Use of Cognitive Interviews to Adapt PROMIS Measurement Items for Spanish Speakers Living with HIV

Purpose. To use cognitive interviewing techniques to assess comprehension of existing Patient-Reported Outcomes Measurement Information System (PROMIS) items among Latinos living with HIV and then refine items based on participant feedback. Methods. Latino monolingual Spanish speakers living with HI...

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Main Authors: R. Solorio, N. C. Ayala, E. Paez, A. M. Skalicky, L. S. Morales
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:AIDS Research and Treatment
Online Access:http://dx.doi.org/10.1155/2016/8340863
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author R. Solorio
N. C. Ayala
E. Paez
A. M. Skalicky
L. S. Morales
author_facet R. Solorio
N. C. Ayala
E. Paez
A. M. Skalicky
L. S. Morales
author_sort R. Solorio
collection DOAJ
description Purpose. To use cognitive interviewing techniques to assess comprehension of existing Patient-Reported Outcomes Measurement Information System (PROMIS) items among Latinos living with HIV and then refine items based on participant feedback. Methods. Latino monolingual Spanish speakers living with HIV (n=56) participated in cognitive interviews. Items from four PROMIS domains, including depression, anxiety, fatigue, and alcohol use, were assessed for comprehension. Audiotaped interviews and handwritten notes were subjected to content analysis to identify problems specific to each instrument for each domain. Results. The assessments from the cognitive interviews identified areas for improvement in each domain. We present data on the type of items that were difficult to comprehend and provide examples for how items were refined based on participants’ and PROMIS Statistical Coordinating Center (PSCC) feedback. Six out of 48 depression items, 7 out of the 61 anxiety items, 18 out of 42 fatigue items, and 7 out of 44 alcohol use items were found to have poor comprehension. These items were refined based on participant feedback; the items were then submitted to the PSCC for additional guidance on linguistics and grammar to improve comprehension. Conclusions. Cognitive interviews may be used to enhance comprehension of PROMIS items among Latinos.
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spelling doaj-art-23c4080c610a489489ea45174de5c9a92025-02-03T07:24:50ZengWileyAIDS Research and Treatment2090-12402090-12592016-01-01201610.1155/2016/83408638340863Use of Cognitive Interviews to Adapt PROMIS Measurement Items for Spanish Speakers Living with HIVR. Solorio0N. C. Ayala1E. Paez2A. M. Skalicky3L. S. Morales4Department of Health Services, School of Public Health, University of Washington, Seattle, WA, USADepartment of Health Services, School of Public Health, University of Washington, Seattle, WA, USAOwen Clinic, University of California San Diego Medical Center, San Diego, CA, USADepartment of Health Services, School of Public Health, University of Washington, Seattle, WA, USADepartment of Health Services, School of Public Health, University of Washington, Seattle, WA, USAPurpose. To use cognitive interviewing techniques to assess comprehension of existing Patient-Reported Outcomes Measurement Information System (PROMIS) items among Latinos living with HIV and then refine items based on participant feedback. Methods. Latino monolingual Spanish speakers living with HIV (n=56) participated in cognitive interviews. Items from four PROMIS domains, including depression, anxiety, fatigue, and alcohol use, were assessed for comprehension. Audiotaped interviews and handwritten notes were subjected to content analysis to identify problems specific to each instrument for each domain. Results. The assessments from the cognitive interviews identified areas for improvement in each domain. We present data on the type of items that were difficult to comprehend and provide examples for how items were refined based on participants’ and PROMIS Statistical Coordinating Center (PSCC) feedback. Six out of 48 depression items, 7 out of the 61 anxiety items, 18 out of 42 fatigue items, and 7 out of 44 alcohol use items were found to have poor comprehension. These items were refined based on participant feedback; the items were then submitted to the PSCC for additional guidance on linguistics and grammar to improve comprehension. Conclusions. Cognitive interviews may be used to enhance comprehension of PROMIS items among Latinos.http://dx.doi.org/10.1155/2016/8340863
spellingShingle R. Solorio
N. C. Ayala
E. Paez
A. M. Skalicky
L. S. Morales
Use of Cognitive Interviews to Adapt PROMIS Measurement Items for Spanish Speakers Living with HIV
AIDS Research and Treatment
title Use of Cognitive Interviews to Adapt PROMIS Measurement Items for Spanish Speakers Living with HIV
title_full Use of Cognitive Interviews to Adapt PROMIS Measurement Items for Spanish Speakers Living with HIV
title_fullStr Use of Cognitive Interviews to Adapt PROMIS Measurement Items for Spanish Speakers Living with HIV
title_full_unstemmed Use of Cognitive Interviews to Adapt PROMIS Measurement Items for Spanish Speakers Living with HIV
title_short Use of Cognitive Interviews to Adapt PROMIS Measurement Items for Spanish Speakers Living with HIV
title_sort use of cognitive interviews to adapt promis measurement items for spanish speakers living with hiv
url http://dx.doi.org/10.1155/2016/8340863
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