PROMIS fatigue, pain intensity, pain interference, pain behavior, physical function, depression, anxiety, and anger scales demonstrate ecological validity
Abstract
Objectives Ecological validity refers to the degree to which instruments faithfully capture information in respondents' natural environments. We examined the ecological validity of eight instruments from the Patient Reported Outcomes Measurement Information System (PROMIS), most of which use 7-day reporting periods, by comparing PROMIS scores with daily diary data as a standard. Study design and setting Five groups of approximately 100 respondents each completed daily diaries and weekly PROMIS instruments for 4 consecutive weeks: community residents; osteoarthritis patients; women experiencing premenstrual syndrome; men undergoing hernia surgery; and breast cancer patients receiving chemotherapy. The last three groups experienced events (menses, surgery, or chemotherapy, respectively) at standardized times in the protocol to examine symptom changes attributable to these events. Results We examined the ability of the PROMIS scales to replicate between-group differences in diaries, to replicate week-to-week changes in diaries, and the correlation between diary and PROMIS scales. As a secondary aim, we examined known-group differences with the PROMIS measures. All three types of ecological validity were strongly confirmed, as was known-group validity for the PROMIS recall scales. Conclusion This study adds to the growing literature supporting the reliability and validity of the family of PROMIS instruments.
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Daily Fatigue was assessed with the PROMIS fatigue 6-item short-form, which has demonstrated validity across conditions and ecological validity when administered in diary format, and has been linked to legacy fatigue measures in MS.
“Daily Fatigue was assessed with the PROMIS fatigue 6-item short-form, which has demonstrated validity across conditions63,65,66 and ecological validity when administered in diary format67, and has been linked to legacy fatigue measures in MS66.”
From Ecological momentary assessment of pain, fatigue, depressive, and cognitive symptoms reveals significant daily variability in multiple sclerosis (2017) · cites this paper as [66]
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- Authors
- Stone, A. A., Broderick, J. E., Junghaenel, D. U., Schneider, S., & Schwartz, J. E.
- Affiliations
- University of Southern California (US)
- Stony Brook University (US)
- Corresponding author
- Stone, Arthur A.
- Venue
- Journal of Clinical Epidemiology
- Publisher
- Elsevier BV
- Published
- 2016-06
- Volume
- 74
- Pages
- 194-206
- ISSN
- 0895-4356 (ISSN-L)
- OpenAlex
- W2175760214
- Cited by
- 207
- References
- 42
- Citations by year
- 2026: 18 · 2025: 32 · 2024: 28 · 2023: 19 · 2022: 28 · 2021: 18 · 2020: 20 · 2019: 16 · 2018: 14 · 2017: 8 · 2016: 6
- FWCI
- 11.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- Northwestern University (U54AR057951, U01AR052177, U54AR057943)
- American Institutes for Research (U54AR057926)
- State University of New York (U01AR057948, U01AR052170)
- University of Washington (U01AR057954, U01AR052171)
- University of North Carolina (U01AR052181)
- Children's Hospital of Philadelphia (U01AR057956)
- Stanford University (U01AR052158)
- Boston University (U01AR057929)
- University of California (U01AR057936)
- University of Pittsburgh (U01AR052155)
- Georgetown University (U01AR057971)
- Children's Hospital Medical Center (U01AR057940)
- University of Maryland (U01AR057967)
- Duke University (U01AR052186)
- Topics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- PROMIS, ecological validity, daily diary, fatigue, pain intensity, pain interference, pain behavior, physical function, depression, anxiety, anger, known-groups validity, osteoarthritis, premenstrual syndrome, hernia repair, breast cancer chemotherapy, patient-reported outcomes
- MeSH terms
- Activities of Daily Living, Adult, Anger, Anxiety Disorders, Depressive Disorder, Fatigue, Female, Humans, Male, Middle Aged, Pain, Severity of Illness Index, Reproducibility of Results, Exercise, Comorbidity, Self Report, Patient Outcome Assessment
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