Longitudinal validation of the PROMIS-16 in a sample of adults in the United States with back pain.

IF 3.3 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES Quality of Life Research Pub Date : 2024-11-06 DOI:10.1007/s11136-024-03826-6

Anthony Rodriguez, Chengbo Zeng, Ron D Hays, Patricia M Herman, Maria O Edelen

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Abstract

Purpose: This longitudinal study evaluates whether the Patient-Reported Outcomes Measurement and Information System (PROMIS)-16 domains capture average change over time comparable to the PROMIS-29 + 2 and have similar associations with change in overall health rating and two disability indices.

Methods: Data were collected using Amazon's Mechanical Turk at baseline, 3 months, and 6 months among individuals reporting chronic low back pain. The analytic sample includes respondents who completed baseline and at least one follow-up assessment (N = 1137). We estimated latent growth models for eight PROMIS domains and compared growth parameters between the PROMIS-16 and PROMIS 29 + 2 with a z-test. Additionally, for each domain, random intercept and slope scores for individuals were computed for the PROMIS-29 + 2 and PROMIS-16 and correlated to estimate concordance. Using growth parameters for physical function and pain interference, we predicted average change in the Oswestry Disability Index (ODI), Roland Morris Disability Questionnaire (RMDQ), the overall health rating, and compared regression coefficients between the PROMIS-16 and PROMIS 29 + 2.

Results: All growth models fit the data well. Intercept and slope parameters were statistically comparable (p's > 0.05) in magnitude across all domains between the PROMIS-16 and PROMIS-29 + 2. Correlations between random intercept and slope scores for individuals across domains were high. Additionally, the regression coefficients between slopes for pain interference and physical function and ODI, RMDQ, and overall health rating were statistically comparable (p's > 0.05) between the PROMIS-16 and PROMIS 29 + 2.

Conclusion: Results provide between-level support for the longitudinal and predictive validity of the PROMIS-16. Similar average baseline scores and changes over time were observed between PROMIS-16 and PROMIS-29 + 2. Further, average change estimates comparably predicted average change in distal outcomes. This work provides evidence supporting the utility of the PROMIS-16 as a viable, short-profile option for use in clinical and research settings.

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在美国背痛成人样本中对 PROMIS-16 进行纵向验证。

目的：本纵向研究评估了患者报告结果测量和信息系统（PROMIS）-16 领域是否能捕捉到与 PROMIS-29 + 2 相当的随时间推移的平均变化，以及是否与总体健康评分和两个残疾指数的变化有相似的关联：在基线、3 个月和 6 个月期间，通过亚马逊的 Mechanical Turk 收集了报告慢性腰背痛患者的数据。分析样本包括完成基线和至少一次随访评估的受访者（N = 1137）。我们估计了 PROMIS 八个领域的潜在增长模型，并通过 z 检验比较了 PROMIS-16 和 PROMIS 29 + 2 之间的增长参数。此外，对于每个领域，我们还计算了 PROMIS-29 + 2 和 PROMIS-16 的随机截距和斜率得分，并将其相关联以估计一致性。利用身体功能和疼痛干扰的增长参数，我们预测了奥斯韦特里残疾指数（Oswestry Disability Index，ODI）、罗兰-莫里斯残疾问卷（Roland Morris Disability Questionnaire，RMDQ）和总体健康评分的平均变化，并比较了 PROMIS-16 和 PROMIS 29 + 2 之间的回归系数：结果：所有增长模型都能很好地拟合数据。PROMIS-16和PROMIS-29 + 2在所有领域的截距和斜率参数的大小在统计学上具有可比性（P>0.05）。各领域中个人的随机截距和斜率得分之间的相关性很高。此外，PROMIS-16 和 PROMIS 29 + 2 的疼痛干扰和身体功能斜率与 ODI、RMDQ 和总体健康评分之间的回归系数在统计学上具有可比性（P>0.05）：结果为 PROMIS-16 的纵向和预测有效性提供了水平间支持。在PROMIS-16和PROMIS-29 + 2之间观察到了相似的平均基线分数和随时间的变化。此外，平均变化估计值可预测远端结果的平均变化。这项工作为 PROMIS-16 作为一种可行的、简短的临床和研究设置选项提供了证据支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Quality of Life Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

8.60%

发文量

224

审稿时长

3-8 weeks

期刊介绍： Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.