Validation of the PROMISA® measures of self-efficacy for managing chronic conditions
Validation of the PROMISA® measures of self-efficacy for managing chronic conditions
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DOI：
10.1007/s11136-017-1527-3
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发表时间：
2017-07-01
影响因子：
3.5
通讯作者：
Shulman, Lisa M.
中科院分区：
文献类型：
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作者：
Gruber-Baldini, Ann L.;Velozo, Craig;Shulman, Lisa M.
患者报告结果测量信息系统 (A (R)) (PROMISA (R)) 旨在开发、验证和标准化项目库，以测量慢性病的身体、心理和社会健康的关键领域。本文报告了 PROMIS 管理慢性病自我效能测量的校准和验证测试。PROMIS 管理慢性病自我效能项目库包括五个领域，管理自我效能：日常活动、症状、药物和治疗、情绪和社交互动。库对来自两个数据源的 1087 名受试者进行了校准：837 名患有慢性神经系统疾病（癫痫、多发性硬化症、神经病、帕金森病和中风）的患者和来自在线互联网样本的患有一般慢性病的成年人的 250 名受试者。将分数与一种传统量表：管理慢性病自我效能 6 项量表 (SEMCD6) 和五种 PROMIS 简表进行比较：全球健康（身体和心理）、身体机能、疲劳、抑郁和焦虑。样本中 57% 为女性，平均年龄 = 53.8 (SD = 14.7)，76% 为白人，21% 为非洲裔美国人，6% 为西班牙裔，76% 为白人比高中教育。为每个领域创建了完整的项目库。所有测量均具有良好的内部一致性，并且与 SEMCD6 相关性良好（r = 0.56-0.75）。自我效能测量与其他 PROMIS 简表之间存在显着相关性 (r > 0.38)。新开发的用于管理慢性病的 PROMIS 自我效能测量包括自我效能的五个领域，这些领域在不同的慢性病中进行了校准，并显示出良好的内部一致性和横截面效度。
The Patient-Reported Outcomes Measurement Information System(A (R)) (PROMISA (R)) was designed to develop, validate, and standardize item banks to measure key domains of physical, mental, and social health in chronic conditions. This paper reports the calibration and validation testing of the PROMIS Self-Efficacy for Managing Chronic Conditions measures.PROMIS Self-Efficacy for Managing Chronic Conditions item banks comprise five domains, Self-Efficacy for Managing: Daily Activities, Symptoms, Medications and Treatments, Emotions, and Social Interactions. Banks were calibrated in 1087 subjects from two data sources: 837 patients with chronic neurologic conditions (epilepsy, multiple sclerosis, neuropathy, Parkinson disease, and stroke) and 250 subjects from an online Internet sample of adults with general chronic conditions. Scores were compared with one legacy scale: Self-Efficacy for Managing Chronic Disease 6-Item scale (SEMCD6) and five PROMIS short forms: Global Health (Physical and Mental), Physical Function, Fatigue, Depression, and Anxiety.The sample was 57% female, mean age = 53.8 (SD = 14.7), 76% white, 21% African American, 6% Hispanic, and 76% with greater than high school education. Full-item banks were created for each domain. All measures had good internal consistency and correlated well with SEMCD6 (r = 0.56-0.75). Significant correlations were seen between the Self-Efficacy measures and other PROMIS short forms (r > 0.38).The newly developed PROMIS Self-Efficacy for Managing Chronic Conditions measures include five domains of self-efficacy that were calibrated across diverse chronic conditions and show good internal consistency and cross-sectional validity.