Customizing CAT Administration of the PROMIS Misuse of Prescription Pain Medication Item Bank for Patients with Chronic Pain.
Objective The 22-item PROMIS®-Rx Pain Medication Misuse item bank (Bank-22) imposes a high response burden. This study aimed to characterize the performance of the Bank-22 in a computer adaptive testing (CAT) setting based on varied stopping rules. Methods The 22 items were administered to 288 patie...
| Publicado en: | Pain Medicine Vol. 22; no. 7; pp. 1669 - 1676 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jul2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151633531&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151633531 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15262375 FRX jtl: Pain Medicine issn: 15262375 maglogo: N pubinfo: dt: Jul2021 vid: 22 iid: 7 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 151633531 151633531 151633531 10.1093/pm/pnab159 151633531 ppf: 1669 ppct: 7 formats: tig: atl: Customizing CAT Administration of the PROMIS Misuse of Prescription Pain Medication Item Bank for Patients with Chronic Pain. aug: au: You, Dokyoung S Cook, Karon F Domingue, Benjamin W Ziadni, Maisa S Hah, Jennifer M Darnall, Beth D Mackey, Sean C affil: Department Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine , Palo Alto, California, USA sug: subj: Computerized Adaptive Testing Chronic Pain Instrument Validation Prescriptions, Drug Pain Management Narcotics Psychometrics Human Male Female Adult Middle Age Anxiety Simulations Questionnaires Descriptive Statistics Substance Abuse Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Objective The 22-item PROMIS®-Rx Pain Medication Misuse item bank (Bank-22) imposes a high response burden. This study aimed to characterize the performance of the Bank-22 in a computer adaptive testing (CAT) setting based on varied stopping rules. Methods The 22 items were administered to 288 patients. We performed a CAT simulation using default stopping rules (CATPROMIS). In 5 other simulations, a "best health" response rule was added to decrease response burden. This rule stopped CAT administration when a participant selected "never" to a specified number of initial Bank-22 items (2–6 in this study, designated CATAlt2-Alt6). The Bank-22 and 7-item short form (SF-7) scores were compared to scores based on CATPROMIS, and the 5 CAT variations. Results Bank-22 scores correlated highly with the SF-7 and CATPROMIS, Alt5, Alt6 scores (r =0.87–0.95) and moderately with CATAlt2- Alt4 scores (r =0.63–0.74). In all CAT conditions, the greatest differences with Bank-22 scores were at the lower end of misuse T-scores. The smallest differences with Bank-22 and CATPROMIS scores were observed with CATAlt5 and CATAlt6. Compared to the SF-7, CATAlt5 and CATAlt6 reduced overall response burden by about 42%. Finally, the correlations between PROMIS-Rx Misuse and Anxiety T-scores remained relatively unchanged across the conditions (r =0.31–0.43, Ps <.001). Conclusions Applying a stopping rule based on number of initial "best health" responses reduced response burden for respondents with lower levels of misuse. The tradeoff was less measurement precision for those individuals, which could be an acceptable tradeoff when the chief concern is in discriminating higher levels of misuse. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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