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

doi:10.1037/hea0000672

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 journal › Article › peer-review

17 Scopus citations

Abstract

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 language	English (US)
Pages (from-to)	403-409
Number of pages	7
Journal	Health Psychology
Volume	38
Issue number	5
DOIs	https://doi.org/10.1037/hea0000672
State	Published - May 1 2019

Funding

This study was supported by an NCI grant (R01CA157809) awarded to Frank J. Penedo and an NCI diversity supplement awarded to Betina Yanez. Rina S. Fox, Patricia I. Moreno, and Laura C. Bouchard were supported by NIH/NCI Training Grant CA193193. Research reported in this publication was supported, in part, by the National Institutes of Health’s National Center for Advancing Translational Sciences, Grant Numbers UL1TR001422 and UL1TR000150. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. We thank Molly Hermiller, Sara M. Goetzman, Alexandra R. Susi, Luke T. Smith, and Amador Rosales for recruiting patients and collecting data and Katy Wortman for assistance with data management. We also thank the study participants for their time and contributions.

Keywords

Distress
E-Health
PROMIS®
Prostate cancer
Psychosocial

ASJC Scopus subject areas

Applied Psychology
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1037/hea0000672

Cite this

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title = "Integrating PROMIS{\textregistered} computerized adaptive tests into a web-based intervention for prostate cancer",

abstract = "Objective: This study outlined the implementation and feasibility of delivering PROMIS{\textregistered} 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{\textregistered} 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{\textregistered} 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{\textregistered} domains adjusting for sociodemographic and medical covariates. However, simple effects demonstrated decreases in PROMIS{\textregistered} 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{\textregistered} 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.",

keywords = "Distress, E-Health, PROMIS{\textregistered}, Prostate cancer, Psychosocial",

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

note = "Funding Information: This study was supported by an NCI grant (R01CA157809) awarded to Frank J. Penedo and an NCI diversity supplement awarded to Betina Yanez. Rina S. Fox, Patricia I. Moreno, and Laura C. Bouchard were supported by NIH/NCI Training Grant CA193193. Research reported in this publication was supported, in part, by the National Institutes of Health{\textquoteright}s National Center for Advancing Translational Sciences, Grant Numbers UL1TR001422 and UL1TR000150. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. We thank Molly Hermiller, Sara M. Goetzman, Alexandra R. Susi, Luke T. Smith, and Amador Rosales for recruiting patients and collecting data and Katy Wortman for assistance with data management. We also thank the study participants for their time and contributions. Publisher Copyright: {\textcopyright} 2019 American Psychological Association.",

year = "2019",

month = may,

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doi = "10.1037/hea0000672",

language = "English (US)",

volume = "38",

pages = "403--409",

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publisher = "American Psychological Association",

number = "5",

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T1 - Integrating PROMIS® computerized adaptive tests into a web-based intervention for prostate cancer

AU - Fox, Rina S.

AU - Moreno, Patricia I.

AU - Yanez, Betina

AU - Estabrook, Ryne

AU - Thomas, Jessica

AU - Bouchard, Laura C.

AU - McGinty, Heather L.

AU - Mohr, David C.

AU - Begale, Mark J.

AU - Flury, Sarah C.

AU - Perry, Kent T.

AU - Kundu, Shilajit D.

AU - Penedo, Frank J.

N1 - Funding Information: This study was supported by an NCI grant (R01CA157809) awarded to Frank J. Penedo and an NCI diversity supplement awarded to Betina Yanez. Rina S. Fox, Patricia I. Moreno, and Laura C. Bouchard were supported by NIH/NCI Training Grant CA193193. Research reported in this publication was supported, in part, by the National Institutes of Health’s National Center for Advancing Translational Sciences, Grant Numbers UL1TR001422 and UL1TR000150. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. We thank Molly Hermiller, Sara M. Goetzman, Alexandra R. Susi, Luke T. Smith, and Amador Rosales for recruiting patients and collecting data and Katy Wortman for assistance with data management. We also thank the study participants for their time and contributions. Publisher Copyright: © 2019 American Psychological Association.

PY - 2019/5/1

Y1 - 2019/5/1

N2 - 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.

AB - 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.

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

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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