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PROMIS® Parent Proxy Report Scales: an item response theory analysis of the parent proxy report item banks

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Abstract

Objective

The objective of the present study is to describe the item response theory (IRT) analysis of the National Institutes of Health (NIH) Patient Reported Outcomes Measurement Information System (PROMIS®) pediatric parent proxy-report item banks and the measurement properties of the new PROMIS® Parent Proxy Report Scales for ages 8–17 years.

Methods

Parent proxy-report items were written to parallel the pediatric self-report items. Test forms containing the items were completed by 1,548 parent–child pairs. CCFA and IRT analyses of scale dimensionality and item local dependence, and IRT analyses of differential item functioning were conducted.

Results

Parent proxy-report item banks were developed and IRT parameters are provided. The recommended unidimensional short forms for the PROMIS® Parent Proxy Report Scales are item sets that are subsets of the pediatric self-report short forms, setting aside items for which parent responses exhibit local dependence. Parent proxy-report demonstrated moderate to low agreement with pediatric self-report.

Conclusions

The study provides initial calibrations of the PROMIS® parent proxy-report item banks and the creation of the PROMIS® Parent Proxy-Report Scales. It is anticipated that these new scales will have application for pediatric populations in which pediatric self-report is not feasible.

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Abbreviations

PROMIS® :

Patient Reported Outcomes Measurement Information System

FDA:

Food and drug administration

HRQOL:

Health-related quality of life

NIH:

National Institute of Health

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Acknowledgments

This work was funded by the National Institutes of Health through the NIH Roadmap for Medical Research, Grant U01AR052181. Information on the Patient-Reported Outcomes Measurement Information System (PROMIS®) can be found at http://nihroadmap.nih.gov/ and http://www.nihPROMIS.org.

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Correspondence to James W. Varni.

Appendix: item parameters and short form scoring tables

Appendix: item parameters and short form scoring tables

See Tables 4, 5, 6, 7, 8, 9, 10 and 11.

Table 4 Emotional distress item parameters
Table 5 Fatigue item parameters
Table 6 Physical functioning item parameters
Table 7 Pain interference item parameters
Table 8 Peer relations item parameters
Table 9 Asthma impact item parameters
Table 10 Scoring tables for the depressive symptoms, anxiety, anger, lack of energy, and tired parent proxy scales
Table 11 Scoring tables for the upper extremity/dexterity, mobility, pain interference, peer relations, and asthma impact parent proxy scales

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Varni, J.W., Thissen, D., Stucky, B.D. et al. PROMIS® Parent Proxy Report Scales: an item response theory analysis of the parent proxy report item banks. Qual Life Res 21, 1223–1240 (2012). https://doi.org/10.1007/s11136-011-0025-2

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