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Cross-sectional validation of the PROMIS-Preference scoring system by its association with social determinants of health

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Abstract

Purpose

PROMIS-Preference (PROPr) is a generic, societal, preference-based summary score that uses seven domains from the Patient-Reported Outcomes Measurement Information System (PROMIS). This report evaluates construct validity of PROPr by its association with social determinants of health (SDoH).

Methods

An online panel survey of the US adult population included PROPr, SDoH, demographics, chronic conditions, and four other scores: the EuroQol-5D-5L (EQ-5D-5L), Health Utilities Index (HUI) Mark 2 and Mark 3, and the Short Form-6D (SF-6D). Each score was regressed on age, gender, health conditions, and a single SDoH. The SDoH coefficient represents the strength of its association to PROPr and was used to assess known-groups validity. Convergent validity was evaluated using Pearson correlations between different summary scores and Spearman correlations between SDoH coefficients from different summary scores.

Results

From 4142 participants, all summary scores had statistically significant differences for variables related to education, income, food and financial insecurity, and social interactions. Of the 42 SDoH variables tested, the number of statistically significant variables was 27 for EQ-5D-5L, 17 for HUI Mark 2, 23 for HUI Mark 3, 27 for PROPr, and 27 for SF-6D. The average SDoH coefficients were − 0.086 for EQ-5D-5L, − 0.039 for HUI Mark 2, − 0.063 for HUI Mark 3, − 0.064 for PROPr, and − 0.037 for SF-6D. Despite the difference in magnitude across the measures, Pearson correlations were 0.60 to 0.76 and Spearman correlations were 0.74 to 0.87.

Conclusions

These results provide evidence of construct validity supporting the use of PROPr monitor population health in the general US population.

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Data availability

https://osf.io/63548/

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Acknowledgements

I would like to extend my thanks to the participants in the survey without whom this work would not be possible. This work was supported by the Robert Wood Johnson Foundation (ID 74695).

Funding

This work was supported by the Robert Wood Johnson Foundation (ID 74695).

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Authors and Affiliations

  1. Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    Janel Hanmer

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JH was solely responsible for the study concept and design, acquisition of data, analysis and interpretation of data, drafting and revising, and final approval of the article to be published.

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Correspondence to Janel Hanmer.

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Hanmer, J. Cross-sectional validation of the PROMIS-Preference scoring system by its association with social determinants of health. Qual Life Res 30, 881–889 (2021). https://doi.org/10.1007/s11136-020-02691-3

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