Validity and Reliability of Patient‐Reported Outcomes Measurement Information System Instruments in Osteoarthritis
Open accessAbstract
Objective: Evaluation of known‐group validity, ecological validity, and test–retest reliability of 4 domain instruments from the Patient‐Reported Outcomes Measurement Information System (PROMIS) in osteoarthritis (OA) patients. Methods: We recruited an OA sample and a comparison general population (GP) sample through an internet survey panel. Pain intensity, pain interference, physical functioning, and fatigue were assessed for 4 consecutive weeks with PROMIS short forms on a daily basis and compared with same‐domain Computer Adaptive Testing (CAT) instruments that use a 7‐day recall. Known‐group validity (comparison of OA and GP), ecological validity (comparison of aggregated daily measures with CAT instruments), and test–retest reliability were evaluated. Results: The recruited samples matched the demographic characteristics (age, sex, race, and ethnicity) of the US sample for arthritis and the 2009 Census for the GP. Compliance with repeated measurements was excellent at >95%. Known‐group validity for CATs was demonstrated with large effect sizes (pain intensity 1.42, pain interference 1.25, and fatigue 0.85). Ecological validity was also established through high correlations between aggregated daily measures and weekly CATs (≥0.86). Test–retest validity (7‐day) was very good (≥0.80). Conclusion: PROMIS CAT instruments demonstrated known‐group and ecological validity in a comparison of OA patients with a GP sample. Adequate test–retest reliability was also observed. These data provide encouraging initial data on the utility of these PROMIS instruments for clinical and research outcomes in OA patients.
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The difference in pain intensity and pain interference at 2 weeks most likely does not represent a clinically important difference based on the SD methodology used in prior works with PROMIS tools, but it at least suggests that the intervention group did not experience greater pain.
“This most likely does not represent a clinically important difference based on the SD methodology used in prior works with PROMIS tools (Table 6), but it at least suggests that the intervention group did not experience greater pain [34].”
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- Authors
- Broderick, J. E., Schneider, S., Junghaenel, D. U., Schwartz, J. E., & Stone, A. A.
- Affiliations
- Stony Brook University (US)
- Venue
- Arthritis Care & Research
- Publisher
- Wiley
- Published
- 2013-09-24
- Volume
- 65
- Issue
- 10
- Pages
- 1625-1633
- ISSN
- 0893-7524 (ISSN-L)
- 2151-464X
- 2151-4658
- PMC
- PMC3779528
- OpenAlex
- W2064407121
- Cited by
- 158
- References
- 47
- Citations by year
- 2026: 8 · 2025: 16 · 2024: 4 · 2023: 9 · 2022: 12 · 2021: 11 · 2020: 15 · 2019: 20 · 2018: 16 · 2017: 4 · 2016: 25 · 2015: 11 · 2014: 5 · 2013: 2
- FWCI
- 19.60
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Arthritis Care & Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Columbia Academic Commons (Columbia University)
- Funders
- Ministerul Cercetării, Inovării şi Digitalizării
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (01-AR-057948, U01AR057948)
- Topics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- osteoarthritis, PROMIS, patient-reported outcomes, computerized adaptive testing, known-groups validity, ecological validity, test-retest reliability, pain intensity, pain interference, physical function, fatigue
- MeSH terms
- Activities of Daily Living, Adult, Aged, Disability Evaluation, Fatigue, Female, Humans, Longitudinal Studies, Male, Middle Aged, Osteoarthritis, Pain Measurement, Predictive Value of Tests, Mental Recall, Severity of Illness Index, Time Factors, United States, Reproducibility of Results, Case-Control Studies, Arthralgia, Young Adult, Self Report
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