患者报告结果测量信息系统（PROMIS）吸烟倡议：六个新吸烟项目库的初步效度证据
The PROMIS Smoking Initiative: initial validity evidence for six new smoking item banks.
作者信息
Edelen Maria Orlando, Stucky Brian D, Hansen Mark, Tucker Joan S, Shadel William G, Cai Li
机构信息
RAND Health, RAND Corporation, Boston, MA;
RAND Health, RAND Corporation, Santa Monica, CA;
出版信息
Nicotine Tob Res. 2014 Sep;16 Suppl 3(Suppl 3):S250-60. doi: 10.1093/ntr/ntu065.
INTRODUCTION
The Patient-Reported Outcomes Measurement Information System (PROMIS) Smoking Initiative has developed 6 item banks for assessing smoking behaviors and biopsychosocial correlates of smoking among daily and nondaily adult cigarette smokers. This paper presents descriptive information and preliminary validity evidence for the item banks (Nicotine Dependence, Coping Expectancies, Emotional and Sensory Expectancies, Health Expectancies, Psychosocial Expectancies, and Social Motivations).
METHODS
Using data from a large sample of daily (N = 4,201) and nondaily (N = 1,183) smokers, we generated mean daily and nondaily smoking bank scores according to select demographic groups. We also examined correlations among the 6 banks and examined the associations of bank scores with smoking behavior items (e.g., quantity of smoking, interest in quitting) and select health-related quality of life measures (i.e., physical functioning, anxiety, alcohol consumption).
RESULTS
Correlations among the 6 banks are moderate (daily mean r = .48, range = .04-.80; nondaily mean r = .47, range = .12-.75). The pattern of associations between bank scores and other measures provides validity evidence for the bank domains (e.g., nicotine dependence is most strongly associated with smoking quantity and time to first cigarette of the day; health and psychosocial expectancies are most related to quitting recency and interest; coping expectancies are strongly associated with anxiety).
CONCLUSIONS
These analyses provide useful descriptive information about the 6 smoking item banks as well as preliminary evidence for their validity. Independent sample data are currently being collected to replicate these findings, to establish test-retest reliability, and to develop crosswalks to existing smoking measures (e.g., nicotine dependence to Fagerström Test for Nicotine Dependence). Future research will also evaluate the bank scores' sensitivity to change.
引言
患者报告结局测量信息系统（PROMIS）吸烟倡议项目已经开发了6个条目库，用于评估成年日常吸烟者和非日常吸烟者的吸烟行为以及吸烟的生物心理社会相关因素。本文介绍了这些条目库（尼古丁依赖、应对期望、情感和感官期望、健康期望、心理社会期望以及社会动机）的描述性信息和初步效度证据。
方法
利用来自大量日常吸烟者（N = 4201）和非日常吸烟者（N = 1183）样本的数据，我们根据选定的人口统计学群体生成了日常和非日常吸烟条目库得分的均值。我们还检验了这6个条目库之间的相关性，并考察了条目库得分与吸烟行为项目（如吸烟量、戒烟意愿）以及选定的健康相关生活质量指标（即身体功能、焦虑、饮酒情况）之间的关联。
结果
这6个条目库之间的相关性为中等程度（日常吸烟者均值r = 0.48，范围为0.04 - 0.80；非日常吸烟者均值r = 0.47，范围为0.12 - 0.75）。条目库得分与其他测量指标之间的关联模式为这些条目库领域提供了效度证据（例如，尼古丁依赖与吸烟量和每日第一支烟的时间关联最为紧密；健康和心理社会期望与最近戒烟情况和戒烟意愿最为相关；应对期望与焦虑密切相关）。
结论
这些分析提供了关于这6个吸烟条目库的有用描述性信息以及其效度的初步证据。目前正在收集独立样本数据以重复这些发现、建立重测信度，并开发与现有吸烟测量方法的对照表（例如，将尼古丁依赖与法格斯特罗姆尼古丁依赖测试进行对照）。未来的研究还将评估条目库得分对变化的敏感性。
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