Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine and Institute for Innovations in Developmental Sciences (DevSci), USA.
Janssen Pharmaceutical Companies of Johnson & Johnson, Global Commercial Strategy Organization, USA.
J Pediatr Psychol. 2022 May 13;47(5):559-572. doi: 10.1093/jpepsy/jsac030.
Expand the current Patient-Reported Outcome Measurement Information System (PROMIS®) well-being measures to early childhood (1-5 years) using best practices from PROMIS and developmental science.
Qualitative methods included expert input, literature and measure review, and parent interviews to confirm measure frameworks, item understandability, and developmental appropriateness. Quantitative methods included two waves of field testing and item response theory (IRT)-based psychometric evaluation of reliability and validity, as well as IRT centering and item calibration. Correlational analyses with other PROMIS Early Childhood (EC) Parent Report measures and known-group differences analyses by health status were conducted to evaluate construct validity. All measures were normed to the general U.S. population.
Qualitative results suggested three primary early childhood well-being domains: Positive Affect, Engagement, and Self-Regulation. Quantitative results revealed a unidimensional factor structure for Positive Affect and multidimensional factor structures for Engagement and Self-Regulation, both of which had two factors accounting for >10% of modeled variance reflecting unique unidimensional domains. This resulted in five final PROMIS EC well-being measures: Positive Affect, Engagement-Curiosity, Engagement-Persistence, Self-Regulation-Flexibility, and Self-Regulation-Frustration Tolerance. Correlations and known-groups differences analyses showed robust construct validity across a range of chronic health conditions.
The new PROMIS EC Parent Report well-being measures offer clinicians and researchers a brief, efficient, and precise way to evaluate young children's well-being. All five measures include only positively valanced item content, which pushes the field to evaluate the presence of children's positive assets rather than the absence of problems.
利用 PROMIS 和发展科学的最佳实践，将当前的患者报告结局测量信息系统（PROMIS®）幸福感量表扩展到幼儿期（1-5 岁）。
定性方法包括专家意见、文献和测量回顾以及家长访谈，以确认测量框架、项目可理解性和发展适宜性。定量方法包括两个阶段的现场测试和基于项目反应理论（IRT）的可靠性和有效性心理测量评估，以及 IRT 中心化和项目校准。与其他 PROMIS 幼儿期（EC）父母报告测量的相关分析和按健康状况进行的已知组差异分析用于评估结构有效性。所有测量均以美国一般人群为标准。
定性结果表明幼儿期幸福感有三个主要领域：积极情绪、参与度和自我调节。定量结果显示积极情绪具有单一维度结构，参与度和自我调节具有多维结构，两者都有两个因素占模型方差的>10%，反映了独特的单一维度领域。这导致了五个最终的 PROMIS EC 幸福感测量：积极情绪、参与度-好奇心、参与度-坚持、自我调节-灵活性和自我调节-挫折容忍度。相关性和已知组差异分析表明，在一系列慢性健康状况下具有稳健的结构有效性。
新的 PROMIS EC 父母报告幸福感测量为临床医生和研究人员提供了一种简短、高效和精确的方法来评估幼儿的幸福感。所有五个测量都只包括积极评价的项目内容，这促使该领域评估儿童积极资产的存在，而不是问题的不存在。
