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Research ArticleSpondyloarthritis

Reliability and Validity of Patient-reported Outcomes Measurement Information System Short Forms in Ankylosing Spondylitis

Mark C. Hwang, Alexis Ogdie, Abin Puravath and John D. Reveille
The Journal of Rheumatology August 2020, 47 (8) 1182-1188; DOI: https://doi.org/10.3899/jrheum.190201
Mark C. Hwang
From the Division of Rheumatology and Clinical Immunogenetics, Department of Internal Medicine, John P. and Kathrine G. McGovern Medical School, University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; the Division of Rheumatology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
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  • For correspondence: Mark.C.Hwang@uth.tmc.edu
Alexis Ogdie
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Abin Puravath
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John D. Reveille
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Abstract

Objective. To assess the reliability and validity in ankylosing spondylitis (AS) of selected Patient Reported Outcomes Measurement Information System (PROMIS) Short Forms (SF) developed by the US National Institutes of Health. The analysis was done across core sets and patient-identified domains of the Assessment of Spondyloarthritis international Society.

Methods. Participants in the Prospective Study of Outcomes in Ankylosing Spondylitis (PSOAS), an ongoing, prospective longitudinal observational study, completed 6 PROMIS SF assessing global health, depression, fatigue, physical function, pain intensity, and pain interference during their PSOAS visits from September 2017 to January 2019. Test-retest reliability and internal consistency were assessed using intraclass correlation coefficients and Cronbach’s alpha coefficient, respectively. PROMIS SF were compared to legacy measures collected. Construct validity was evaluated through examination of score distributions and floor effects, and through examination of the Spearman correlation coefficients between PROMIS measures and existing legacy AS measures. Discriminant validity was tested across Ankylosing Spondylitis Disease Activity Score (ASDAS) groups.

Results. Participants (n = 119) were mostly male (69%), white (81%), and with a mean (SD) age of 51 (± 15) years. Legacy measures demonstrated floor effects that were not present in PROMIS SF. Good test-retest reliability (r > 0.8) and excellent internal consistency (α > 0.9) was noted in the PROMIS SF. The 6 PROMIS SF correlated moderately to strongly [ρ 0.68 (Depression) to −0.87 (Physical Function)] with appropriate legacy measures. PROMIS scores measures worsened significantly (p < 0.05) with higher ASDAS groups.

Conclusion. This study supports the reliability and construct validity of PROMIS SF to assess AS symptoms from a single-center sample of patients with AS. Further research is needed to test responsiveness, feasibility/resource burden, and different cultural/societal contexts for patients with AS.

Key Index Terms:
  • ANKYLOSING SPONDYLITIS
  • ARTHRITIS IMPACT PATIENT REPORTED OUTCOMES
  • MEASUREMENT INSTRUMENT
  • PSYCHOMETRICS
  • SURVEYS

Footnotes

  • This project was supported by the US National Institutes of Health (NIH) PO1-AR052915. Dr. Ogdie is supported by NIH K23 AR063764, R01 AR072363, and the Rheumatology Research Foundation. Dr. Reveille is supported by the Spondyloarthritis Association of America.

  • Accepted for publication July 19, 2019.
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The Journal of Rheumatology
Vol. 47, Issue 8
1 Aug 2020
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Reliability and Validity of Patient-reported Outcomes Measurement Information System Short Forms in Ankylosing Spondylitis
Mark C. Hwang, Alexis Ogdie, Abin Puravath, John D. Reveille
The Journal of Rheumatology Aug 2020, 47 (8) 1182-1188; DOI: 10.3899/jrheum.190201

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Reliability and Validity of Patient-reported Outcomes Measurement Information System Short Forms in Ankylosing Spondylitis
Mark C. Hwang, Alexis Ogdie, Abin Puravath, John D. Reveille
The Journal of Rheumatology Aug 2020, 47 (8) 1182-1188; DOI: 10.3899/jrheum.190201
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Keywords

ANKYLOSING SPONDYLITIS
ARTHRITIS IMPACT PATIENT REPORTED OUTCOMES
MEASUREMENT INSTRUMENT
PSYCHOMETRICS
SURVEYS

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  • ARTHRITIS IMPACT PATIENT REPORTED OUTCOMES
  • MEASUREMENT INSTRUMENT
  • PSYCHOMETRICS
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