Bridging patient-reported outcomes and performance assessments in older adults: linking the Short Physical Performance Battery to the standardised PROMIS Physical Function scale.

Background Assessment of physical function, a key outcome in geriatric research, relies on either patient-reported or performance-based assessments. While several patient-reported instruments have been successfully linked to the standardised Patient-Reported Outcomes Measurement Information System (...

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Publicado en:Age & Ageing Vol. 55; no. 1; pp. 1 - 11
Autores principales: Liegl, Gregor, Brinker, Audrey Yuki, Müller-Werdan, Ursula, Heissel, Andreas, Buttgereit, Frank, Köllner, Volker, Aykac, Volkan, Schneider, Udo, Fischer, Felix H, Rose, Matthias
Formato: Artículo
Publicado: Oxford University Press / USA Jan2026
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Bridging patient-reported outcomes and performance assessments in older adults: linking the Short Physical Performance Battery to the standardised PROMIS Physical Function scale.
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          Liegl, Gregor
          Brinker, Audrey Yuki
          Müller-Werdan, Ursula
          Heissel, Andreas
          Buttgereit, Frank
          Köllner, Volker
          Aykac, Volkan
          Schneider, Udo
          Fischer, Felix H
          Rose, Matthias
        affil:
          Charité—Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Center for Patient-Centered Outcomes Research, Department of Psychosomatic Medicine, Berlin, BE, Germany
          Charité—Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Geriatrics and Medical Gerontology, Berlin, BE, GermanyEvangelisches Geriatriezentrum Berlin gGmbH, Berlin, BE, Germany
          University of Potsdam, Social and Preventive Medicine, Department of Sports and Health Sciences, Intra Faculty Unit "Cognitive Sciences", Faculty of Human Science and Faculty of Health Sciences Brandenburg, Research Area Services Research and e-Health, Potsdam, BB, GermanySport-Gesundheitspark Berlin e.V., Centre for Sports Medicine, Berlin, BE, Germany
          Charite—Universitatsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Rheumatology and Clinical Immunology, Berlin, BE, GermanyDeutsches Rheuma-Forschungszentrum Berlin, Berlin, BE, Germany
          Rehabilitation Clinic Seehof, Department of Psychosomatic Medicine, Teltow, BB, Germany
          Charite—Universitatsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Rheumatology and Clinical Immunology, Berlin, BE, Germany
      su:
        Cross-sectional method
        Self-evaluation
        Age distribution
        Aging
        Physical fitness
        Quality of life
        Activities of daily living
        Old age
        Pearson correlation (Statistics)
        Statistical models
        Predictive tests
        Research funding
        Questionnaires
        Descriptive statistics
        Longitudinal method
        Geriatric assessment
        Research
        Research methodology
        Health outcome assessment
        Body movement
        Comparative studies
        Data analysis software
        Exercise tests
        Comorbidity
        Physical activity
      sug:
        subj:
          Cross-sectional method
          Self-evaluation
          Age distribution
          Aging
          Physical fitness
          Quality of life
          Activities of daily living
          Old age
          Fitness and Recreational Sports Centers
          Pearson correlation (Statistics)
          Statistical models
          Predictive tests
          Research funding
          Questionnaires
          Descriptive statistics
          Longitudinal method
          Geriatric assessment
          Research
          Research methodology
          Health outcome assessment
          Body movement
          Comparative studies
          Data analysis software
          Exercise tests
          Comorbidity
          Physical activity
      keyword:
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        https://dx.doi.org/10.1093/ageing/afaf375
        inLanguage:en
        older adult
        older people
        patient self-report
        patient-reported outcomes
        physical function
        physical performance
        PROMIS
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/41603515/
        short physical performance battery
        SPPB
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        https://dx.doi.org/10.1093/ageing/afaf375
        inLanguage:en
        older adult
        older people
        patient self-report
        patient-reported outcomes
        physical function
        physical performance
        PROMIS
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/41603515/
        short physical performance battery
        SPPB
      ab: Background Assessment of physical function, a key outcome in geriatric research, relies on either patient-reported or performance-based assessments. While several patient-reported instruments have been successfully linked to the standardised Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function scale, commonly used performance-based tools, such as the Short Physical Performance Battery (SPPB), remain uncalibrated to this scale. This lack of standardisation limits interpretability, comparability, and integration of physical function data across instruments, studies, and clinical settings. Objective To link SPPB scores to the PROMIS Physical Function T-score metric in older adults. Methods This analysis is part of the Standardizing-PF project, a prospectively designed cross-sectional study examining the possibility of mapping patient-reported and performance-based assessments onto a common scale. In the present study, 556 older adults (mean age 74 years) from different clinical and community-based settings subsequently completed a generic 20-item PROMIS Physical Function short form (PROMIS-PF20a) and the SPPB. Assumptions of item response theory modelling were investigated. We estimated a unidimensional item response theory-based linking model and derived cross-walks to convert SPPB scores into standardised PROMIS PF T-scores. Results SPPB and PROMIS-PF20a were highly correlated (latent correlation = 0.89); assumptions of item response theory modelling were fulfilled. After linking, agreement between observed and linked T-scores was stable across several subsamples. Conclusions The SPPB can be meaningfully linked to the PROMIS PF T-score metric, enabling standardised interpretation, comparison, and aggregation of performance-based and self-reported physical function in older adults. We provide a user-friendly score cross-walk table to facilitate application in clinical practise and standardisation in geriatric research.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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