title: The use of focus groups in the development of the PROMIS pediatrics item bank.
abstract: OBJECTIVE
  To understand differences in perceptions of patient-reported outcome domains between children with asthma and children from the general population. We used this information in the development of patient-reported outcome items for the Patient-Reported Outcomes Measurement Information System Pediatrics project.
  
  
  METHODS
  We conducted focus groups composed of ethnically, racially, and geographically diverse youth (8-12, 13-17 years) from the general population and youth with asthma. We performed content analysis to identify important themes.
  
  
  RESULTS
  We identified five unique and different challenges that may confront youth with asthma as compared to general population youth: (1) They experience more difficulties when participating in physical activities; (2) They may experience anxiety about having an asthma attack at anytime and anywhere; (3) They may experience sleep disturbances and fatigue secondary to their asthma symptoms; (4) Their health condition has a greater effect on their emotional well-being and interpersonal relationships; and (5) Youth with asthma report that asthma often leaves them with insufficient energy to complete their school activities, especially physical activities.
  
  
  CONCLUSIONS
  The results confirm unique experiences for children with asthma across a broad range of health domains and enhance the breadth of all domains when creating an item bank.
authors.affiliation: School of Social Work, University of North Carolina at Chapel Hill, Tate-Turner-Kuralt Bldg., CB #3550, 325 Pittsboro St., Chapel Hill, NC 27599-3550, USA. tasanee.walsh@unc.edu
authors.forename: Tasanee R
authors.initials: TR
authors.lastname: Walsh
authors.forename: Debra E
authors.initials: DE
authors.lastname: Irwin
authors.forename: Andrea
authors.initials: A
authors.lastname: Meier
authors.forename: James W
authors.initials: JW
authors.lastname: Varni
authors.forename: Darren A
authors.initials: DA
authors.lastname: DeWalt
mesh_terms: D000293:Adolescent; D001249:Asthma; D002648:Child; D019992:Databases as Topic; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care / Q000379:methods*; D010372:Pediatrics; D016730:Program Development / Q000379:methods*; D011788:Quality of Life; D012650:Self Disclosure