Evidence from diverse clinical populations supported clinical validity of PROMIS pain interference and pain behavior

被引:171
作者
Askew, Robert L. [1 ,4 ]
Cook, Karon F. [2 ]
Revicki, Dennis A. [3 ]
Cella, David [2 ]
Amtmann, Dagmar [1 ]
机构
[1] Univ Washington, Sch Med, Dept Rehabil Med, Box 357920, Seattle, WA 98195 USA
[2] Northwestern Univ, Feinberg Sch Med, Dept Med Social Sci, 633 N St Clair,Suite 1900, Chicago, IL 60611 USA
[3] Evidera, Outcomes Res, 7101 Wisconsin Ave,Suite 1400, Bethesda, MD USA
[4] Stetson Univ, Dept Psychol, 421 N Woodland Blvd, Deland, FL 32723 USA
基金
美国国家卫生研究院;
关键词
Chronic pain; PROMIS; Pain interference; Pain behavior; Cancer; Back pain; MINIMALLY IMPORTANT DIFFERENCES; QUALITY-OF-LIFE; OUTCOMES; INDIVIDUALS; DISABILITIES; SCALES; TRIALS;
D O I
10.1016/j.jclinepi.2015.08.035
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: To evaluate clinical validity, including responsiveness, of Patient-Reported Outcomes Measurement Information System (PROM'S) pain interference (PROM'S-PI) and pain behavior (PROMIS-PB) T-scores. Study Design and Setting: Data were aggregated from longitudinal studies of cancer, chronic low back pain (cLBP), rheumatoid arthritis, chronic obstructive pulmonary disease (COPD), and major depressive disorder (MDD). Linear mixed-effects models were used to compare baseline score differences and score changes over time. We calculated standardized response means (SRMs) for subgroups defined by self-reported change in general health and pain. Results: A total of 1,357 individuals participated at baseline and 1,225 at follow-up. Hypotheses of significant change in PROMIS-PI and PROMIS-PB scores were supported in the intervention groups (cLBP and MDD). Differences in baseline scores for COPD exacerbators compared to stable COPD patients were in the hypothesized direction but were not statistically significant. Subgroups reporting better health showed corresponding negative SRM values supporting responsiveness of T-scores to improvement. Responsiveness to decrements was supported in some but not all clinical groups and varied by anchor. More congruent values were obtained when using a pain-specific anchor. Conclusion: This study provides evidence that PROMIS-PI and PROMIS-PB scores are sensitive to changes in pain in studies of interventions expected to impact pain. The results inform estimation of meaningful change and support power analyses for comparative effectiveness research. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:103 / 111
页数:9
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