The PROMIS FatigueFM Profile: a self-report measure of fatigue for use in fibromyalgia.
The PROMIS FatigueFM Profile: a self-report measure of fatigue for use in fibromyalgia.
复制标题
PROMIS FatigueFM Profile：用于治疗纤维肌痛的自我报告疲劳测量。
DOI：
10.1007/s11136-016-1230-9
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Williams,DavidA
中科院分区：
文献类型：
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作者：
Kratz,AnnaL;Schilling,Stephen;Goesling,Jenna;Williams,DavidA
PurposeFibromyalgia (FM) is characterized by myriad symptoms and problems. Fatigue is one of the most common, distressing, and disabling symptoms in FM. The purpose of this study was to use fatigue item banks that were developed as part of the Patient-Reported Outcomes Measurement Information System (PROMIS) to devise a self-report measure of fatigue for use in individuals with FM.MethodsA sample of 532 adults with FM (age range = 18–77, 96.1 % female) completed the PROMIS fatigue item bank. Factor analyses and item response theory analyses were used to identify dimensionality and optimally performing items. These data were used in combination with clinical input to select items for a fatigue self-report measure for use in FM.ResultsFactor analyses revealed four distinct factors in the PROMIS fatigue item bank; items for each univariate subscale were identified by selecting four items with high item information values. A 16-item measure, the PROMIS FatigueFMProfile, consisting of four 4-item short forms reflecting fatigue experience (“intensity”) and fatigue impact in three subdomains—social, cognitive, and motivation—was created. The new PROMIS FatigueFMProfile short forms showed excellent internal reliability, low ceiling and floor effects, and equivalent or higher test information compared to the standard 4- and 7-item PROMIS fatigue short forms.ConclusionsThe newly developed PROMIS FatigueFMProfile, a 16-item measure consisting of four 4-item short forms of self-reported fatigue severity, shows early evidence of good psychometric characteristics, provides the ability to use short forms that assess distinct aspects of fatigue experience and fatigue impact, and demonstrates equivalent or higher levels of test information compared to standard PROMIS fatigue short forms with similar number of items. The PROMIS FatigueFMProfile indicated fatigue experience and impact levels approximately 1.5 standard deviations above the normative sample mean across all short forms. Future work to evaluate the validity and reliability of this new measure in individuals with FM is needed.
