Development and initial validation of the PROMIS® sexual function and satisfaction measures version 2.0
Abstract
INTRODUCTION: The Patient-Reported Outcomes Measurement Information System (PROMIS)(®) Sexual Function and Satisfaction measure (SexFS) version 1.0 was developed with cancer populations. There is a need to expand the SexFS and provide evidence of its validity in diverse populations. AIM: The aim of this study was to describe the development of the SexFS v2.0 and present preliminary evidence for its validity. METHODS: Development built on version 1.0, plus additional review of extant items, discussions with 15 clinical experts, 11 patient focus groups (including individuals with diabetes, heart disease, anxiety, depression, and/or are lesbian, gay, bisexual, or aged 65 or older), 48 cognitive interviews, and psychometric evaluation in a random sample of U.S. adults plus an oversample for specific sexual problems (2281 men, 1686 women). We examined differential item functioning (DIF) by gender and sexual activity. We examined convergent and known-groups validity. RESULTS: The final set of domains includes 11 scored scales (interest in sexual activity, lubrication, vaginal discomfort, clitoral discomfort, labial discomfort, erectile function, orgasm ability, orgasm pleasure, oral dryness, oral discomfort, satisfaction), and six nonscored item pools (screeners, sexual activities, anal discomfort, therapeutic aids, factors interfering with sexual satisfaction, bother). Domains from version 1.0 were reevaluated and improved. Domains considered applicable across gender and sexual activity status, namely interest, orgasm, and satisfaction, were found to have significant DIF. We identified subsets of items in each domain that provided consistent measurement across these important respondent groups. Convergent and known-groups validity was supported. CONCLUSIONS: The SexFS version 2.0 has several improvements and enhancements over version 1.0 and other extant measures, including expanded evidence for validity, scores centered around norms for sexually active U.S. adults, new domains, and a final set of items applicable for both men and women and those sexually active with a partner and without. The SexFS is customizable, allowing users to select relevant domains and items for their study.
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The PROMIS SexFS has shown satisfactory validity and reliability.
“The SexFS has shown satisfactory validity and reliability (Sopfe et al., 2021; Weinfurt et al., 2015).”
From Efficacy of a web-based psychoeducational intervention, Fex-can sex, for young adult childhood cancer survivors with sexual dysfunction: A randomized controlled trial (2024) · cites this paper as Weinfurt et al., 2015
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- Authors
- Weinfurt, K. P., Lin, L., Bruner, D. W., Cyranowski, J. M., Dombeck, C. B., Hahn, E. A., Jeffery, D. D., Luecht, R. M., Magasi, S., Porter, L. S., Reese, J. B., Reeve, B. B., Shelby, R. A., Smith, A. W., Willse, J. T., & Flynn, K. E.
- Affiliations
- Duke University (US)
- Emory University (US)
- University of Pittsburgh (US)
- Northwestern University (US)
- Defense Health Agency (US)
- University of North Carolina at Greensboro (US)
- University of Illinois Chicago (US)
- Johns Hopkins University (US)
- University of North Carolina at Chapel Hill (US)
- National Cancer Institute (US)
- Medical College of Wisconsin (US)
- Corresponding author
- Weinfurt, Kevin P.
- ORCID
- Venue
- The Journal of Sexual Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-09-01
- Volume
- 12
- Issue
- 9
- Pages
- 1961-1974
- ISSN
- 1743-6095 (ISSN-L)
- 1743-6109
- OpenAlex
- W1858508207
- Cited by
- 196
- References
- 23
- Citations by year
- 2026: 22 · 2025: 22 · 2024: 24 · 2023: 23 · 2022: 26 · 2021: 17 · 2020: 16 · 2019: 10 · 2018: 9 · 2017: 15 · 2016: 9 · 2015: 2
- FWCI
- 9.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Journal of Sexual Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (U01AR052186)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Education › Health Education and Validation
- Keywords
- sexual function, sexual satisfaction, patient-reported outcomes, differential item functioning, known-groups validity, convergent validity, erectile function, orgasm, vaginal lubrication, gender differences
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anxiety, Depression, Female, Humans, Male, Middle Aged, Orgasm, Penile Erection, Personal Satisfaction, Psychometrics, Surveys and Questionnaires, Sexual Behavior, Reproducibility of Results, Focus Groups
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