Reliability and construct validity of PROMIS® measures for patients with heart failure who undergo heart transplant

被引:60
作者
Flynn, Kathryn E. [1 ]
Dew, Mary Amanda [3 ,4 ]
Lin, Li [6 ]
Fawzy, Maria [6 ]
Graham, Felicia L. [6 ]
Hahn, Elizabeth A. [8 ,9 ]
Hays, Ron D. [10 ]
Kormos, Robert L. [5 ]
Liu, Honghu [10 ]
McNulty, Mary [2 ]
Weinfurt, Kevin P. [6 ,7 ]
机构
[1] Med Coll Wisconsin, Dept Med, Ctr Patient Care & Outcomes Res, Milwaukee, WI 53226 USA
[2] Univ Pittsburgh, Dept Psychiat, Pittsburgh, PA USA
[3] Univ Pittsburgh, Dept Psychol, Pittsburgh, PA 15260 USA
[4] Univ Pittsburgh, Dept Epidemiol & Biostat, Pittsburgh, PA USA
[5] Univ Pittsburgh, Dept Surg, Pittsburgh, PA USA
[6] Duke Univ, Sch Med, Duke Clin Res Inst, Durham, NC 27715 USA
[7] Duke Univ, Dept Psychiat & Behav Sci, Sch Med, Durham, NC 27715 USA
[8] Northwestern Univ, Feinberg Sch Med, Dept Med Social Sci, Chicago, IL 60611 USA
[9] Northwestern Univ, Feinberg Sch Med, Ctr Patient Ctr Outcomes, Chicago, IL 60611 USA
[10] Univ Calif Los Angeles, Sch Med, Dept Med, Los Angeles, CA 90024 USA
关键词
Congestive heart failure; Outcomes research; Patient-reported outcomes; QUALITY-OF-LIFE; HEALTH-STATUS; QUESTIONNAIRE; DEPRESSION;
D O I
10.1007/s11136-015-1010-y
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
100404 [儿少卫生与妇幼保健学];
摘要
Purpose To evaluate the reliability and construct validity of measures from the Patient-Reported Outcomes Measurement Information System(A (R)) (PROMISA (R)) for patients with heart failure before and after heart transplantation. Methods We assessed reliability of the PROMIS short forms using Cronbach's alpha and the average marginal reliability. To assess the construct validity of PROMIS computerized adaptive tests and short-form measures, we calculated Pearson product moment correlations between PROMIS measures of physical function, fatigue, depression, and social function and existing PRO measures of similar domains (i.e., convergent validity) as well as different domains (i.e., discriminate validity) in patients with heart failure awaiting heart transplant. We evaluated the responsiveness of these measures to change after heart transplant using effect sizes. Results Forty-eight patients were included in the analyses. Across the many domains examined, correlations between conceptually similar domains were larger than correlations between different domains of health, demonstrating construct validity. Health status improved substantially after heart transplant (standardized effect sizes, 0.63-1.24), demonstrating the responsiveness of the PROMIS measures. Scores from the computerized adaptive tests and the short forms were similar. Conclusions This study provides evidence for the reliability and construct validity (including responsiveness to change) of four PROMIS domains in patients with heart failure before and after heart transplant. PROMIS measures are a reasonable choice in this context and will facilitate comparisons across studies and health conditions.
引用
收藏
页码:2591 / 2599
页数:9
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