Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items
Open accessAbstract
BACKGROUND: The use of global health items permits an efficient way of gathering general perceptions of health. These items provide useful summary information about health and are predictive of health care utilization and subsequent mortality. METHODS: Analyses of 10 self-reported global health items obtained from an internet survey as part of the Patient-Reported Outcome Measurement Information System (PROMIS) project. We derived summary scores from the global health items. We estimated the associations of the summary scores with the EQ-5D index score and the PROMIS physical function, pain, fatigue, emotional distress, and social health domain scores. RESULTS: Exploratory and confirmatory factor analyses supported a two-factor model. Global physical health (GPH; 4 items on overall physical health, physical function, pain, and fatigue) and global mental health (GMH; 4 items on quality of life, mental health, satisfaction with social activities, and emotional problems) scales were created. The scales had internal consistency reliability coefficients of 0.81 and 0.86, respectively. GPH correlated more strongly with the EQ-5D than did GMH (r = 0.76 vs. 0.59). GPH correlated most strongly with pain impact (r = -0.75) whereas GMH correlated most strongly with depressive symptoms (r = -0.71). CONCLUSIONS: Two dimensions representing physical and mental health underlie the global health items in PROMIS. These global health scales can be used to efficiently summarize physical and mental health in patient-reported outcome studies.
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The PROMIS v2.0 summary health measures are more reliable than the PROMIS global health summary scores: 0.93 and 0.95 versus 0.79 for physical health, and 0.97 and 0.98 versus 0.86 for mental health.
“First, the PROMIS v2.0 summary health measures are more reliable than the PROMIS global health summary scores (0.93 and 0.95 vs 0.79 for physical health and 0.0.97 and 0.98 vs 0.86 for mental health) [24, 36].”
From PROMIS®-29 v2.0 profile physical and mental health summary scores (2018) · cites this paper as [24]
Health and self-regulation outcomes were measured with validated instruments, including PROMIS, PSS, DERS, MAIA, FFMQ, SCS-SF, SECD-6, and PCQ, with reported internal consistencies.
“Anxiety and depression were assessed using Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety Short Form 8a (Cronbach's α = 0.92) 74,75 and PROMIS Depression Short Form 8a (α = 0.97).”
From Mindfulness training enhances self-regulation and facilitates health behavior change for primary care patients: A randomized controlled trial (2019) · cites this paper as [75]
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- Authors
- Hays, R. D., Bjorner, J. B., Revicki, D. A., Spritzer, K. L., & Cella, D.
- Affiliations
- University of California, Los Angeles (US)
- United BioSource Corporation (United Kingdom) (GB)
- Northwestern University (US)
- Corresponding author
- Hays, Ron D.
- Venue
- Quality of Life Research
- Published
- 2009-06-19
- Volume
- 18
- Issue
- 7
- Pages
- 873-880
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- PMC
- PMC2724630
- OpenAlex
- W2107748660
- Cited by
- 1,957
- References
- 23
- Citations by year
- 2026: 179 · 2025: 248 · 2024: 248 · 2023: 221 · 2022: 199 · 2021: 242 · 2020: 145 · 2019: 129 · 2018: 90 · 2017: 78 · 2016: 56 · 2015: 48 · 2014: 34 · 2013: 19 · 2012: 9
- FWCI
- 15.72
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Quality of Life Research (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Northwestern University (U01AR52177)
- University of Washington (U01AR52170, U01AR52155, U01AR52171, U01AR52158)
- University of Pittsburgh (U01AR52155, U01AR52158, U01AR52170, U01AR52171)
- Stony Brook University (U01AR52170)
- National Institutes of Health (4p20md000182-15, 5p20md000148-05, P30-AG02-1684, P20-MD000182, U01AR52171, U01AR52155)
- National Institute on Aging (P30AG021684)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (U01AR052171, U01AR052186, U01AR052170, U01AR052158, U01AR052155, U01AR052177, U01AR052181)
- National Institute on Minority Health and Health Disparities (P20-MD000148, P20-MD000182)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- PROMIS, patient-reported outcomes, factor structure, EQ-5D, pain, fatigue, depressive symptoms, quality of life, emotional distress, social health, scale development
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Health Status, Health Surveys, Humans, Male, Mental Health, Middle Aged, Internet, Young Adult
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