Measurement Properties of Patient Reported Outcome Scales: A Systematic Review

Recently a standard set for overall pediatric health outcomes in routine care was developed, which includes patient (or proxy) reported outcome measures (PROMs) for global health, cognitive functioning, and self-efficacy. To determine whether the following PROMs have sufficient measurement propertie...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2023-08, Vol.152 (2), p.1
Main Authors: Stallwood, Emma, Elsman, Ellen B M, Monsour, Andrea, Baba, Ami, Butcher, Nancy J, Offringa, Martin
Format: Article
Language:English
Subjects:
Cognitive ability
Patients
Pediatrics
Public health
Systematic review
Validity
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Summary:Recently a standard set for overall pediatric health outcomes in routine care was developed, which includes patient (or proxy) reported outcome measures (PROMs) for global health, cognitive functioning, and self-efficacy. To determine whether the following PROMs have sufficient measurement properties to be used in pediatric routine care: PROMIS Pediatric and Parent Proxy Scale - Global Health 7+2, PROMIS Parent Proxy Short Form - Cognitive Function 7a, and NIH Toolbox Self-Efficacy CAT Ages 13 to 17. Embase, Psych INFO, and Web of Science were searched from year of inception of each PROM to May 25, 2020; Medline to October 24, 2022. English, full-text peer-reviewed articles that evaluated measurement properties of included PROMs were eligible. The COSMIN guideline for systematic reviews was used to appraise eligible studies and synthesize the overall evidence. Screening >4000 titles yielded 4 to 6 eligible empirical studies for each PROM. The PROMIS instruments had sufficient content validity with low-quality evidence and at least low-quality evidence for sufficient structural validity and internal consistency. The NIH Toolbox lacked essential evidence for content validity. Assessments of measurement properties were based on information reported in the included studies; underreporting might have led to less favorable ratings. The PROMIS instruments assessed in this review measure their intended construct for their targeted age group; clinicians can use these PROMs in pediatric routine care. Additional studies evaluating measurement properties, including content validity, are needed for the NIH Toolbox before it should be recommended for use in clinical practice.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2023-061489