Measuring social health in the patient-reported outcomes measurement information system (PROMIS): item bank development and testing.

Journal Article (Journal Article)

PURPOSE: To develop a social health measurement framework, to test items in diverse populations and to develop item response theory (IRT) item banks. METHODS: A literature review guided framework development of Social Function and Social Relationships sub-domains. Items were revised based on patient feedback, and Social Function items were field-tested. Analyses included exploratory factor analysis (EFA), confirmatory factor analysis (CFA), two-parameter IRT modeling and evaluation of differential item functioning (DIF). RESULTS: The analytic sample included 956 general population respondents who answered 56 Ability to Participate and 56 Satisfaction with Participation items. EFA and CFA identified three Ability to Participate sub-domains. However, because of positive and negative wording, and content redundancy, many items did not fit the IRT model, so item banks do not yet exist. EFA, CFA and IRT identified two preliminary Satisfaction item banks. One item exhibited trivial age DIF. CONCLUSION: After extensive item preparation and review, EFA-, CFA- and IRT-guided item banks help provide increased measurement precision and flexibility. Two Satisfaction short forms are available for use in research and clinical practice. This initial validation study resulted in revised item pools that are currently undergoing testing in new clinical samples and populations.

Full Text

Duke Authors

Cited Authors

  • Hahn, EA; Devellis, RF; Bode, RK; Garcia, SF; Castel, LD; Eisen, SV; Bosworth, HB; Heinemann, AW; Rothrock, N; Cella, D; PROMIS Cooperative Group,

Published Date

  • September 2010

Published In

Volume / Issue

  • 19 / 7

Start / End Page

  • 1035 - 1044

PubMed ID

  • 20419503

Pubmed Central ID

  • PMC3138729

Electronic International Standard Serial Number (EISSN)

  • 1573-2649

Digital Object Identifier (DOI)

  • 10.1007/s11136-010-9654-0


  • eng

Conference Location

  • Netherlands