Putting CATs and item banks to work: How to construct predictive and sensitive PROMIS screeners for use in ambulatory oncology.

ABSTRACT:

Purpose

Incorporating PROMs into routine clinical care comes with numerous challenges, including pressure to move patients through office visits with brief, efficient assessments. The purpose of our study was to select and evaluate very short PROMIS screeners with full-bank simulations and predictive accuracy analysis.

Methods

We identified candidate pairs of items for PROMIS Anxiety, Depression, Pain Interference, Fatigue, and Physical Function, on the basis of frequently selected CAT items at both normal and clinical thresholds. We then simulated full-bank responses for 10,000 patients with a T-score mean of 50 in Fatigue, Depression, Pain Interference, and Anxiety, but 45 for Physical Function. We scored candidate 2-item short-form pairs, but also evaluated a 1-item scree

SUBMITTER: Schalet BD 

PROVIDER: S-EPMC12535503 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature