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Reliability and Construct Validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Instruments in Women with Fibromyalgia
Journal article   Open access   Peer reviewed

Reliability and Construct Validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Instruments in Women with Fibromyalgia

Ericka N Merriwether, Barbara A Rakel, Miriam B Zimmerman, Dana L Dailey, Carol G T Vance, Leon Darghosian, Meenakshi Golchha, Katherine M Geasland, Ruth Chimenti, Leslie J Crofford, …
Pain medicine (Malden, Mass.), Vol.18(8), pp.1485-1495
08/01/2017
DOI: 10.1093/pm/pnw187
PMCID: PMC6279305
PMID: 27561310
url
https://doi.org/10.1093/pm/pnw187View
Published (Version of record) Open Access

Abstract

The Patient-Reported Outcomes Measurement Information System (PROMIS) was developed to standardize measurement of clinically relevant patient-reported outcomes. This study evaluated the reliability and construct validity of select PROMIS static short-form (SF) instruments in women with fibromyalgia. Analysis of baseline data from the Fibromyalgia Activity Study with TENS (FAST), a randomized controlled trial of the efficacy of transcutaneous electrical nerve stimulation. Dual site, university-based outpatient clinics. Women aged 20 to 67 years diagnosed with fibromyalgia. Participants completed the Revised Fibromyalgia Impact Questionnaire (FIQR) and 10 PROMIS static SF instruments. Internal consistency was calculated using Cronbach alpha. Convergent validity was examined against the FIQR using Pearson correlation and multiple regression analysis. PROMIS static SF instruments had fair to high internal consistency (Cronbach α = 0.58 to 0.94, P  < 0.05). PROMIS 'physical function' domain score was highly correlated with FIQR 'function' score (r = -0.73). The PROMIS 'total' score was highly correlated with the FIQR total score (r = -0.72). Correlations with FIQR total score of each of the three PROMIS domain scores were r = -0.65 for 'physical function,' r = -0.63 for 'global,' and r = -0.57 for 'symptom' domain. PROMIS 'physical function,' 'global,' and 'symptom' scores explained 58% of the FIQR total score variance. Select PROMIS static SF instruments demonstrate convergent validity with the FIQR, a legacy measure of fibromyalgia disease severity. These results highlight the potential utility of select PROMIS static SFs for assessment and tracking of patient-reported outcomes in fibromyalgia.
Fibromyalgia - therapy Young Adult Reproducibility of Results Transcutaneous Electric Nerve Stimulation Humans Middle Aged Adult Female Treatment Outcome Aged Patient Reported Outcome Measures

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