration should be given to supplemental testing for patients at higher levels of function with other legacy tests until the ceiling effects of the PROMIS v1.2 UE item bank are addressed.

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Section: 0 Methodsmentioning

confidence: 99%

Examination of the PROMIS upper extremity item bank

Hung

Voss

Bounsanga

et al. 2017

Journal of Hand Therapy

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“…7-10 Initial assessment of the PROMIS Physical Function Domain in a spine patient population revealed excellent psychometric properties, with excellent fit, reliability, as well as excellent coverage, with a floor effect of only 0.2% and ceiling effect of 1.7%. 11 …”

Section: Introductionmentioning

confidence: 99%

PROMIS PF CAT Outperforms the ODI and SF-36 Physical Function Domain in Spine Patients

Brodke

Goz

Voss

et al. 2017

Spine

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134

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Study Design The Oswestry Disability Index v2.0 (ODI), SF36 Physical Function Domain (SF-36 PFD) and PROMIS Physical Function CAT v1.2 (PF CAT) questionnaires were prospectively collected from 1,607 patients complaining of back or leg pain, visiting a university-based spine clinic. All questionnaires were collected electronically, using a tablet computer. Objective To compare the psychometric properties of the PROMIS PF CAT to the ODI and SF36 Physical Function Domain in the same patient population. Summary of Background Data Evidence-based decision-making is improved by using high quality patient reported outcomes measures. Prior studies have revealed the shortcomings of the ODI and SF36, commonly used in spine patients. The PROMIS Network has developed measures with excellent psychometric properties. The Physical Function domain, delivered by Computerized Adaptive Testing (PF CAT), performs well in the spine patient population, though to-date direct comparisons with common measures have not been performed. Methods Standard Rasch analysis was performed to directly compare the psychometrics of the PF CAT, ODI, and SF36 PFD. Spearman correlations were computed to examine the correlations of the three instruments. Time required for administration was also recorded. Results 1,607 patients were administered all assessments. The time required to answer all items in the PF CAT, ODI and SF-36 PFD was 44, 169, and 99 seconds. The ceiling and floor effects were excellent for the PF CAT (0.81%, 3.86%), while the ceiling effects were marginal and floor effects quite poor for the ODI (6.91% and 44.24%) and SF-36 PFD (5.97% and 23.65%). All instruments significantly correlated with each other. Conclusions The PROMIS PF CAT outperforms the ODI and SF-36 PFD in the spine patient population and is highly correlated. It has better coverage, while taking less time to administer with fewer questions to answer.

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“…25 The primary hypothesis tested in this study is that these outcomes can be efficiently collected in a standard office visit in more than 80% of the patients who present for an appointment. The secondary hypothesis tested is that there is a significant correlation between a patient’s PROMIS (physical function and pain interference) scores and their ODI/NDI score.…”

Section: Introductionmentioning

confidence: 99%

Correlation of PROMIS Physical Function and Pain CAT Instruments With Oswestry Disability Index and Neck Disability Index in Spine Patients

Papuga

Mesfin

Molinari

et al. 2016

Spine

114

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Study Design Prospective and retrospective cross sectional cohort analysis. Objective To show that PROMIS CAT assessments for physical function and pain interference can be efficiently collected in a standard office visit and to evaluate these scores with scores from previously validated Oswestry Disability Index (ODI)and Neck Disability Index (NDI) providing evidence of convergent validity for use in patients with spine pathology. Summary of Background Data Spinal surgery outcomes are highly variable, and substantial debate continues regarding the role and value of spine surgery. The routine collection of patient based outcomes instruments in spine surgery patients may inform this debate. Traditionally, the inefficiency associated with collecting standard validated instruments has been a barrier to routine use in outpatient clinics. We utilized several computer adaptive testing (CAT) instruments available through Patient-Reported Outcomes Measurement Information System (PROMIS) and correlated these with the results obtained using “gold standard” legacy outcomes measurement instruments. Methods All measurements were collected at a routine clinical visit. The ODI and the NDI assessments were used as “gold standard” comparisons for patient reported outcomes. Results PROMIS CAT instruments required 4.5 ± 1.8 questions and took 35±16 seconds to complete, compared with ODI/NDI requiring 10 questions and taking 188 ± 85 seconds when administered electronically. Linear regression analysis of retrospective scores involving a primary back complaint revealed moderate to strong correlations between ODI and PROMIS Physical function with r-values ranging from 0.5846 to 0.8907 depending on the specific assessment and patient subsets examined. Conclusions Routine collection of physical function outcome measures in clinical practice offers the ability to inform and improve patient care. We have shown that several PROMIS CAT instruments can be efficiently administered during routine clinical visits. The moderate to strong correlations found validate the utility of computer adaptive testing when compared to the gold standard “static” legacy assessments.

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Psychometric Properties of the PROMIS Physical Function Item Bank in Patients With Spinal Disorders

Abstract: 2.

Cited by 149 publications

References 14 publications

Examination of the PROMIS upper extremity item bank

Examination of the PROMIS upper extremity item bank

PROMIS PF CAT Outperforms the ODI and SF-36 Physical Function Domain in Spine Patients

Correlation of PROMIS Physical Function and Pain CAT Instruments With Oswestry Disability Index and Neck Disability Index in Spine Patients

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