The Dutch–Flemish PROMIS Physical Function item bank exhibited strong psychometric properties in patients with chronic pain

M.H.P. Crins, C.B. Terwee, T. Klausch, N. Smits, H.C.W. de Vet, R. Westhovens, D. Cella, K.F. Cook, D.A. Revicki, J. van Leeuwen, M. Boers, J. Dekker, L.D. Roorda

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The objective of this study was to assess the psychometric properties of the Dutch-Flemish Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function item bank in Dutch patients with chronic pain.

A bank of 121 items was administered to 1,247 Dutch patients with chronic pain. Unidimensionality was assessed by fitting a one-factor confirmatory factor analysis and evaluating resulting fit statistics. Items were calibrated with the graded response model and its fit was evaluated. Cross-cultural validity was assessed by testing items for differential item functioning (DIF) based on language (Dutch vs. English). Construct validity was evaluated by calculation correlations between scores on the Dutch-Flemish PROMIS Physical Function measure and scores on generic and disease-specific measures.

Results supported the Dutch-Flemish PROMIS Physical Function item bank's unidimensionality (Comparative Fit Index = 0.976, Tucker Lewis Index = 0.976) and model fit. Item thresholds targeted a wide range of physical function construct (threshold-parameters range: -4.2 to 5.6). Cross-cultural validity was good as four items only showed DIF for language and their impact on item scores was minimal. Physical Function scores were strongly associated with scores on all other measures (all correlations ≤ -0.60 as expected).

The Dutch-Flemish PROMIS Physical Function item bank exhibited good psychometric properties. Development of a computer adaptive test based on the large bank is warranted.
Original languageEnglish
Pages (from-to)47-58
Number of pages12
JournalJournal of Clinical Epidemiology
Early online date28 Mar 2017
Publication statusPublished - 1 Jul 2017


  • Chronic pain
  • Dutch–Flemish PROMIS
  • Item response theory
  • Physical functioning
  • Psychometrics

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