Reliability and Validity of PROMIS Cognitive Abilities and Cognitive Concerns Scales Among People with Multiple Sclerosis

Becker, Heather; Stuifbergen, Alexa K.; Lee, Hwa Young; Kullberg, Vicki

doi:10.7224/1537-2073.2012-047

Cited by 53 publications

(41 citation statements)

References 31 publications

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“…High internal consistency reliability (alpha = .85) has been shown in a previous study of people with MS (Becker, Stuifbergen, Lee, & Kullberg, 2014), and good discriminant validity was demonstrated in previous research (Blalock, DeVellis, Brown, & Wallston, 1989). A cut-off score of 10 or more is used to identify individuals who may be depressed.…”

Section: Methodssupporting

confidence: 55%

An initial investigation of the reliability and validity of the Compensatory Cognitive Strategies Scale

Becker

Stuifbergen

Henneghan

et al. 2017

Neuropsychological Rehabilitation

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Although many cognitive performance tests and self-reported cognitive concerns scales have been used to evaluate cognitive functioning, fewer measures assess the use of compensatory cognitive strategies for daily activities among those experiencing mild levels of cognitive impairment. The Compensatory Cognitive Strategies Scale was developed to measure frequency of self-reported cognitive strategies to decrease distractions, organize and sequence activities, and to utilize newly available computer aids to assist memory among those with multiple sclerosis (MS). Cronbach’s alpha, a measure of internal consistency reliability, was .89 and .90 in two different samples. Concurrent validity was supported by the total score’s moderate correlation with the MMQ-Strategy Scale (rs = .67) and by a statistically significant increase in total scores for those who had participated in an intervention designed to improve their cognitive abilities. Correlations were stronger with another strategy measure than with measures of other constructs such as health promoting behaviors, thus supporting the scales convergent versus divergent validity. These initial findings suggest that the Compensatory Cognitive Strategies Scale may be useful to both researchers and clinicians working to build compensatory strategies for day-to-day functioning among those with mild cognitive impairment.

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Section: Methodssupporting

confidence: 55%

An initial investigation of the reliability and validity of the Compensatory Cognitive Strategies Scale

Becker

Stuifbergen

Henneghan

et al. 2017

Neuropsychological Rehabilitation

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“…Thus, higher scores indicate better cognitive function. Previous studies have demonstrated internal consistency reliability of greater than 0.90 for both subsets, and the Abilities subset negatively correlated with anxiety and depression (Saffer et al, 2015; Becker et al, 2014). …”

Section: Methodsmentioning

confidence: 94%

Evaluating PROMIS(®) applied cognition items in a sample of older adults at risk for cognitive decline

Howland

Tatsuoka

Smyth

et al. 2017

Psychiatry Research

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PROMIS(®) Applied Cognition is a short self-assessment of cognitive abilities and concerns that obviates the need for a trained rater and provides online question banks that can be uniformly used across health care providers. This 12-month prospective study of 275 elderly individuals evaluates self-perceptions of cognitive functioning in relation to objective cognition, or assessment by an external rater, and compares PROMIS® Applied Cognition Abilities and Concerns subsets with commonly used “legacy” instruments. PROMIS® correlated with objective legacy measures (the Mini-Mental State Examination [MMSE] and Saint Louis University Mental Status [SLUMS] examination), depression (measured with the Geriatric Depression Scale [GDS]), anxiety, and activities of daily living. PROMIS® and MMSE correlations remained after controlling for depression and anxiety. PROMIS® associated more strongly than MMSE with depression, highlighting the relationship between subjective cognitive deficit and depression. One-year changes in PROMIS® correlated with one-year changes in MMSE and GDS. The PROMIS® Abilities subset more strongly correlated with objective cognition, whereas the Concerns subset more strongly correlated with depression and activities of daily living. PROMIS® seems to be a reasonable prescreening tool to identify patients with cognitive decline or psychological distress.

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“…Prior studies have demonstrated an internal consistency of >0.90 19. Higher scores denote better cognitive functioning.…”

Section: Methodsmentioning

confidence: 97%

Patient-rated versus proxy-rated cognitive and functional measures in older adults

Howland¹,

Allan²,

Carlton³

et al. 2017

PROM

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ObjectivesPatients with cognitive impairment may have difficulty reporting their functional and cognitive abilities, which are important clinical outcomes. Health care proxies may be able to corroborate patient self-reports. Several studies reported discrepancy between patient and proxy ratings, though the literature is sparse on changes over time of these ratings. Our goals in this 12-month study were to compare patient and proxy reports on functioning, cognition, and everyday executive function, and to further elucidate correlates of patient–proxy discrepancy.MethodsThis was a prospective cohort study of individuals older than 70 years who ranged from having no cognitive impairment to having moderate dementia who had a proxy available to complete instruments at baseline (N=76). Measurements included Alzheimer’s Disease Cooperative Study–Activities of Daily Living Inventory (ADCS-ADLI), Neuro-QOL Executive Function, PROMIS Applied Cognition (PROMIS-Cog), Mini-Mental State Examination (MMSE), and Geriatric Depression Scale.ResultsPatient- and proxy-rated ADCS-ADLI were correlated at baseline and at 1-year follow-up. Patient and proxy ratings were discrepant on Neuro-QOL Executive Function and PROMIS-Cog. Greater patient–proxy discrepancy on PROMIS-Cog was associated with younger age and less depression, and greater patient–proxy discrepancy on Neuro-QOL Executive Function was associated with less depression and worse cognitive impairment. Patient–proxy discrepancy increased over time for everyday executive function. Changes in proxy-rated but not patient-rated ADCS-ADLI correlated with MMSE changes.ConclusionPatients and proxies generally agree in reporting on activities of daily living. Patient and proxy reports differ in their respective evaluation of cognitive functioning and everyday executive function. Ratings from both sources may be preferred for these two domains, though studies using gold standard measures are necessary. It is important that clinicians are aware of the differences between patient and proxy perspective to create an accurate clinical picture and guide treatment.

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Reliability and Validity of PROMIS Cognitive Abilities and Cognitive Concerns Scales Among People with Multiple Sclerosis

Cited by 53 publications

References 31 publications

An initial investigation of the reliability and validity of the Compensatory Cognitive Strategies Scale

An initial investigation of the reliability and validity of the Compensatory Cognitive Strategies Scale

Evaluating PROMIS(®) applied cognition items in a sample of older adults at risk for cognitive decline

Patient-rated versus proxy-rated cognitive and functional measures in older adults

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