Development of Short Forms From the PROMIS™ Sleep Disturbance and Sleep-Related Impairment Item Banks

Department of Psychiatry, University of Pittsburgh School of Medicine, USA.
Behavioral Sleep Medicine (Impact Factor: 2.34). 12/2011; 10(1):6-24. DOI: 10.1080/15402002.2012.636266
Source: PubMed


This article reports on the development of short forms from the Patient-Reported Outcomes Measurement Information System (PROMIS™) Sleep Disturbance (SD) and Sleep-Related Impairment (SRI) item banks. Results from post-hoc computerized adaptive testing (CAT) simulations, item discrimination parameters, item means, and clinical judgments were used to select the best-performing 8 items for SD and SRI. The final 8-item short forms provided less test information than the corresponding full banks, but correlated strongly with the longer forms. The short forms had greater measurement precision than the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS), as indicated by larger test information values across the continuum of severity, despite having fewer total items--a major advantage for both research and clinical settings.

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    • "The PROMIS had been validated in several languages (for detailed information, see including English, French and Spanish (internal consistency: >0.9; construct validity: product-moment correlations ≥ 0.96) (Buysse et al., 2010; Yu et al., 2011). A total score ranging from 0 to 2 was obtained by summing up the answers to the two questions, a score of 1 or more indicating the presence of sleep disturbance. "
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    • "), sleep disturbance in the previous four weeks was assessed through two single questions scored on a 4- point scale (0 for favourable answers, 1 for unfavourable answers) (Yu et al., 2011). The PROMIS has been validated in several languages, including English, French and Spanish (construct validity: product-moment correlations ≥ 0.96), (for detailed information, see "
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    • "By using the touch screen, responses could be made in a few minutes. Before bedtime, subjects were asked to fill out the Patient Health Questionnaire (PHQ-15 for somatization; Kroenke et al., 2002) and, upon awakening, the PROMIS Sleep Disturbance-Short Form (Yu et al., 2011), both implemented on the same Android phone. "
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