Validity and reliability of patient-reported outcomes measurement information system instruments in osteoarthritis.

Validity and reliability of patient-reported outcomes measurement information system instruments in osteoarthritis.
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DOI:
10.1002/acr.22025
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发表时间:
2013-10
影响因子:
4.7
通讯作者:
Stone, Arthur A.
Stone, Arthur A.
中科院分区:
医学2区
文献类型:
--
作者:
Broderick, Joan E.;Schneider, Stefan;Junghaenel, Doerte U.;Schwartz, Joseph E.;Stone, Arthur A.

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对患者报告结果测量系统(PROIS)中的四种领域工具在骨性关节炎患者中的已知群体效度、生态效度和重测可靠性进行评估。通过互联网调查小组招募骨关节炎样本和比较普通人群(GP)。连续4周使用PROMIS简表每天评估疼痛强度、疼痛干扰、身体功能和疲劳,并与使用7天回忆的同域计算机适应测试(CAT)工具进行比较。评估了已知的群体效度(OA和GP的比较)、生态效度(与CATS的每日聚合测量比较)和重测信度。招募的样本符合美国关节炎样本和2009年全科医生普查的人口统计特征(年龄、性别、种族、民族)。重复测量的依从性很好:95%。已知的猫的群体效度被证明具有大的效应大小(疼痛强度:1.42,疼痛干扰:1.25,疲劳:.85)。生态有效性也是通过每日聚集措施和每周猫之间的高度相关性来建立的(≥.86)。重测效度(7天)非常好(≥.80)。PROMIS CAT仪器在骨关节炎患者与普通人群样本的比较中显示了已知的群体和生态有效性。还观察到了足够的重测信度。这些数据为这些PROMIS仪器在骨关节炎患者的临床和研究结果中的应用提供了令人鼓舞的初步数据。
Evaluation of known group validity, ecological validity, and test-retest reliability of four domain instruments from the Patient Reported Outcomes Measurement System (PROMIS) in osteoarthritis (OA) patients. Recruitment of an osteoarthritis sample and a comparison general population (GP) through an Internet survey panel. Pain intensity, pain interference, physical functioning, and fatigue were assessed for 4 consecutive weeks with PROMIS short forms on a daily basis and compared with same-domain Computer Adaptive Test (CAT) instruments that use a 7-day recall. Known group validity (comparison of OA and GP), ecological validity (comparison of aggregated daily measures with CATs), and test-retest reliability were evaluated. The recruited samples matched (age, sex, race, ethnicity) the demographic characteristics of the U.S. sample for arthritis and the 2009 Census for the GP. Compliance with repeated measurements was excellent: > 95%. Known group validity for CATs was demonstrated with large effect sizes (pain intensity: 1.42, pain interference: 1.25, and fatigue: .85). Ecological validity was also established through high correlations between aggregated daily measures and weekly CATs (≥ .86). Test-retest validity (7-day) was very good (≥ .80). PROMIS CAT instruments demonstrated known group and ecological validity in a comparison of osteoarthritis patients with a general population sample. Adequate test-retest reliability was also observed. These data provide encouraging initial data on the utility of these PROMIS instruments for clinical and research outcomes in osteoarthritis patients.
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