Cited by 719Psychometric Methodologies and TestingHealth Education and ValidationHealth Systems, Economic Evaluations, Quality of Life

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Evaluation of Item Candidates: The PROMIS Qualitative Item Review

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DeWalt, Darren A., Rothrock, Nan, Yount, Susan, Stone, Arthur A.·2007·Medical Care

DOI 10.1097/01.mlr.0000254567.79743.e2PMC PMC2810630

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Abstract

One of the PROMIS (Patient-Reported Outcome Measurement Information System) network's primary goals is the development of a comprehensive item bank for patient-reported outcomes of chronic diseases. For its first set of item banks, PROMIS chose to focus on pain, fatigue, emotional distress, physical function, and social function. An essential step for the development of an item pool is the identification, evaluation, and revision of extant questionnaire items for the core item pool. In this work, we also describe the systematic process wherein items are classified for subsequent statistical processing by the PROMIS investigators. Six phases of item development are documented: identification of extant items, item classification and selection, item review and revision, focus group input on domain coverage, cognitive interviews with individual items, and final revision before field testing. Identification of items refers to the systematic search for existing items in currently available scales. Expert item review and revision was conducted by trained professionals who reviewed the wording of each item and revised as appropriate for conventions adopted by the PROMIS network. Focus groups were used to confirm domain definitions and to identify new areas of item development for future PROMIS item banks. Cognitive interviews were used to examine individual items. Items successfully screened through this process were sent to field testing and will be subjected to innovative scale construction procedures.

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Authors: DeWalt, D. A., Rothrock, N., Yount, S., & Stone, A. A.
Affiliations: University of North Carolina at Chapel Hill (US)
Northwestern University (US)
Stony Brook University (US)
Corresponding author: DeWalt, Darren A.
ORCID: DeWalt, Darren A.
Rothrock, Nan
Yount, Susan
Stone, Arthur A.
Venue: Medical Care
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2007-05
Volume: 45
Issue: 5
Pages: S12-S21
ISSN: 0025-7079 (ISSN-L)
DOI: 10.1097/01.mlr.0000254567.79743.e2
PMC: PMC2810630
OpenAlex: W2130986983
Cited by: 719
References: 37
Citations by year: 2026: 18 · 2025: 24 · 2024: 36 · 2023: 60 · 2022: 45 · 2021: 59 · 2020: 55 · 2019: 49 · 2018: 40 · 2017: 51 · 2016: 50 · 2015: 40 · 2014: 28 · 2013: 43 · 2012: 32
FWCI: 25.28
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Medical Care (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Arthritis and Musculoskeletal and Skin Diseases (U01AR052171, U01AR052170, U01AR052158, U01AR052155, U01AR052177, U01AR052181)
Topics: Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Health Sciences › Nursing › Research and Theory › Health Education and Validation
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Keywords: PROMIS, item bank development, patient-reported outcomes, chronic disease, item selection, test item revision, cognitive interviewing, focus groups, pain, fatigue, emotional distress, physical function, social function, item classification
MeSH terms: Adult, Aged, Aged, 80 and over, Chronic Disease, Female, Humans, Information Systems, Interviews as Topic, Male, Middle Aged, Surveys and Questionnaires, Self Disclosure, United States, Outcome Assessment, Health Care, Focus Groups

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Evaluation of Item Candidates: The PROMIS Qualitative Item Review

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