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Developing a validity testing plan for a patient-reported outcome measure in a new context using the argument-based
Scott W Gill1,2, Christina Cheng3,4, Julia Bowman3,4
1Global Health and Equity Development Hub, La Trobe University, Melbourne, Australia. scott.gill@latrobe.edu.au.
This study details the argument-based approach for ensuring the validity of health-related measures, like Patient-Reported Outcome Measures (PROMs). It provides a practical example for testing the Health Literacy Questionnaire (HLQ) in a new setting.
Area of Science:
- Health Measurement
- Psychometrics
- Health Services Research
Background:
- Patient-Reported Outcome Measures (PROMs) are crucial in healthcare for various applications.
- Validity ensures that PROM score interpretations are evidence-based for specific uses and contexts.
- The argument-based approach offers a structured method for validity testing, but practical examples are scarce.
Purpose of the Study:
- To describe the phases and steps of the argument-based validity approach.
- To provide a practical worked example of applying this approach to a health literacy PROM.
- To develop a validity testing plan for the Health Literacy Questionnaire (HLQ) in the New South Wales prison context.
Main Methods:
- Systematic description of the argument-based validity framework.
- Development of a validity testing plan using a case study.
- Identification of assumptions, evidence needs, and methodological options for validity testing.
Main Results:
- The commentary outlines a practical approach to validity testing for PROMs.
- A detailed plan is presented for assessing the validity of the HLQ in a specific new context (NSW prisons).
- The process emphasizes identifying and investigating underpinning assumptions for score interpretation.
Conclusions:
- The argument-based approach provides a rigorous framework for validity testing in health-related measurement.
- The worked example demonstrates a practical method for developing validity testing plans.
- This approach enhances confidence in the interpretation and use of PROM scores, promoting scientific rigor.
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