患者报告结局测量信息系统（PROMIS）物理功能和疼痛干扰计算机自适应测验在肩峰下撞击综合征中的心理测量评估。
Psychometric evaluation of the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function and Pain Interference Computer Adaptive Test for subacromial impingement syndrome.
机构信息
Department of Orthopaedics, University of Rochester Medical Center, Rochester, NY, USA.
Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA.
出版信息
J Shoulder Elbow Surg. 2019 Feb;28(2):324-329. doi: 10.1016/j.jse.2018.07.024. Epub 2018 Oct 18.
BACKGROUND
The Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Computer Adaptive Test (CAT) was previously validated for rotator cuff disease and shoulder instability. This study evaluated the psychometric properties of the PROMIS Physical Function (PF) CAT, PROMIS Pain Interference (PI) CAT, and the American Shoulder and Elbow Surgeons (ASES) Shoulder Function Score for subacromial impingement syndrome.
METHODS
PROMIS PF CAT, PI CAT, and ASES (Pain, Function, Total) were collected on all visits for 2 surgeons between January 2016 and August 2016. New patients, aged 18 years and older, were selected by International Classification of Diseases code for impingement syndrome of the shoulder. The mean number of questions answered determined efficiency. Person-item maps were created to determine ceiling and floor effects as well as person reliability. Convergent validity was determined by comparison of PROMIS domains to ASES scores with Pearson correlations.
RESULTS
For PROMIS PF CAT, the mean number of items answered was 4.54 (range 4-12). The ceiling effect was 1.56%, and the floor effect was 3.13%. The person reliability was 0.94. Pearson correlation coefficients between the PF CAT and ASES were 0.664 (ASES Function), 0.426 (ASES Pain), and 0.649 (ASES Total). For PROMIS PI CAT, the mean number of items answered was 4.27 (range 3-11). The ceiling effect was 4.69%, and the floor effect was 8.33%. The person reliability was 0.92. Pearson correlation coefficients between the PI CAT and ASES were: 0.667 (ASES Function), 0.594 (ASES Pain), and 0.729 (ASES Total).
CONCLUSIONS
The psychometric properties of PROMIS PF and PI CATs were favorable for subacromial impingement syndrome.
背景
患者报告结局测量信息系统（PROMIS）身体机能计算机自适应测试（CAT）先前已在肩袖疾病和肩不稳方面得到验证。本研究评估了 PROMIS 身体机能（PF）CAT、PROMIS 疼痛干扰（PI）CAT 和美国肩肘外科医师协会（ASES）肩部功能评分用于肩峰下撞击综合征的心理测量特性。
方法
2016 年 1 月至 2016 年 8 月期间，2 位外科医生对所有就诊的新患者（年龄≥18 岁）均采集了 PROMIS PF CAT、PI CAT 和 ASES（疼痛、功能、总分）。通过国际疾病分类代码选择肩峰下撞击综合征的新患者。回答的平均问题数决定了效率。创建人物项目图以确定上限和下限效应以及人物可靠性。通过与 ASES 评分的 Pearson 相关比较来确定 PROMIS 域的收敛有效性。
结果
对于 PROMIS PF CAT，回答的平均项目数为 4.54（范围 4-12）。上限效应为 1.56%，下限效应为 3.13%。人物可靠性为 0.94。PF CAT 与 ASES 的 Pearson 相关系数分别为 0.664（ASES 功能）、0.426（ASES 疼痛）和 0.649（ASES 总分）。对于 PROMIS PI CAT，回答的平均项目数为 4.27（范围 3-11）。上限效应为 4.69%，下限效应为 8.33%。人物可靠性为 0.92。PI CAT 与 ASES 的 Pearson 相关系数分别为：0.667（ASES 功能）、0.594（ASES 疼痛）和 0.729（ASES 总分）。
结论
PROMIS PF 和 PI CAT 对于肩峰下撞击综合征具有良好的心理测量特性。
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