Stoop Nicky, Menendez Mariano E, Mellema Jos J, Ring David
1 Massachusetts General Hospital, Boston, USA.
2 University of Texas at Austin, USA.
Hand (N Y). 2018 Jan;13(1):118-121. doi: 10.1177/1558944717691127. Epub 2017 Feb 13.
The objective of this study is to evaluate the construct validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health instrument by establishing its correlation to the Quick-Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire in patients with upper extremity illness.
A cohort of 112 patients completed a sociodemographic survey and the PROMIS Global Health and QuickDASH questionnaires. Pearson correlation coefficients were used to evaluate the association of the QuickDASH with the PROMIS Global Health items and subscales.
Six of the 10 PROMIS Global Health items were associated with the QuickDASH. The PROMIS Global Physical Health subscale showed moderate correlation with QuickDASH and the Mental Health subscale. There was no significant relationship between the PROMIS Global Mental Health subscale and QuickDASH.
The consistent finding that general patient-reported outcomes correlate moderately with regional patient-reported outcomes suggests that a small number of relatively nonspecific patient-reported outcome measures might be used to assess a variety of illnesses. In our opinion, the blending of physical and mental health questions in the PROMIS Global Health makes this instrument less useful for research or patient care.
本研究的目的是通过建立上肢疾病患者报告结局测量信息系统(PROMIS)全球健康工具与上肢、肩部和手部快速残疾问卷(QuickDASH)之间的相关性,来评估该工具的结构效度。
112名患者完成了社会人口学调查以及PROMIS全球健康问卷和QuickDASH问卷。采用Pearson相关系数评估QuickDASH与PROMIS全球健康项目及子量表之间的关联。
10个PROMIS全球健康项目中的6个与QuickDASH相关。PROMIS全球身体健康子量表与QuickDASH及心理健康子量表呈中度相关。PROMIS全球心理健康子量表与QuickDASH之间无显著关系。
一般患者报告结局与区域患者报告结局呈中度相关这一一致发现表明,少数相对非特异性的患者报告结局测量指标可能可用于评估多种疾病。我们认为,PROMIS全球健康中身心健康问题的混合使得该工具对研究或患者护理的实用性降低。