Validity of Biopsychosocial Patient-Reported Outcomes and Their Usefulness to Physical Therapists.

Background: Strategies vary for identifying when mental and social health domains are important clinically, partly to address the risk of persistent symptoms. Purpose: This study assessed the concurrent validity of a set of 7 Patient-Reported Outcome Measurement Information System (PROMIS) with a va...

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Published in:Orthopedic Physical Therapy Practice Vol. 37; no. 1; pp. 21 - 30
Main Authors: Houck, Jeff, Dobler, Rebecca, Kang, Dan, Hoekstra, Chris
Format: research tables/charts Journal Article
Published: Orthopaedic Section, APTA, Inc. 2025
Online Access:View this record in EBSCOhost
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      dt: 2025
      vid: 37
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      pid: 38232
      pub: Orthopaedic Section, APTA, Inc.
      place: La Crosse, Wisconsin
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        atl: Validity of Biopsychosocial Patient-Reported Outcomes and Their Usefulness to Physical Therapists.
      aug:
        au:
          Houck, Jeff
          Dobler, Rebecca
          Kang, Dan
          Hoekstra, Chris
        affil: University of Rochester, Rochester, NY
      sug:
        subj:
          Instrument Validation
          Checklists Evaluation
          Psychometrics Evaluation
          Physical Therapist Attitudes
          Concurrent Validity
          Human
          Validation Studies
          Male
          Female
          Adult
          Middle Age
          Descriptive Statistics
          Linear Regression
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Strategies vary for identifying when mental and social health domains are important clinically, partly to address the risk of persistent symptoms. Purpose: This study assessed the concurrent validity of a set of 7 Patient-Reported Outcome Measurement Information System (PROMIS) with a validated multidomain measure (ie, Keele STarT Musculoskeletal (MSK)); and (2) reported physical therapist perceptions of the helpfulness of PROMIS outcomes. Methods: Orthopedic physical therapy patients completed the Keele MSK outcome and 7 PROMIS outcomes. Physical therapists rated "helpfulness" (0-10) during encounters of the PROMIS outcomes. Findings: The multivariate analysis of 88 participants showed that 3 PROMIS outcomes (Pain Interference, Self Efficacy of Symptom Management, and Fatigue) explained the most variance (r²=0.52, p<0.01) in the Keele Subgroups for Targeted Treatment for Musculoskeletal Tool (Keele MSK). Providers rated the PROMIS outcomes as "helpful" 69.5% of the time. Clinical Relevance: Single-domain PROMIS measures are a potential substitute for multidimensional outcomes. Conclusions: Single-domain PROMIS outcomes showed concurrent validity with the Keele STarT MSK Tool. Providers' perceptions suggest the PROMIS outcomes are clinically "helpful."
      pubtype: Periodical
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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