TY - JOUR
T1 - Measurement Properties of Patient Reported Outcome Scales
T2 - A Systematic Review
AU - Stallwood, Emma
AU - Elsman, Ellen B. M.
AU - Monsour, Andrea
AU - Baba, Ami
AU - Butcher, Nancy J.
AU - Offringa, Martin
N1 - Funding Information: For this project, we evaluated the measurement properties of 4 pediatric-reported and parent proxy-reported PROMs included in the ICHOM OPH set for assessing the health status of children ages 6 to 18 years: the PROMIS Pediatric Scale v1.0 - Global Health 7 1 212 and the PROMIS Parent Proxy Scale v1.0 - Global Health 7 1 212 to measure the child’s global health, which includes physical, mental and social health; the PROMIS Parent Proxy Short Form v1.0 - Cognitive Function 7a,15 (previously known and originally published as the Pediatric Perceived Cognitive Function (PedsPCF), which was later renamed PROMIS Cognitive Function)23 to measure the child’s perceived cognitive function; and the NIH Toolbox Self-Efficacy CAT (Computerized Adaptive Test) Ages 13–17 v2.0,16 to measure the child’s self-efficacy. PROMIS and NIH Toolbox instruments are state-of-the-science measurement systems, funded by the NIH. The instruments are developed with item response theory (IRT). Table 1 presents detailed PROM characteristics. Publisher Copyright: Copyright © 2023 by the American Academy of Pediatrics.
PY - 2023/8/1
Y1 - 2023/8/1
N2 - CONTEXT: Recently a standard set for overall pediatric health outcomes in routine care was developed, which includes patient (or proxy) reported outcome measures (PROMs) for global health, cognitive functioning, and self-efficacy. OBJECTIVES: To determine whether the following PROMs have sufficient measurement properties to be used in pediatric routine care: PROMIS Pediatric and Parent Proxy Scale - Global Health 712, PROMIS Parent Proxy Short Form - Cognitive Function 7a, and NIH Toolbox Self-Efficacy CAT Ages 13 to 17. DATA SOURCES: Embase, Psych INFO, and Web of Science were searched from year of inception of each PROM to May 25, 2020; Medline to October 24, 2022. STUDY SELECTION: English, full-text peer-reviewed articles that evaluated measurement properties of included PROMs were eligible. DATA EXTRACTION: The COSMIN guideline for systematic reviews was used to appraise eligible studies and synthesize the overall evidence. RESULTS: Screening >4000 titles yielded 4 to 6 eligible empirical studies for each PROM. The PROMIS instruments had sufficient content validity with low-quality evidence and at least low-quality evidence for sufficient structural validity and internal consistency. The NIH Toolbox lacked essential evidence for content validity. LIMITATIONS: Assessments of measurement properties were based on information reported in the included studies; underreporting might have led to less favorable ratings. CONCLUSIONS: The PROMIS instruments assessed in this review measure their intended construct for their targeted age group; clinicians can use these PROMs in pediatric routine care. Additional studies evaluating measurement properties, including content validity, are needed for the NIH Toolbox before it should be recommended for use in clinical practice.
AB - CONTEXT: Recently a standard set for overall pediatric health outcomes in routine care was developed, which includes patient (or proxy) reported outcome measures (PROMs) for global health, cognitive functioning, and self-efficacy. OBJECTIVES: To determine whether the following PROMs have sufficient measurement properties to be used in pediatric routine care: PROMIS Pediatric and Parent Proxy Scale - Global Health 712, PROMIS Parent Proxy Short Form - Cognitive Function 7a, and NIH Toolbox Self-Efficacy CAT Ages 13 to 17. DATA SOURCES: Embase, Psych INFO, and Web of Science were searched from year of inception of each PROM to May 25, 2020; Medline to October 24, 2022. STUDY SELECTION: English, full-text peer-reviewed articles that evaluated measurement properties of included PROMs were eligible. DATA EXTRACTION: The COSMIN guideline for systematic reviews was used to appraise eligible studies and synthesize the overall evidence. RESULTS: Screening >4000 titles yielded 4 to 6 eligible empirical studies for each PROM. The PROMIS instruments had sufficient content validity with low-quality evidence and at least low-quality evidence for sufficient structural validity and internal consistency. The NIH Toolbox lacked essential evidence for content validity. LIMITATIONS: Assessments of measurement properties were based on information reported in the included studies; underreporting might have led to less favorable ratings. CONCLUSIONS: The PROMIS instruments assessed in this review measure their intended construct for their targeted age group; clinicians can use these PROMs in pediatric routine care. Additional studies evaluating measurement properties, including content validity, are needed for the NIH Toolbox before it should be recommended for use in clinical practice.
UR - http://www.scopus.com/inward/record.url?scp=85166978116&partnerID=8YFLogxK
U2 - https://doi.org/10.1542/peds.2023-061489
DO - https://doi.org/10.1542/peds.2023-061489
M3 - Review article
C2 - 37439131
SN - 0031-4005
VL - 152
JO - Pediatrics
JF - Pediatrics
IS - 2
M1 - e2023061489
ER -