Integrating PROMIS® computerized adaptive tests into a web-based intervention for prostate cancer

Rina S. Fox, Patricia I. Moreno, Betina Yanez, Ryne Estabrook, Jessica Thomas, Laura C. Bouchard, Heather L. McGinty, David C. Mohr, Mark J. Begale, Sarah C. Flury, Kent T. Perry, Shilajit D. Kundu, Frank J. Penedo*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Objective: This study outlined the implementation and feasibility of delivering PROMIS® computer adaptive tests (CATs) using a web-based method to evaluate the impact of a technological adaptation of Cognitive-Behavioral Stress Management (CBSM) on the psychosocial functioning of men with advanced prostate cancer (APC) undergoing hormone therapy. Method: Patients were randomized to a CBSM group intervention (n 95) or a health promotion (HP) attention-matched control condition (n 97). Participants attended all sessions via video conference using tablets, and completed PROMIS® computer adaptive tests (CATs) assessing anxiety, depression, fatigue, pain interference, and physical function weekly during the 10-week intervention. Results: Assessment completion rates <50% at week 1 and week 10 demonstrated moderate feasibility of repeatedly administering PROMIS® CATs using a web-based method. Multilevel modeling demonstrated no significant group-by-time interactions from week 1 to week 10 for any of the assessed PROMIS® domains adjusting for sociodemographic and medical covariates. However, simple effects demonstrated decreases in PROMIS® anxiety scores from week 1 to 10 for both groups. Results also demonstrated significant relationships of medical variables to psychosocial functioning across time points. Conclusions: Results highlight the feasibility and benefits of utilizing PROMIS® CATs to repeatedly assess psychosocial functioning using a web-based method and indicate that web-based interventions may be effective for decreasing psychosocial distress and adverse symptoms among men with APC undergoing hormone therapy.

Original languageEnglish (US)
Pages (from-to)403-409
Number of pages7
JournalHealth Psychology
Issue number5
StatePublished - May 1 2019


  • Distress
  • E-Health
  • Prostate cancer
  • Psychosocial

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health


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