Feasibility of PROMIS using computerized adaptive testing during inpatient rehabilitation

Journal of Patient-Reported Outcomes

Research

Sara Jerousek¹  Riyad Bin Rafiq²  Mark V. Albert³  Susan Yount⁴  David Cella⁴  Elliot J. Roth⁵  Allen W. Heinemann⁶ 

[1] Ann & Robert H. Lurie Children’s Hospital, Chicago, USA;Department of Computer Science and Engineering, University of North Texas, 76201, Denton, TX, USA;Department of Computer Science and Engineering, University of North Texas, 76201, Denton, TX, USA;Department of Biomedical Engineering, University of North Texas, Denton, USA;Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Evanston, USA;Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Evanston, USA;Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Evanston, USA;Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, USA;

关键词: Patient-reported outcomes (PROs);    Inpatient rehabilitation;    Computerized adaptive testing (CAT);    Patient-reported outcomes measurement information system (PROMIS);   

DOI  :  10.1186/s41687-023-00567-x

 received in 2021-12-10, accepted in 2023-02-21,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThere has been an increased significance on patient-reported outcomes in clinical settings. We aimed to evaluate the feasibility of administering patient-reported outcome measures by computerized adaptive testing (CAT) using a tablet computer with rehabilitation inpatients, assess workload demands on staff, and estimate the extent to which rehabilitation inpatients have elevated T-scores on six Patient Reported Outcomes Measurement Information System® (PROMIS®) measures.MethodsPatients (N = 108) with stroke, spinal cord injury, traumatic brain injury, and other neurological disorders participated in this study. PROMIS computerized adaptive tests (CAT) were administered via a web-based platform. Summary scores were calculated for six measures: Pain Interference, Sleep Disruption, Anxiety, Depression, Illness Impact Positive, and Illness Impact Negative. We calculated the percent of patients with T-scores equivalent to 2 standard deviations or greater above the mean.ResultsDuring the first phase, we collected data from 19 of 49 patients; of the remainder, 61% were not available or had cognitive or expressive language impairments. In the second phase of the study, 40 of 59 patients participated to complete the assessment. The mean PROMIS T-scores were in the low 50 s, indicating an average symptom level, but 19–31% of patients had elevated T-scores where the patients needed clinical action.ConclusionsThe study demonstrated that PROMIS assessment using a CAT administration during an inpatient rehabilitation setting is feasible with the presence of a research staff member to complete PROMIS assessment.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 22