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Clinimetric Criteria for Patient-Reported Outcome Measures.

Danilo Carrozzino1, Chiara Patierno1, Jenny Guidi1

  • 1Department of Psychology Renzo Canestrari, University of Bologna, Bologna, Italy.

Psychotherapy and Psychosomatics
|May 26, 2021
PubMed
Summary
This summary is machine-generated.

Clinimetrics offers a better framework for clinical measurements than traditional psychometrics. This approach provides criteria for selecting and developing patient-reported outcome measures (PROMs) for better clinical utility.

Keywords:
AssessmentClinimetricsCriteriaIndicesPatient-reported outcome measuresPsychometricsRating scalesSensitivityValidity

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Area of Science:

  • Clinical Measurement
  • Health Outcomes Research
  • Psychometrics vs. Clinimetrics

Background:

  • Patient-reported outcome measures (PROMs) assess subjective patient experiences.
  • A wide array of PROMs necessitates careful evaluation for validity and utility.
  • Existing psychometric guidelines often fall short in addressing clinical complexity and sensitivity.

Purpose of the Study:

  • To identify limitations of the traditional psychometric model for PROMs.
  • To introduce clinimetrics as a more suitable framework for clinical measurement.
  • To propose criteria for clinimetric patient-reported outcome measures (CLIPROMs).

Main Methods:

  • Critical review of reliability, sensitivity, validity, and clinical utility characteristics of measurement instruments.
  • Comparison of clinimetric and psychometric approaches to outcome measurement.
  • Analysis of how psychometric criteria may or may not align with clinimetric properties.

Main Results:

  • Psychometric theory presents limitations for clinical application, often prioritizing homogeneity over sensitivity.
  • Clinimetrics provides a more appropriate framework for evaluating and developing clinical measurement tools.
  • PROMs developed using psychometric criteria can exhibit valuable clinimetric properties.

Conclusions:

  • Clinimetric methodology is crucial for selecting appropriate PROMs in clinical settings.
  • CLIPROM criteria can guide the development of new measures and validation of existing PROMs.
  • Adopting a clinimetric approach enhances the clinical utility and relevance of patient-reported outcomes.