Emanuele M Giusti, Leonardo Pellicciari, Martine H P Crins, Paul Dekker, Martin van der Esch, Marike van der Leeden, Willem F Lems, Joost Dekker, Maarten Boers, Dirkjan van Schaardenburg, Johan Joly, Patrick Verschueren, Kristien Van der Elst, Rene Westhovens, Caroline B Terwee, Leo D Roorda
{"title":"患者报告结果测量信息系统量表v1.2全球健康（promisl - gh）可用于评估慢性肌肉骨骼疼痛、类风湿性关节炎、髋关节/膝关节骨关节炎或接受物理治疗的患者的身心健康状况：因素和项目反应理论分析的结果。","authors":"Emanuele M Giusti, Leonardo Pellicciari, Martine H P Crins, Paul Dekker, Martin van der Esch, Marike van der Leeden, Willem F Lems, Joost Dekker, Maarten Boers, Dirkjan van Schaardenburg, Johan Joly, Patrick Verschueren, Kristien Van der Elst, Rene Westhovens, Caroline B Terwee, Leo D Roorda","doi":"10.1002/acr.25674","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aims to assess whether the 10-item Patient-Reported Outcomes Measurement Information System Scale v1.2-Global Health (PROMIS-GH) is useful to assess Global Mental Health (GMH) and Global Physical Health (GPH) in individuals with musculoskeletal disorders.</p><p><strong>Methods: </strong>PROMIS-GH was administered to 4295 individuals (mean±SD age 56±14y, 70% female, chronic musculoskeletal pain [n=1142], rheumatoid arthritis [n=1987], hip/knee osteoarthritis [n=418], undergoing physiotherapy [n=947]). We investigated the legitimacy of calculating a GMH and a GPH subscale score (Confirmatory Factor Analyses) and of converting raw ordinal subscale scores to interval scores (checking IRT-assumptions [unidimensionality, local independence, monotonicity] and Graded Response Model fit), the ability of the subscales to discriminate different levels of health (items' discrimination parameters α), to cover relevant range of GMH and GPH (range of difficulty parameters β), their precision (item- and subscale-level information), and to compare demographical and clinical subgroups (Differential Item Functioning [DIF]).</p><p><strong>Results: </strong>It is legitimate to calculate a GMH and a GPH subscale score (CFI=0.98/0.97, TLI=0.97/0.95, RMSEA=0.15/0.19, SRMR=0.05/0.07), and to convert raw scores to interval scores (IRT-assumptions met and model fit). Discrimination (items' α≥2), coverage (lowest β≤-2) and precision (reliability≥0.70 for large portions of the health domain) were adequate for all items, except item Global10, underscoring that they can distinguish individuals with different levels of GMH and GPH with precision. The subscales can be used to compare demographical and clinical subgroups (no DIF).</p><p><strong>Conclusion: </strong>The PROMIS-GH can be used to measure GMH and GPH in individuals with musculoskeletal disorders. Replacement or improvement of item Global10 could be considered.</p>","PeriodicalId":8406,"journal":{"name":"Arthritis Care & Research","volume":" ","pages":""},"PeriodicalIF":3.3000,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Patient-Reported Outcomes Measurement Information System scale v1.2 Global Health (PROMIS-GH) is useful to assess mental and physical health in individuals with chronic musculoskeletal pain, rheumatoid arthritis, hip/knee osteoarthritis, or people undergoing physiotherapy: Results of factor and item response theory analyses.\",\"authors\":\"Emanuele M Giusti, Leonardo Pellicciari, Martine H P Crins, Paul Dekker, Martin van der Esch, Marike van der Leeden, Willem F Lems, Joost Dekker, Maarten Boers, Dirkjan van Schaardenburg, Johan Joly, Patrick Verschueren, Kristien Van der Elst, Rene Westhovens, Caroline B Terwee, Leo D Roorda\",\"doi\":\"10.1002/acr.25674\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aims to assess whether the 10-item Patient-Reported Outcomes Measurement Information System Scale v1.2-Global Health (PROMIS-GH) is useful to assess Global Mental Health (GMH) and Global Physical Health (GPH) in individuals with musculoskeletal disorders.</p><p><strong>Methods: </strong>PROMIS-GH was administered to 4295 individuals (mean±SD age 56±14y, 70% female, chronic musculoskeletal pain [n=1142], rheumatoid arthritis [n=1987], hip/knee osteoarthritis [n=418], undergoing physiotherapy [n=947]). We investigated the legitimacy of calculating a GMH and a GPH subscale score (Confirmatory Factor Analyses) and of converting raw ordinal subscale scores to interval scores (checking IRT-assumptions [unidimensionality, local independence, monotonicity] and Graded Response Model fit), the ability of the subscales to discriminate different levels of health (items' discrimination parameters α), to cover relevant range of GMH and GPH (range of difficulty parameters β), their precision (item- and subscale-level information), and to compare demographical and clinical subgroups (Differential Item Functioning [DIF]).</p><p><strong>Results: </strong>It is legitimate to calculate a GMH and a GPH subscale score (CFI=0.98/0.97, TLI=0.97/0.95, RMSEA=0.15/0.19, SRMR=0.05/0.07), and to convert raw scores to interval scores (IRT-assumptions met and model fit). Discrimination (items' α≥2), coverage (lowest β≤-2) and precision (reliability≥0.70 for large portions of the health domain) were adequate for all items, except item Global10, underscoring that they can distinguish individuals with different levels of GMH and GPH with precision. The subscales can be used to compare demographical and clinical subgroups (no DIF).</p><p><strong>Conclusion: </strong>The PROMIS-GH can be used to measure GMH and GPH in individuals with musculoskeletal disorders. Replacement or improvement of item Global10 could be considered.</p>\",\"PeriodicalId\":8406,\"journal\":{\"name\":\"Arthritis Care & Research\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2025-10-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Arthritis Care & Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/acr.25674\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"RHEUMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthritis Care & Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/acr.25674","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"RHEUMATOLOGY","Score":null,"Total":0}
The Patient-Reported Outcomes Measurement Information System scale v1.2 Global Health (PROMIS-GH) is useful to assess mental and physical health in individuals with chronic musculoskeletal pain, rheumatoid arthritis, hip/knee osteoarthritis, or people undergoing physiotherapy: Results of factor and item response theory analyses.
Objective: This study aims to assess whether the 10-item Patient-Reported Outcomes Measurement Information System Scale v1.2-Global Health (PROMIS-GH) is useful to assess Global Mental Health (GMH) and Global Physical Health (GPH) in individuals with musculoskeletal disorders.
Methods: PROMIS-GH was administered to 4295 individuals (mean±SD age 56±14y, 70% female, chronic musculoskeletal pain [n=1142], rheumatoid arthritis [n=1987], hip/knee osteoarthritis [n=418], undergoing physiotherapy [n=947]). We investigated the legitimacy of calculating a GMH and a GPH subscale score (Confirmatory Factor Analyses) and of converting raw ordinal subscale scores to interval scores (checking IRT-assumptions [unidimensionality, local independence, monotonicity] and Graded Response Model fit), the ability of the subscales to discriminate different levels of health (items' discrimination parameters α), to cover relevant range of GMH and GPH (range of difficulty parameters β), their precision (item- and subscale-level information), and to compare demographical and clinical subgroups (Differential Item Functioning [DIF]).
Results: It is legitimate to calculate a GMH and a GPH subscale score (CFI=0.98/0.97, TLI=0.97/0.95, RMSEA=0.15/0.19, SRMR=0.05/0.07), and to convert raw scores to interval scores (IRT-assumptions met and model fit). Discrimination (items' α≥2), coverage (lowest β≤-2) and precision (reliability≥0.70 for large portions of the health domain) were adequate for all items, except item Global10, underscoring that they can distinguish individuals with different levels of GMH and GPH with precision. The subscales can be used to compare demographical and clinical subgroups (no DIF).
Conclusion: The PROMIS-GH can be used to measure GMH and GPH in individuals with musculoskeletal disorders. Replacement or improvement of item Global10 could be considered.
期刊介绍：
Arthritis Care & Research, an official journal of the American College of Rheumatology and the Association of Rheumatology Health Professionals (a division of the College), is a peer-reviewed publication that publishes original research, review articles, and editorials that promote excellence in the clinical practice of rheumatology. Relevant to the care of individuals with rheumatic diseases, major topics are evidence-based practice studies, clinical problems, practice guidelines, educational, social, and public health issues, health economics, health care policy, and future trends in rheumatology practice.
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