Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 May 10;7(1):44.
doi: 10.1186/s41687-023-00567-x.

Feasibility of PROMIS using computerized adaptive testing during inpatient rehabilitation

Riyad Bin Rafiq  1 , Susan Yount  2 , Sara Jerousek  3 , Elliot J Roth  4 , David Cella  2 , Mark V Albert  5   6 , Allen W Heinemann  4   7
Affiliations

Feasibility of PROMIS using computerized adaptive testing during inpatient rehabilitation

Riyad Bin Rafiq et al. J Patient Rep Outcomes. .

Abstract

Background: There 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.

Methods: Patients (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.

Results: During 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.

Conclusions: The 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.

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

PubMed Disclaimer

Conflict of interest statement

The author's declared that they have no competing interests.

Figures

Fig. 1
Fig. 1
Study approach: PROMIS on pain interference, sleep disruption, anxiety, depression, illness impact positive, and illness impact negative during inpatient rehabilitation using a CAT
See this image and copyright information in PMC

References

    1. Snyder CF, Aaronson NK, Choucair AK, Elliott TE, Greenhalgh J, Halyard MY, et al. Implementing patient-reported outcomes assessment in clinical practice: a review of the options and considerations. Qual Life Res. 2012;21:1305–1314. doi: 10.1007/s11136-011-0054-x. - DOI - PubMed
    1. Marshall S, Haywood K, Fitzpatrick R. Impact of patient-reported outcome measures on routine practice: a structured review. J Eval Clin Pract. 2006;12:559–568. doi: 10.1111/j.1365-2753.2006.00650.x. - DOI - PubMed
    1. Chung AE, Basch EM. Incorporating the patient’s voice into electronic health records through patient-reported outcomes as the “review of systems”. J Am Med Inform Assoc. 2015 doi: 10.1093/jamia/ocu007. - DOI - PMC - PubMed
    1. Selby P, Velikova G. Taking patient reported outcomes centre stage in cancer research—why has it taken so long? Res Involv Engagem. 2018 doi: 10.1186/s40900-018-0109-z. - DOI - PMC - PubMed
    1. Santana MJ, Haverman L, Absolom K, Takeuchi E, Feeny D, Grootenhuis M, et al. Training clinicians in how to use patient-reported outcome measures in routine clinical practice. Qual Life Res. 2015;24:1707–1718. doi: 10.1007/s11136-014-0903-5. - DOI - PubMed

Publication types

LinkOut - more resources