Development of the NIH PROMIS ® Sexual Function and Satisfaction measures in patients with cancer.

Development of the NIH PROMIS ® Sexual Function and Satisfaction measures in patients with cancer.
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DOI:
10.1111/j.1743-6109.2012.02995.x
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发表时间:
2013-02
期刊:
The journal of sexual medicine
影响因子:
--
通讯作者:
Weinfurt KP
Weinfurt KP
中科院分区:
其他
文献类型:
--
作者:
Flynn KE;Lin L;Cyranowski JM;Reeve BB;Reese JB;Jeffery DD;Smith AW;Porter LS;Dombeck CB;Bruner DW;Keefe FJ;Weinfurt KP

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我们描述了针对癌症人群的 PROMIS 性功能和满意度 (PROMIS SexFS) 测量版本 1.0 的开发和验证。作为美国国立卫生研究院 PROMIS® 网络的一部分,开发可定制的性功能和满意度自我报告测量方法。我们的多学科工作组遵循全面的协议来开发心理测量稳健的患者报告结果 (PRO) 措施,包括定性(量表开发)和定量(心理测量评估)开发。我们进行了广泛的文献回顾,与癌症患者进行了 16 个焦点小组讨论,并与临床医生进行了多次讨论,并评估了患者认知测试的候选项目。我们对 819 名癌症患者进行了治疗。使用项目反应理论对项目进行校准,并评估其可靠性和有效性。 PROMIS 性功能和满意度 (PROMIS SexFS) 测量版本 1.0 包括 11 个领域的 79 个项目:性活动兴趣、润滑、阴道不适、勃起功能、性生活整体满意度、性高潮、肛门不适、治疗辅助工具、性活动、干扰因素和筛查问题。除了内容效度(患者表明项目涵盖了他们经历的重要方面)和表面效度(患者表明项目衡量性功能和满意度)之外,该测量还显示了区分效度(预期不同的群体之间的域区分)、趋同效度(PROMIS 得分与概念上相似的旧性功能测量得分之间的强相关性)以及预期不会改变的人群中良好的重测信度(两次使用该工具的类间相关性,间隔1个月)。 PROMIS SexFS 为研究人员提供了一套可靠且有效的工具来衡量不同男性和女性自我报告的性功能和满意度。这些措施是可定制的;研究人员可以选择相关领域和包含这些领域的项目进行研究。
We describe the development and validation of the PROMIS Sexual Function and Satisfaction (PROMIS SexFS) measures version 1.0 for cancer populations. To develop a customizable self-report measure of sexual function and satisfaction as part of the U.S. National Institutes of Health PROMIS® Network. Our multidisciplinary working group followed a comprehensive protocol for developing psychometrically robust patient reported outcome (PRO) measures including qualitative (scale development) and quantitative (psychometric evaluation) development. We performed an extensive literature review, conducted 16 focus groups with cancer patients and multiple discussions with clinicians, and evaluated candidate items in cognitive testing with patients. We administered items to 819 cancer patients. Items were calibrated using item response theory and evaluated for reliability and validity. The PROMIS Sexual Function and Satisfaction (PROMIS SexFS) measures version 1.0 include 79 items in 11 domains: interest in sexual activity, lubrication, vaginal discomfort, erectile function, global satisfaction with sex life, orgasm, anal discomfort, therapeutic aids, sexual activities, interfering factors, and screener questions. In addition to content validity (patients indicate that items cover important aspects of their experiences) and face validity (patients indicate that items measure sexual function and satisfaction), the measure shows evidence for discriminant validity (domains discriminate between groups expected to be different), convergent validity (strong correlations between scores on PROMIS and scores on conceptually-similar older measures of sexual function), as well as favorable test-retest reliability among people not expected to change (inter-class correlations from 2 administrations of the instrument, 1 month apart). The PROMIS SexFS offers researchers a reliable and valid set of tools to measure self-reported sexual function and satisfaction among diverse men and women. The measures are customizable; researchers can select the relevant domains and items comprising those domains for their study.
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