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Gepubliceerd in: Quality of Life Research 4/2010

01-05-2010

An item response analysis of the pediatric PROMIS anxiety and depressive symptoms scales

Auteurs: Debra E. Irwin, Brian Stucky, Michelle M. Langer, David Thissen, Esi Morgan DeWitt, Jin-Shei Lai, James W. Varni, Karin Yeatts, Darren A. DeWalt

Gepubliceerd in: Quality of Life Research | Uitgave 4/2010

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Abstract

Purpose

The Patient-Reported Outcomes Measurement Information System (PROMIS) aims to develop self-reported item banks for clinical research. The PROMIS pediatrics (aged 8–17) project focuses on the development of item banks across several health domains (physical function, pain, fatigue, emotional distress, social role relationships, and asthma symptoms). The psychometric properties of the anxiety and depressive symptom item banks are described.

Methods

Participants (n = 1,529) were recruited in public school settings, hospital-based outpatient and subspecialty pediatrics clinics. The anxiety (k = 18) and depressive symptoms (k = 21) items were split between two test administration forms. Hierarchical confirmatory factor-analytic models (CFA) were conducted to evaluate scale dimensionality and local dependence. IRT analyses were then used to finalize item banks and short forms.

Results

CFA results confirmed that anxiety and depressive symptoms are separate constructs and indicative of negative affect. Items with local dependence and DIF were removed resulting in 15 anxiety and 14 depressive symptoms items. The psychometric differences between short forms and simulated computer adaptive tests are presented.

Conclusions

PROMIS pediatric item banks were developed to provide efficient assessment of health-related quality of life domains. This sample provides initial calibrations of anxiety and depressive symptoms item banks and creates PROMIS pediatric instruments, version 1.0.
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Metagegevens
Titel
An item response analysis of the pediatric PROMIS anxiety and depressive symptoms scales
Auteurs
Debra E. Irwin
Brian Stucky
Michelle M. Langer
David Thissen
Esi Morgan DeWitt
Jin-Shei Lai
James W. Varni
Karin Yeatts
Darren A. DeWalt
Publicatiedatum
01-05-2010
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 4/2010
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-010-9619-3