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ABSTRACT: Objectives
Dysfunction after transient ischaemic attack (TIA) and minor stroke is often underestimated by clinical measures. Patient-reported outcome measures used in value-based healthcare may help in detecting these problems. The Patient-Reported Outcomes Measurement Information System 10-Question Short Form (PROMIS-10 Global Health) is a concise patient-centred outcome measuring tool proposed for assessing health status in patients who had stroke. This study aims to address the validity of the Dutch PROMIS-10 in patients who had stroke in the Netherlands and also aims to compare telephone versus on-paper assessment.Design
Observational cohort study.Setting
Single-centre hospital in the Netherlands.Participants
75 patients who were diagnosed with TIA or minor stroke and discharged without rehabilitation treatment 1?year ago (between December 2014 and January 2016) completed the study.Primary and secondary outcome measures
PROMIS-10 physical (PH) and mental health (MH) scores assessed 1?year poststroke on paper (n=37) and by telephone (n=38) was compared with RAND-36 physical and mental component scores assessed on paper.Results
PROMIS-10 and RAND-36 correlated significantly in PH, r=0.81 (95%?CI 0.69 to 0.88), and MH, r=0.76 (95%?CI 0.64 to 0.85). Paper-and-pencil assessed correlations were r=0.87?and 0.79 for PH and MH, respectively. Telephone assessed correlations were r=0.76?and 0.73 for PH and MH, respectively. Internal consistency analysis indicated high reliabilities for both health components of the PROMIS-10, all Cronbach's ?>0.70.Conclusions
The Dutch PROMIS-10 was found to strongly correlate with the RAND-36. Paper-and-pencil assessment was found to have a higher correlation than telephone assessment. This study provides support for the use of the Dutch PROMIS-10 in assessing health status in patients after TIA and minor stroke.
SUBMITTER: Lam KH
PROVIDER: S-EPMC6089319 | biostudies-literature | 2018 Jul
REPOSITORIES: biostudies-literature
Lam Ka Hoo KH Kwa Vincent I H VIH
BMJ open 20180711 7
<h4>Objectives</h4>Dysfunction after transient ischaemic attack (TIA) and minor stroke is often underestimated by clinical measures. Patient-reported outcome measures used in value-based healthcare may help in detecting these problems. The Patient-Reported Outcomes Measurement Information System 10-Question Short Form (PROMIS-10 Global Health) is a concise patient-centred outcome measuring tool proposed for assessing health status in patients who had stroke. This study aims to address the validi ...[more]