The PROMIS satisfaction with social participation measures demonstrated responsiveness in diverse clinical populations

Abstract

Objectives: To conduct a longitudinal evaluation of Patient-Reported Outcomes Measurement Information System (PROMIS) social function measures (satisfaction with participation in social roles and satisfaction with participation in discretionary social activities) in English-speaking people with chronic health conditions.

Study design and setting: Adults receiving treatment for chronic heart failure (CHF), chronic obstructive pulmonary disease (COPD), chronic back pain, or depression completed PROMIS computer-based measures of social health at two time points approximately 3 months apart and global ratings of change. Linear mixed effects models and standardized response means were estimated for the two social function measures.

Results: A total of 599 people participated: 79 with stable COPD, 46 COPD exacerbation, 60 with CHF, 196 with depression, and 218 with back pain. Four groups experienced improvement over time, one (COPD stable) changed very little. Those who reported better global ratings of change in overall health experienced larger changes in social function than those who reported the same or worse global health.

Conclusion: This study provided support for responsiveness to change for two PROMIS social function measures. These results provide further evidence of the PROMIS goal to enable comparable measurement of universally relevant symptoms and experiences that apply to people with a variety of diseases.

Keywords: Chronic disease; Linear models; PROMIS; Patient-reported outcomes; Responsiveness; Social function; Social health.

Conflict of interest statement

CONFLICT OF INTEREST

Elizabeth A. Hahn: None

Jennifer L. Beaumont: None

Paul A. Pilkonis: None

Sofia F. Garcia: None

Susan Magasi: None

Darren A. DeWalt is an unpaid member of the board of directors of the PROMIS Health

David Cella is an unpaid member of the board of directors and officer of the PROMIS Health Organization

Copyright © 2016 Elsevier Inc. All rights reserved.

Figures

Figure 1

PROMIS Satisfaction with Social Participation in Different Clinical Groups over Time Higher scores indicate more satisfaction with participation. A T-score of 50 reflects the mean (and 10 the standard deviation) in the US general population sample that was used to center the T-scores.Abbreviations: COPD, chronic obstructive pulmonary disease; CHF, chronic heart failure.