New English and Spanish social health measures will facilitate evaluating health determinants.

Elizabeth A Hahn*, Darren A. DeWalt, Rita K. Bode, Sofia F. Garcia, Robert F. DeVellis, Helena Correia, David Cella, Cooperative Group PROMIS Cooperative Group

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

229 Scopus citations


To develop psychometrically sound, culturally relevant, and linguistically equivalent English and Spanish self-report measures of social health guided by a comprehensive conceptual model and applicable across chronic illnesses. The Patient-Reported Outcomes Measurement Information System (PROMIS) Social Health Workgroup implemented a mixed methods approach to evaluate earlier results (v1.0); expand and refine domain definitions and items; translate items into Spanish; and obtain qualitative feedback. Computer-based and paper/pencil questionnaire administration was conducted with a variety of U.S. respondent samples during 2009-2012. Analyses included exploratory factor analysis (EFA), confirmatory factor analysis (CFA), two-parameter logistic item response theory (IRT) modeling, evaluation of differential item functioning (DIF), and evaluation of criterion and construct validity. Qualitative feedback supported the conceptualization of the Social Health domain framework (Social Function and Social Relationships subcomponents). Validation testing participants (n = 2,208 English; n = 644 Spanish) were diverse in terms of gender, age, education, and ethnicity/race. EFA, CFA, and IRT identified 7 unidimensional factors with good model fit. There was no DIF by language, and good evidence of criterion and construct validity. PROMIS English and Spanish language instruments (v2.0), including computer-adaptive tests and fixed-length short forms, are publicly available for assessment of Social Function (Ability to Participate in Social Roles and Activities, and Satisfaction with Social Roles and Activities) and Social Relationships (Companionship; Emotional, Informational and Instrumental Support; and Social Isolation). Measures of social health will play a key role in applications that use ecologic (or determinants of health) models that emphasize how patients' social environments influence their health. PsycINFO Database Record (c) 2014 APA, all rights reserved.

Original languageEnglish (US)
Pages (from-to)490-499
Number of pages10
JournalHealth psychology : official journal of the Division of Health Psychology, American Psychological Association
Issue number5
StatePublished - May 2014

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Applied Psychology


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