Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items.
Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items.
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DOI：
10.1007/s11136-009-9496-9
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发表时间：
2009-09
影响因子：
3.5
通讯作者：
Cella, David
中科院分区：
文献类型：
--
作者：
Hays, Ron D.;Bjorner, Jakob B.;Revicki, Dennis A.;Spritzer, Karen L.;Cella, David
使用全球健康项目可以有效地收集对健康的一般看法。这些项目提供了有关健康的有用摘要信息，并可预测卫生保健利用率和随后的死亡率。分析了10个自我报告的全球健康项目，这些项目来自作为患者报告结局测量信息系统（PROMIS）项目一部分的互联网调查。我们从总体健康项目中获得了汇总评分。我们估计了总评分与EQ-5D指数评分和PROMIS身体功能、疼痛、疲劳、情绪困扰和社会健康领域评分的相关性。探索性和验证性因素分析支持双因素模型。全球身体健康（GPH;创建了关于整体身体健康、身体功能、疼痛和疲劳的4个项目）和整体心理健康（GMH;关于生活质量、心理健康、社会活动满意度和情绪问题的4个项目）量表。量表的内部一致性信度系数分别为0.81和0.86。与GMH相比，GPH与EQ-5D的相关性更强（r = 0.76 vs. 0.59）。GPH与疼痛影响的相关性最强（r =-0.75），而GMH与抑郁症状的相关性最强（r =-0.71）。PROMIS中的总体健康项目包含两个方面，即身体健康和心理健康。这些总体健康量表可用于有效总结患者报告结局研究中的身心健康状况。
The use of global health items permits an efficient way of gathering general perceptions of health. These items provide useful summary information about health and are predictive of health care utilization and subsequent mortality. Analyses of 10 self-reported global health items obtained from an internet survey as part of the Patient-Reported Outcome Measurement Information System (PROMIS) project. We derived summary scores from the global health items. We estimated the associations of the summary scores with the EQ-5D index score and the PROMIS physical function, pain, fatigue, emotional distress, and social health domain scores. Exploratory and confirmatory factor analyses supported a two-factor model. Global physical health (GPH; 4 items on overall physical health, physical function, pain, and fatigue) and global mental health (GMH; 4 items on quality of life, mental health, satisfaction with social activities, and emotional problems) scales were created. The scales had internal consistency reliability coefficients of 0.81 and 0.86, respectively. GPH correlated more strongly with the EQ-5D than did GMH (r = 0.76 vs. 0.59). GPH correlated most strongly with pain impact (r = −0.75) whereas GMH correlated most strongly with depressive symptoms (r = −0.71). Two dimensions representing physical and mental health underlie the global health items in PROMIS. These global health scales can be used to efficiently summarize physical and mental health in patient-reported outcome studies.
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