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Published on: February 11, 2017
PROMIS Pediatric Anger Scale: an item response theory analysis
Debra E Irwin1, Brian D Stucky, Michelle M Langer
1Department of Epidemiology, CB #7295, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. dirwin@email.unc.edu
Insights
The Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Anger Scale was developed and validated. This new six-item scale effectively measures anger in children aged 8-17 for clinical research.
Area of Science:
- Psychometrics
- Pediatric Health
- Outcome Measurement
Background:
- The Patient-Reported Outcomes Measurement Information System (PROMIS) develops patient-reported outcome (PRO) instruments for clinical research.
- The PROMIS pediatrics project focuses on developing PROs for children aged 8-17 across various health domains.
Purpose of the Study:
- To evaluate the psychometric properties of the PROMIS Pediatric Anger Scale.
- To develop a reliable and valid measure of anger in pediatric populations.
Main Methods:
- A total of 759 participants (ages 8-17) were recruited from diverse settings.
- Confirmatory factor analysis (CFA) assessed scale dimensionality and local dependence.
- Item response theory (IRT) analyses were used to refine the scale and create a short form.
Main Results:
- CFA confirmed the unidimensionality of the anger items.
- Items with local dependence were removed, resulting in a six-item short form.
- IRT analyses provided scaled scores and conditional standard errors for the PROMIS Pediatric Anger Scale, version 1.0.
Conclusions:
- The study successfully calibrated anger items and established the PROMIS Pediatric Anger Scale, version 1.0.
- This validated scale provides a valuable tool for assessing anger in pediatric clinical research.
Purpose:
The Patient-Reported Outcomes Measurement Information System (PROMIS) aims to develop patient-reported outcome (PROs) instruments for use in clinical research. The PROMIS pediatrics (ages 8-17) project focuses on the development of PROs across several health domains (physical function, pain, fatigue, emotional distress, social role relationships, and asthma symptoms). The objective of the present study was to report on the psychometric properties of the PROMIS Pediatric Anger Scale.
Methods:
Participants (n = 759) were recruited from public school settings, hospital-based outpatient, and subspecialty pediatrics clinics. The anger items (k = 10) were administered on one test form. A hierarchical confirmatory factor analytic model (CFA) was conducted to evaluate scale dimensionality and local dependence. Item response theory (IRT) analyses were then used to finalize the item scale and short form.
Results:
CFA confirmed that the anger items are representative of a unidimensional scale, and items with local dependence were removed, resulting in a six-item short form. The IRT-scaled scores from summed scores and each score's conditional standard error were calculated for the new six-item PROMIS Pediatric Anger Scale.
Conclusions:
This study provides initial calibrations of the anger items and creates the PROMIS Pediatric Anger Scale, version 1.0.
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