PROMIS Pediatric Pain Interference Scale: an item response theory analysis of the pediatric pain item bank.
An aim of the National Institutes of Health (NIH) Patient Reported Outcomes Measurement Information System (PROMIS) initiative is to develop item banks and computerized adaptive tests (CAT) that are applicable across a wide variety of chronic disorders. The PROMIS Pediatric Cooperative Group has concentrated on the development of pediatric self-report item banks for ages 8 through 17 years. The objective of the present study is to describe the Item Response Theory (IRT) analysis of the NIH PROMIS pediatric pain item bank and the measurement properties of the new unidimensional PROMIS Pediatric Pain Interference Scale. Test forms containing pediatric pain items were completed by a total of 3048 respondents. IRT analyses regarding scale dimensionality, item local dependence, and differential item functioning were conducted. A pain item pool was developed to yield scores on a T-score scale with a mean of 50 and standard deviation of 10. The recommended 8-item unidimensional short form for the PROMIS Pediatric Pain Interference Scale contains the item set which provides the maximum test information at the mean (50) on the T-score metric. A simulated CAT was computed that provides the most information at 5 possible score locations (30, 40, 50, 60, and 70 on the T-score metric).


CONCLUSIONS
The present study provides initial calibrations of the NIH PROMIS pediatric pain item bank and the creation of the PROMIS Pediatric Pain Interference Scale. It is anticipated that this new scale will have application in pediatric chronic and recurrent pain.
Varni
James W
JW
Department of Pediatrics, College of Medicine, Department of Landscape Architecture and Urban Planning, College of Architecture, Texas A&M University, 3137 TAMU, College Station, Texas 77843-3137, USA. jvarni@archmail.tamu.edu
Stucky
Brian D
BD
Thissen
David
D
Dewitt
Esi Morgan
EM
Irwin
Debra E
DE
Lai
Jin-Shei
JS
Yeatts
Karin
K
Dewalt
Darren A
DA
D000293:Adolescent; D002648:Child; D002908:Chronic Disease; D003198:Computer Simulation; D016208:Databases, Factual / Q000592:standards*; D059026:Diagnostic Self Evaluation; D005260:Female; D006801:Humans; D008297:Male; D009316:National Institutes of Health (U.S.); D010146:Pain / Q000175:diagnosis* / Q000523:psychology; D059408:Pain Management; D010147:Pain Measurement / Q000379:methods* / Q000592:standards; D010372:Pediatrics / Q000379:methods* / Q000592:standards; D011237:Predictive Value of Tests; D055502:Secondary Prevention; D011795:Surveys and Questionnaires / Q000592:standards; D014481:United States