Can Patient-Reported Outcomes Measurement Information System® (PROMIS) measures accurately enhance understanding of acceptable symptoms and functioning in primary care?

Journal of Patient-Reported Outcomes

Table 3 T-score thresholds^a accuracy at intake (n = 360), 3–14 day follow-up (n = 230), and 45–60 day follow-up (n = 227)

PROMIS Measure	Optimal			½ SD worse		1 SD worse
PROMIS Measure	Threshold	Accuracy,%	Sn, Sp	Accuracy,%	Sn, Sp	Accuracy,%	Sn, Sp
Physical Function
intake	42.9	71.7	0.71, 0.77	67.2	0.59, 0.83	*73.0*	0.80, 0.65
3–14 day	41.6	76.5	0.74, 0.79	70.4	0.59, 0.87	*73.9*	0.78, 0.68
45–60 day	41.4	76.2	0.76, 0.79	70.9	0.61, 0.88	*75.4*	0.78, 0.74
Self-Efficacy for Managing Symptoms
intake	45.4	73.6	0.71, 0.79	*73.4*	0.72, 0.77	65.5	0.88, 0.35
3–14 day	46.1	79.1	0.83, 0.74	*75.7*	0.84, 0.64	65.7	0.96, 0.24
45–60 day	47.3	77.5	0.77, 0.80	*75.8*	0.84, 0.66	67.4	0.94, 0.30
Pain Interference
intake	57.8	73.6	0.76, 0.73	70.3	0.63, 0.84	*72.2*	0.81, 0.61
3–14 day	55.9	76.0	0.74, 0.78	75.7	0.73, 0.79	*75.7*	0.86, 0.62
45–60 day	56.1	75.5	0.77, 0.81	74.3	0.71, 0.82	*76.5*	0.88, 0.62
Fatigue
intake	57.1	73.6	0.78, 0.68	*69.7*	0.68, 0.73	72.5	0.88, 0.52
3–14 day	54.6	77.9	0.81, 0.73	*77.4*	0.81, 0.72	71.7	0.92, 0.44
45–60 day	54.9	78.4	0.80, 0.79	*78.4*	0.80, 0.79	73.6	0.93, 0.47
Depression
intake	53.5	68.3	0.75, 0.60	*68.6*	0.80, 0.54	65.5	0.92, 0.29
3–14 day	50.7	71.8	0.81, 0.59	*70.0*	0.91, 0.41	63.1	0.95, 0.20
45–60 day	51.3	70.2	0.77, 0.61	*69.4*	0.90, 0.39	67.1	0.95, 0.26

Abbreviations: PROMIS Patient-Reported Outcomes Measurement Information System, SD Standard deviation, Sn Sensitivity, Sp Specificity
^aOptimal T-score thresholds listed; better overall accuracy between ½ SD worse and 1 SD worse thresholds in italics for each measure