Combining online and in-person methods to evaluate the content validity of PROMIS fatigue short forms in rheumatoid arthritis.

Purpose: Fatigue is frequent and often severe and disabling in RA, and there is no consensus on how to measure it. We used online surveys and in-person interviews to evaluate PROMIS Fatigue 7a and 8a short forms (SFs) in people with RA.Methods: We recruited people with RA from an online patient comm...

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Publicado en:Quality of Life Research Vol. 27; no. 9; pp. 2443 - 2452
Autores principales: Bartlett, S. J., Gutierrez, A. K., Butanis, A., Bykerk, V. P., Curtis, J. R., Ginsberg, S., Leong, A. L., Lyddiatt, A., Nowell, W. B., Orbai, A. M., Smith, K. C., Bingham, C. O., Bingham, C O 3rd
Formato: Journal Article
Publicado: Springer Nature Sep2018
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Combining online and in-person methods to evaluate the content validity of PROMIS fatigue short forms in rheumatoid arthritis.
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          Bartlett, S. J.
          Gutierrez, A. K.
          Butanis, A.
          Bykerk, V. P.
          Curtis, J. R.
          Ginsberg, S.
          Leong, A. L.
          Lyddiatt, A.
          Nowell, W. B.
          Orbai, A. M.
          Smith, K. C.
          Bingham, C. O.
          Bingham, C O 3rd
        affil: Center for Health Outcomes Research, McGill University, 5252 de Maisonneuve West, #3D-57, H4A 3S5, Montreal, QC, Canada
      sug:
        subj:
          Diagnosis, Psychosocial Methods
          Arthritis, Rheumatoid Complications
          Fatigue Etiology
          Education, Non-Traditional
          Female
          Male
          Reproducibility of Results
          Arthritis, Rheumatoid Pathology
          Fatigue Pathology
          Middle Age
          Quality of Life
          Middle Aged: 45-64 years
          Female
          Male
      ab: Purpose: Fatigue is frequent and often severe and disabling in RA, and there is no consensus on how to measure it. We used online surveys and in-person interviews to evaluate PROMIS Fatigue 7a and 8a short forms (SFs) in people with RA.Methods: We recruited people with RA from an online patient community (n = 200) and three academic medical centers (n = 84) in the US. Participants completed both SFs then rated the comprehensiveness and comprehensibility of the items to their fatigue experience. Cognitive debriefing of items was conducted in a subset of 32 clinic patients. Descriptive statistics were calculated, and associations were evaluated using Pearson and Spearman correlation coefficients.Results: Mean SF scores were similar (p ≥ .61) among clinic patients reflecting mild fatigue (i.e., 54.5-55.9), but were significantly higher (p < .001) in online participants. SF Fatigue scores correlated highly (r ≥ 0.82; p < .000) and moderately with patient assessments of disease activity (r ≥ 0.62; p = .000). Most (70-92%) reported that the items "completely" or "mostly" reflected their experience. Almost all (≥ 94%) could distinguish general fatigue from RA fatigue. Most (≥ 85%) rated individual items questions as "somewhat" or "very relevant" to their fatigue experience, averaged their fatigue over the past 7 days (58%), and rated fatigue impact versus severity (72 vs. 19%). 99% rated fatigue as an important symptom they considered when deciding how well their current treatment was controlling their RA.Conclusions: Results suggest that items in the single-score PROMIS Fatigue SFs demonstrate content validity and can adequately capture the wide range of fatigue experiences of people with RA.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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