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Validation of the PROMIS® measures of self-efficacy for managing chronic conditions

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Abstract

Purpose

The Patient-Reported Outcomes Measurement Information System® (PROMIS®) was designed to develop, validate, and standardize item banks to measure key domains of physical, mental, and social health in chronic conditions. This paper reports the calibration and validation testing of the PROMIS Self-Efficacy for Managing Chronic Conditions measures.

Methods

PROMIS Self-Efficacy for Managing Chronic Conditions item banks comprise five domains, Self-Efficacy for Managing: Daily Activities, Symptoms, Medications and Treatments, Emotions, and Social Interactions. Banks were calibrated in 1087 subjects from two data sources: 837 patients with chronic neurologic conditions (epilepsy, multiple sclerosis, neuropathy, Parkinson disease, and stroke) and 250 subjects from an online Internet sample of adults with general chronic conditions. Scores were compared with one legacy scale: Self-Efficacy for Managing Chronic Disease 6-Item scale (SEMCD6) and five PROMIS short forms: Global Health (Physical and Mental), Physical Function, Fatigue, Depression, and Anxiety.

Results

The sample was 57% female, mean age = 53.8 (SD = 14.7), 76% white, 21% African American, 6% Hispanic, and 76% with greater than high school education. Full-item banks were created for each domain. All measures had good internal consistency and correlated well with SEMCD6 (r  = 0.56–0.75). Significant correlations were seen between the Self-Efficacy measures and other PROMIS short forms (r  > 0.38).

Conclusions

The newly developed PROMIS Self-Efficacy for Managing Chronic Conditions measures include five domains of self-efficacy that were calibrated across diverse chronic conditions and show good internal consistency and cross-sectional validity.

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Acknowledgements

The study was funded by the National Institutes of Health, Grant 1U01AR057967-01, “Development and Validation of a Self-Efficacy Item Bank,” awarded to Lisa Shulman (Principal Investigator) and Ann Gruber-Baldini, Sergio Romero, and Craig Velozo (Co-Investigators). The results and conclusions presented in this paper are those of the authors and are independent from the funding source. The scales and item banks described in this paper are freely available at http://www.healthmeasures.net/explore-measurement-systems/promis. The authors would like to thank other members of the research team for their efforts, including Karen Anderson, MD, Barbara Resnick, RN, PhD, Melissa Armstrong, MD, Erik Barr, MS, Latasha Shoffner, BA, Katrina Schrader, BA, Rena Atayeva, BA, Yoo Jin Rhee, BA, Chih-Ying Li, Ickpyo Hong, and Maria Okafor, PhD.

Author information

Authors and Affiliations

  1. Division of Gerontology, Department of Epidemiology and Public Health, University of Maryland School of Medicine, 213 Howard Hall, 660 West Redwood Street, Baltimore, MD, 21201-1559, USA

    Ann L. Gruber-Baldini

  2. Medical University of South Carolina, Charleston, SC, USA

    Craig Velozo

  3. University of Florida, Gainesville, FL, USA

    Sergio Romero

  4. Parkinson’s Disease and Movement Disorders, Department of Neurology, University of Maryland School of Medicine, 110S. Paca Street, Rm 3-S-127, Baltimore, MD, 21201-1559, USA

    Lisa M. Shulman

Authors
  1. Ann L. Gruber-Baldini
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  2. Craig Velozo
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  4. Lisa M. Shulman
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Corresponding authors

Correspondence to Ann L. Gruber-Baldini or Lisa M. Shulman.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethics/IRB approvals

Informed consent was obtained from all individual participants included in the study. This study was approved by the Institutional review boards (IRB) of the University of Maryland (#HP-000432550), the Medical University of South Carolina (#Pro00033397), and the University of Florida (#261–2010). All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Gruber-Baldini, A.L., Velozo, C., Romero, S. et al. Validation of the PROMIS® measures of self-efficacy for managing chronic conditions. Qual Life Res 26, 1915–1924 (2017). https://doi.org/10.1007/s11136-017-1527-3

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