DEVELOPMENT AND EVALUATION OF A SMOKING MODULE FOR PROMIS

描述（由申请人提供）：患者报告结果测量信息系统（PROMIS）是NIH路线图倡议，是一项为期5年的合作研究计划，旨在开发，评估和标准化项目库，以测量与一系列慢性疾病（例如癌症，抑郁症，关节炎）相关的关键健康状态域。该计划的最终目标是生产临床研究工具，如计算机化适应性测试和非适应性评估，并使这些工具广泛用于临床研究和临床实践。PROMIS的第一阶段共开发了6个领域的11个题库，并通过一个互动网站向研究人员提供了这些领域的测量。已确定但尚未开发的最重要领域之一是吸烟领域。该项目的目标是开发、评估和标准化一个项目库，以评估吸烟行为和与吸烟相关的生物心理社会结构，并将该项目库纳入PROMIS框架。吸烟几乎与所有健康状况有关，对发病率和死亡率有重大影响。增加吸烟域是开发PROMIS框架的关键下一步，这将大大有助于扩大其效用和适用性。该项目有四个具体目标：目标1：确定吸烟域组件并开发初始项目池；目标2：通过分析调查反馈数据，评价项目池的测量属性；目标3：通过对吸烟和其他PROMIS领域评分数据的分析，提供有关吸烟者健康状况的描述性信息；目的4：检查吸烟和与吸烟相关的生物心理社会结构对在普通医疗诊所寻求护理的个人健康状况和短期康复的影响。在项目期结束时，我们将开发、评估和测试心理测量学上健全的题库的初始有效性，该题库可以形成吸烟行为和与吸烟相关的生物心理社会结构的标准化评估的基础。将这一项目库纳入现有的方案和信息系统框架将大大有助于研究吸烟各方面与其他与健康有关的结果之间的关系。公共卫生相关性：将吸烟物项库纳入PROMIS框架将大大有助于研究吸烟各方面与其他与健康有关的结果之间的关联。项目库将对行为健康研究人员高度可见和可访问，既增加了使用其他PROMIS措施的研究人员在其研究设计中包括吸烟方面的可能性，又促进了将其他PROMIS措施纳入戒烟研究设计的可能性。

DESCRIPTION (provided by applicant): The Patient Reported Outcomes Measurement Information System (PROMIS), an NIH Roadmap initiative, is a 5-year cooperative program of research designed to develop, evaluate, and standardize item banks to measure key health status domains relevant to a range of chronic medical conditions (e.g., cancer, depression, arthritis). The ultimate goal of this initiative is to produce clinical research tools, such as computerized-adaptive testing and non-adaptive assessments, and to make these tools broadly available for use in clinical research and clinical practice. The first phase of PROMIS has developed a total of 11 item banks across 6 domains and has made measurement of these domains accessible to researchers through an interactive website. One of the most significant areas identified but not yet developeed is the domain of cigarette smoking. The goal of this proposed project is to develop, evaluate, and standardize an item bank to assess cigarette smoking behavior and biopsychosocial constructs associated with smoking, and incorporate this item bank into the PROMIS framework. Smoking is relevant to nearly all health conditions and has a significant impact on morbidity and mortality. The addition of a smoking domain is a critical next step in the development of the PROMIS framework that would do much to expand its utility and applicability. The project has four specific aims: AIM 1: Identify smoking domain components and develop initial item pool; AIM 2: Evaluate measurement properties of item pool through analysis of survey response data; AIM 3: Provide descriptive information about the health status of smokers through analysis of smoking and other PROMIS domain score data; AIM 4: Examine the impact of smoking and the biopsychosocial constructs associated with smoking on health status and short term recovery among individuals seeking care at a general medical clinic. By the end of the project period, we will have developed, evaluated, and tested the initial validity for a psychometrically sound item bank that can form the basis for standardized assessment of smoking behavior and biopsychosocial constructs associated with smoking. The integration of this item bank into the existing PROMIS framework will do much to facilitate the study of associations between aspects of smoking and other health-related outcomes. PUBLIC HEALTH RELEVANCE: The integration of a smoking item bank into the PROMIS framework will do much to facilitate the study of associations between aspects of smoking and other health-related outcomes. The item bank will be highly visible and accessible to a broad class of behavioral health researchers, both increasing the probability that researchers using other PROMIS measures will include aspects of smoking in their study design and promoting the inclusion of other PROMIS measures into the design of smoking cessation studies.