Development of a PROMIS item bank to measure pain interference

Amtmann, Dagmar; Cook, Karon F.; Jensen, Mark P.; Chen, Wen-Hung; Choi, Seung; Revicki, Dennis; Cella, David; Rothrock, Nan; Keefe, Francis; Callahan, Leigh; Lai, Jin-Shei

doi:10.1016/j.pain.2010.04.025

Cited by 1,199Psychometric Methodologies and TestingPain Management and Opioid UseMusculoskeletal pain and rehabilitation

Development of a PROMIS item bank to measure pain interference

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Amtmann, Dagmar, Cook, Karon F., Jensen, Mark P., Chen, Wen-Hung, Choi, Seung, Revicki, Dennis, Cella, David, Rothrock, Nan +3 more·2010·Pain

DOI 10.1016/j.pain.2010.04.025PMC PMC2916053

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Abstract

This paper describes the psychometric properties of the PROMIS-pain interference (PROMIS-PI) bank. An initial candidate item pool (n=644) was developed and evaluated based on the review of existing instruments, interviews with patients, and consultation with pain experts. From this pool, a candidate item bank of 56 items was selected and responses to the items were collected from large community and clinical samples. A total of 14,848 participants responded to all or a subset of candidate items. The responses were calibrated using an item response theory (IRT) model. A final 41-item bank was evaluated with respect to IRT assumptions, model fit, differential item function (DIF), precision, and construct and concurrent validity. Items of the revised bank had good fit to the IRT model (CFI and NNFI/TLI ranged from 0.974 to 0.997), and the data were strongly unidimensional (e.g., ratio of first and second eigenvalue=35). Nine items exhibited statistically significant DIF. However, adjusting for DIF had little practical impact on score estimates and the items were retained without modifying scoring. Scores provided substantial information across levels of pain; for scores in the T-score range 50-80, the reliability was equivalent to 0.96-0.99. Patterns of correlations with other health outcomes supported the construct validity of the item bank. The scores discriminated among persons with different numbers of chronic conditions, disabling conditions, levels of self-reported health, and pain intensity (p<0.0001). The results indicated that the PROMIS-PI items constitute a psychometrically sound bank. Computerized adaptive testing and short forms are available.

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Pain interference was assessed with the highly reliable PROMIS Adult Short Form: Pain Interference version 1.0.
“PROMIS-Pain Interference measures the extent to which pain interferes with a patient’s physical, mental, emotional, and social activities in the past seven days and is highly reliable.23”
From Mindfulness is associated with psychological health and moderates the impact of fibromyalgia (2019) · cites this paper as [23]
The Introduction defines pain interference in terms of physical, mental, and social activities; Methods specifies a seven-day recall period and describes items addressing emotional aspects of pain. The Results and Discussion find PROMIS-PI bank scores highly reliable over a substantial T-score range, but less reliable at the extremes. They do not establish the reliability of the specifically named Adult Short Form version 1.0. (LLM, conf=0.85)
Experimental — accuracy not yet measured
Although the PROMIS measures have been extensively validated, there is only modest information about their performance specifically in chronic low back pain.
“Extensive effort has been made to validate the PROMIS measures,5, 7, 21, 51, 55, 72, 89, 92, 95 but there is modest information on their performance specifically in the context of cLBP.”
From Report of the NIH Task Force on research standards for chronic low back pain. (2014) · cites this paper as [5]

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Acceptance and commitment therapy for symptom interference in metastatic breast cancer patients: a pilot randomized trial
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Physical and Psychological Correlates of Fatigue and Physical Function: A Collaborative Health Outcomes Information Registry (CHOIR) Study
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Measurement invariance and general population reference values of the PROMIS Profile 29 in the UK, France, and Germany
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Prevalence and Impact of Dysmenorrhea Among University Students in Ireland
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Effect of Mobile Device–Supported Single-Patient Multi-crossover Trials on Treatment of Chronic Musculoskeletal Pain
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Focus article: report of the NIH task force on research standards for chronic low back pain
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Patient Satisfaction and its Relation to Perceived Visit Duration With a Hand Surgeon
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Cluster randomized controlled trial of a multilevel physical activity intervention for older adults
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Emotional Awareness and Expression Therapy Achieves Greater Pain Reduction than Cognitive Behavioral Therapy in Older Adults with Chronic Musculoskeletal Pain: A Preliminary Randomized Comparison Trial
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Refinement and validation of a tool for stratifying patients with musculoskeletal pain
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PROMIS Pediatric Pain Interference Scale: An Item Response Theory Analysis of the Pediatric Pain Item Bank
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Responsiveness and Minimal Important Change of the PROMIS Pain Interference Item Bank in Patients Presented in Musculoskeletal Practice
Schuller, W., Terwee, C. B., Terluin, B., Rohrich, D. C., Ostelo, R., & de Vet, H. C. W. (2022) · Journal of Pain · doi:10.1016/j.jpain.2022.10.013 · Cited by 8 · see citing works
Measurement Equivalence of the Patient Reported Outcomes Measurement Information System® (PROMIS®) Pain Interference Short Form Items: Application to Ethnically Diverse Cancer and Palliative Care Populations.
Teresi, J. A., Ocepek‐Welikson, K., Cook, K. F., Kleinman, M., Ramirez, M. M., Reid, M. C., & Siu, A. L. (2016) · PubMed · Cited by 16 · see citing works
Self-citation

Authors: Amtmann, D., Cook, K. F., Jensen, M. P., Chen, W.-H., Choi, S., Revicki, D., Cella, D., Rothrock, N., Keefe, F., Callahan, L., & Lai, J.-S.
Affiliations: Northwestern University (US)
University of Washington (US)
United BioSource Corporation (United Kingdom) (GB)
Duke University (US)
University of North Carolina at Chapel Hill (US)
Corresponding author: Amtmann, Dagmar
ORCID: Amtmann, Dagmar
Cook, Karon F.
Jensen, Mark P.
Chen, Wen-Hung
Revicki, Dennis
Cella, David
Rothrock, Nan
Keefe, Francis
Callahan, Leigh
Lai, Jin-Shei
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2010-07
Volume: 150
Issue: 1
Pages: 173-182
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/j.pain.2010.04.025
PMC: PMC2916053
OpenAlex: W1985564128
Cited by: 1,199
References: 61
Citations by year: 2026: 117 · 2025: 128 · 2024: 135 · 2023: 120 · 2022: 114 · 2021: 112 · 2020: 90 · 2019: 81 · 2018: 69 · 2017: 51 · 2016: 59 · 2015: 49 · 2014: 33 · 2013: 23 · 2012: 10
FWCI: 17.38
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
UNC Libraries
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
National Institute of Arthritis and Musculoskeletal and Skin Diseases (U01AR052171, U01AR52186, U01 AR 52177, U01AR52181, U01AR52155, U01AR052186, U01AR52171, U01AR052170, U01AR052158, U01AR52170, U01AR052155, U01AR052177, U01AR52158, U01AR052181)
Topics: Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords: PROMIS, pain interference, item bank, patient-reported outcomes, item response theory, differential item functioning, construct validity, concurrent validity, chronic pain, computerized adaptive testing, short form
MeSH terms: Activities of Daily Living, Disability Evaluation, Female, Health Status, Humans, Male, Pain, Psychometrics, Quality of Life

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