Comparison of patient-reported outcomes measurement information system and legacy instruments in multiple domains among older veterans with chronic back pain
Abstract Background Chronic low back pain (cLBP) results in significant physical, psycho-social and socioeconomic burden. Identifying efficient and reliable patient reported outcome measures is critical for research and clinical purposes. The NIH’s Patient Reported Outcomes Measurement Information S...
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| Format: | Article |
| Language: | English |
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BMC
2020-09-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | http://link.springer.com/article/10.1186/s12891-020-03587-6 |
| _version_ | 1818302803340165120 |
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| author | Rabih Nayfe Matthieu Chansard Linda S. Hynan Eric M. Mortensen Thiru Annaswamy Liana Fraenkel Una E. Makris |
| author_facet | Rabih Nayfe Matthieu Chansard Linda S. Hynan Eric M. Mortensen Thiru Annaswamy Liana Fraenkel Una E. Makris |
| author_sort | Rabih Nayfe |
| collection | DOAJ |
| description | Abstract Background Chronic low back pain (cLBP) results in significant physical, psycho-social and socioeconomic burden. Identifying efficient and reliable patient reported outcome measures is critical for research and clinical purposes. The NIH’s Patient Reported Outcomes Measurement Information System (PROMIS) instruments have not been compared to validated “legacy” instruments in older adults with cLBP. This study evaluates construct (convergent and discriminant) validity and time to complete (TTC) PROMIS as compared to legacy instruments. Methods We enrolled older Veterans (age 60+) with cLBP with/without leg pain scheduled for lumbar epidural steroid injections. Subjects completed PROMIS computer adaptive test item banks and corresponding legacy instruments in the following domains: pain intensity, interference, and behavior; functional status; depression and anxiety; fatigue; sleep and social functioning. Convergent and discriminant validity between PROMIS and legacy instruments was evaluated using Spearman rank order correlations; Mann-Whitney U tests compared TTC. Results Of the 71 Veterans recruited, the median (IQR) age was 67 (63–71) years old, 94% were men, 76% were White, 17% Black, and 96% were Non-Hispanic. Spearman correlations between PROMIS and legacy instruments showed moderate to very strong convergent validity in all domains (r = 0.4–1.0), except for social functioning and pain behavior (PROMIS Pain Behavior with Fear Avoidance Belief Questionnaire). The total median TTC for all PROMIS items was significantly shorter than legacy items, 8 min 50 s vs 29 min 14 s respectively, p < 0.001. Conclusions Given time efficiency of using PROMIS, along with strong construct validity, PROMIS instruments are a practical choice for measuring multidimensional PROs in older Veterans with cLBP for both research and clinical purposes. |
| first_indexed | 2024-12-13T05:44:42Z |
| format | Article |
| id | doaj.art-becd8dd1abf64d4199cbdd6dcc30b971 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-13T05:44:42Z |
| publishDate | 2020-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-becd8dd1abf64d4199cbdd6dcc30b9712022-12-21T23:57:43ZengBMCBMC Musculoskeletal Disorders1471-24742020-09-0121111110.1186/s12891-020-03587-6Comparison of patient-reported outcomes measurement information system and legacy instruments in multiple domains among older veterans with chronic back painRabih Nayfe0Matthieu Chansard1Linda S. Hynan2Eric M. Mortensen3Thiru Annaswamy4Liana Fraenkel5Una E. Makris6Department of Internal Medicine, UT Southwestern (UTSW) Medical CenterDepartment of Population and Data Sciences, UTSWDepartment of Population and Data Sciences, UTSWDepartment of Population and Data Sciences, UTSWDepartment of Physical Medicine & Rehabilitation, VA North Texas Health Care SystemDepartment of Medicine, VA Connecticut Healthcare SystemDepartment of Internal Medicine, UT Southwestern (UTSW) Medical CenterAbstract Background Chronic low back pain (cLBP) results in significant physical, psycho-social and socioeconomic burden. Identifying efficient and reliable patient reported outcome measures is critical for research and clinical purposes. The NIH’s Patient Reported Outcomes Measurement Information System (PROMIS) instruments have not been compared to validated “legacy” instruments in older adults with cLBP. This study evaluates construct (convergent and discriminant) validity and time to complete (TTC) PROMIS as compared to legacy instruments. Methods We enrolled older Veterans (age 60+) with cLBP with/without leg pain scheduled for lumbar epidural steroid injections. Subjects completed PROMIS computer adaptive test item banks and corresponding legacy instruments in the following domains: pain intensity, interference, and behavior; functional status; depression and anxiety; fatigue; sleep and social functioning. Convergent and discriminant validity between PROMIS and legacy instruments was evaluated using Spearman rank order correlations; Mann-Whitney U tests compared TTC. Results Of the 71 Veterans recruited, the median (IQR) age was 67 (63–71) years old, 94% were men, 76% were White, 17% Black, and 96% were Non-Hispanic. Spearman correlations between PROMIS and legacy instruments showed moderate to very strong convergent validity in all domains (r = 0.4–1.0), except for social functioning and pain behavior (PROMIS Pain Behavior with Fear Avoidance Belief Questionnaire). The total median TTC for all PROMIS items was significantly shorter than legacy items, 8 min 50 s vs 29 min 14 s respectively, p < 0.001. Conclusions Given time efficiency of using PROMIS, along with strong construct validity, PROMIS instruments are a practical choice for measuring multidimensional PROs in older Veterans with cLBP for both research and clinical purposes.http://link.springer.com/article/10.1186/s12891-020-03587-6Older adultsChronic back painPatient reported outcomesConstruct validityMeasurement |
| spellingShingle | Rabih Nayfe Matthieu Chansard Linda S. Hynan Eric M. Mortensen Thiru Annaswamy Liana Fraenkel Una E. Makris Comparison of patient-reported outcomes measurement information system and legacy instruments in multiple domains among older veterans with chronic back pain BMC Musculoskeletal Disorders Older adults Chronic back pain Patient reported outcomes Construct validity Measurement |
| title | Comparison of patient-reported outcomes measurement information system and legacy instruments in multiple domains among older veterans with chronic back pain |
| title_full | Comparison of patient-reported outcomes measurement information system and legacy instruments in multiple domains among older veterans with chronic back pain |
| title_fullStr | Comparison of patient-reported outcomes measurement information system and legacy instruments in multiple domains among older veterans with chronic back pain |
| title_full_unstemmed | Comparison of patient-reported outcomes measurement information system and legacy instruments in multiple domains among older veterans with chronic back pain |
| title_short | Comparison of patient-reported outcomes measurement information system and legacy instruments in multiple domains among older veterans with chronic back pain |
| title_sort | comparison of patient reported outcomes measurement information system and legacy instruments in multiple domains among older veterans with chronic back pain |
| topic | Older adults Chronic back pain Patient reported outcomes Construct validity Measurement |
| url | http://link.springer.com/article/10.1186/s12891-020-03587-6 |
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