TY - JOUR
T1 - Testing the PROMIS® Depression measures for monitoring depression in a clinical sample outside the US
AU - on behalf of the INSAyD investigators
AU - Vilagut, Gemma
AU - Forero, Carlos García
AU - Adroher, N. D.
AU - Olariu, E.
AU - Cella, D.
AU - Alonso, Jordi
AU - Álvarez, Pilar
AU - Castro-Rodriguez, José Ignacio
AU - Martín-López, Luis Miguel
AU - Campillo, Maite
AU - Abellanas, Lina
AU - Garnier, Carrie
AU - Más, Maria Rosa
AU - Reinoso, Marta
AU - Barbaglia, Gabriela
AU - Fullana, Miquel A.
AU - Maydeu, Alberto
AU - Brown, Anna
N1 - Funding Information:
We would like to thank the participating patients and health care centers who made this project possible. This study was supported by grant from Instituto de Salud Carlos III FEDER (grant references: FEDER PI10/00530 ; FEDER PI13/00506 ). Gemma Vilagut was supported by Fondo De Investigación Sanitaria . ISCIII ( ECA07/059 ).
Publisher Copyright:
© 2015 Elsevier Ltd.
PY - 2015/9/1
Y1 - 2015/9/1
N2 - The Patient Reported Outcomes Measurement Information System (PROMIS) was devised to facilitate assessment of patient self-reported health status, taking advantage of Item Response Theory. We aimed to assess measurement properties of the PROMIS Depression item bank and an 8-item static short form in a Spanish clinical sample. A three-month follow-up study of patients with active mood/anxiety symptoms (n=218) was carried out. We assessed model unidimensionality (Confirmatory Item Factor Analysis), reliability (internal consistency and Item Information Curves), and validity (convergent-discriminant with correlations; known-groups with comparison of means and effect sizes; and criterion validity with Receiver operating Characteristics (ROC) analysis). We also assessed 3-month responsiveness to change (Cohen's effect sizes (d) in stable and recovered patients). The unidimensional model showed adequate fit (CFI=0.97, RMSEA=0.08). Information Curves had reliabilities over 0.90 throughout most of the score continuum. As expected, we observed high correlations with external self-reported depression, and moderate with self-reported anxiety and clinical measures. The item bank showed an increasing severity gradient from no disorder (mean=48, SE=0.6) to depression with comorbid anxiety (mean=55.8, SE=0.4). PROMIS detected depression disorder with great accuracy according to the area under the curve (AUC=0.89). Both formats, item bank and short form, were highly responsive to change in recovered patients (d>0.7) and had small changes in stable patients (d< 0.2). The good metric properties of the Spanish PROMIS Depression measures provide further evidence of their adequacy for monitoring depression levels of patients in clinical settings. This double check of quality (within countries and populations) supports the ability of PROMIS measures for guaranteeing fair comparisons across languages and countries in specific clinical populations.
AB - The Patient Reported Outcomes Measurement Information System (PROMIS) was devised to facilitate assessment of patient self-reported health status, taking advantage of Item Response Theory. We aimed to assess measurement properties of the PROMIS Depression item bank and an 8-item static short form in a Spanish clinical sample. A three-month follow-up study of patients with active mood/anxiety symptoms (n=218) was carried out. We assessed model unidimensionality (Confirmatory Item Factor Analysis), reliability (internal consistency and Item Information Curves), and validity (convergent-discriminant with correlations; known-groups with comparison of means and effect sizes; and criterion validity with Receiver operating Characteristics (ROC) analysis). We also assessed 3-month responsiveness to change (Cohen's effect sizes (d) in stable and recovered patients). The unidimensional model showed adequate fit (CFI=0.97, RMSEA=0.08). Information Curves had reliabilities over 0.90 throughout most of the score continuum. As expected, we observed high correlations with external self-reported depression, and moderate with self-reported anxiety and clinical measures. The item bank showed an increasing severity gradient from no disorder (mean=48, SE=0.6) to depression with comorbid anxiety (mean=55.8, SE=0.4). PROMIS detected depression disorder with great accuracy according to the area under the curve (AUC=0.89). Both formats, item bank and short form, were highly responsive to change in recovered patients (d>0.7) and had small changes in stable patients (d< 0.2). The good metric properties of the Spanish PROMIS Depression measures provide further evidence of their adequacy for monitoring depression levels of patients in clinical settings. This double check of quality (within countries and populations) supports the ability of PROMIS measures for guaranteeing fair comparisons across languages and countries in specific clinical populations.
KW - Computerized adaptive testing
KW - Major depression
KW - Mental health
KW - Patient reported outcomes
KW - Validation
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U2 - 10.1016/j.jpsychires.2015.06.009
DO - 10.1016/j.jpsychires.2015.06.009
M3 - Article
C2 - 26228413
AN - SCOPUS:84937874916
SN - 0022-3956
VL - 68
SP - 140
EP - 150
JO - Journal of Psychiatric Research
JF - Journal of Psychiatric Research
ER -
