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Gepubliceerd in: Quality of Life Research 1/2018

07-09-2017

Assessing responsiveness over time of the PROMIS® pediatric symptom and function measures in cancer, nephrotic syndrome, and sickle cell disease

Auteurs: Bryce B. Reeve, Lloyd J. Edwards, Byron C. Jaeger, Pamela S. Hinds, Carlton Dampier, Debbie S. Gipson, David T. Selewski, Jonathan P. Troost, David Thissen, Vaughn Barry, Heather E. Gross, Darren A. DeWalt

Gepubliceerd in: Quality of Life Research | Uitgave 1/2018

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Abstract

Purpose

Previous studies provided evidence for the validity of the PROMIS Pediatric measures in cross-sectional studies. This study evaluated the ability of the PROMIS Pediatric measures to detect change over time in children and adolescents with cancer, nephrotic syndrome (NS), or sickle cell disease (SCD).

Methods

Participants (8–17 years) completed measures of fatigue, pain interference, anger, anxiety, depressive symptoms, mobility, upper extremity, and peer relationships at three or four time points (T1–T4). Between T1 and T2, children with cancer received chemotherapy and children with SCD experienced a pain exacerbation. Children with NS were first assessed during active disease (T2), with T3 and T4 conducted at disease remission. For the primary analysis of responsiveness, we expected better scores at T3 (recovery) compared to T2 (event) for all diseases. T1 and T4 are also expected to have better scores than T2. Linear mixed models were used and adjusted for time, gender, age, race/ethnicity, education, comorbid conditions, and disease.

Results

Enrolled were 96 children with cancer, 121 children with SCD, and 127 children with NS. Fatigue, pain interference, mobility, and upper extremity scores worsened from T1 (baseline) to T2 (event) (p < 0.01), and significantly improved from T2 to T3 and T4 (p < 0.01). Similarly, anxiety and depressive symptoms significantly improved from T2 to T3 and T4 (p < 0.01).

Conclusions

This study provides evidence for the responsiveness of seven PROMIS Pediatric measures to clinical disease state in three chronic illnesses. The findings support use of PROMIS Pediatric measures in clinical research.
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Metagegevens
Titel
Assessing responsiveness over time of the PROMIS® pediatric symptom and function measures in cancer, nephrotic syndrome, and sickle cell disease
Auteurs
Bryce B. Reeve
Lloyd J. Edwards
Byron C. Jaeger
Pamela S. Hinds
Carlton Dampier
Debbie S. Gipson
David T. Selewski
Jonathan P. Troost
David Thissen
Vaughn Barry
Heather E. Gross
Darren A. DeWalt
Publicatiedatum
07-09-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2018
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1697-z

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