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Clinimetric Criteria for Patient-Reported Outcome Measures.

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机构: [a]Department of Psychology Renzo Canestrari, University of Bologna, Bologna, Italy [b]Department of Surgical, Medical and Molecular Pathology, and Critical Care Medicine, University of Pisa, Pisa, Italy [c]Changzhou First People’s Hospital and Psychosomatic Gastroenterology Institute, Soochow University, Changzhou, China [d]Division of Clinical Epidemiology and Evaluative Sciences Research, Department of Medicine, Weill Cornell Medicine, New York, NY, USA [e]Research Unit for General Practice, Department of Public Health, Aarhus University, Aarhus, Denmark [f]Center for Drug Evaluation and Research, Food and Drug Administration, Silver Spring, MD, USA [g]Department of Medicine, Yale University School of Medicine, New Haven, CT, USA [h]Department of Internal Medicine, Dermatology and Psychiatry, Universidad de La Laguna, Canary Islands, Spain [i]University of Kentucky Mental Health Research Center at Eastern State Hospital, Lexington, KY, USA [j]Department of Family Medicine, Semmelweis University, Budapest, Hungary [k]Department of Psychiatry, Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil [l]Department of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine/School of Public Health, Kyoto, Japan [m]Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA [n]Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA [o]Harvard Medical School, Boston, MA, USA [p]Division of Neuropsychiatry and Psychosomatics, Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [q]Beijing Psychosomatic Disease Consultation Center, Xuanwu Hospital, Capital Medical University, Beijing, China [r]Department of Psychiatry, Inova Health Systems, Falls Church, VA, USA [s]Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, USA [t]Department of Psychiatry and Behavioral Sciences, George Washington University School of Medicine, Washington, DC, USA [u]Department of Statistical Sciences, University of Padova, Padova, Italy [v]Department of Psychiatry, University at Buffalo, State University of New York, Buffalo, NY, USA
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关键词: Assessment Clinimetrics Criteria Indices Patient outcome measures Psychometrics Rating scales Sensitivity Validity

摘要:
Patient-reported outcome measures (PROMs) are self-rated scales and indices developed to improve the detection of the patients' subjective experience. Given that a considerable number of PROMs are available, it is important to evaluate their validity and usefulness in a specific research or clinical setting. Published guidelines, based on psychometric criteria, do not fit in with the complexity of clinical challenges, because of their quest for homogeneity of components and inadequate attention to sensitivity. Psychometric theory has stifled the field and led to the routine use of scales widely accepted yet with a history of poor performance. Clinimetrics, the science of clinical measurements, may provide a more suitable conceptual and methodological framework. The aims of this paper are to outline the major limitations of the psychometric model and to provide criteria for clinimetric patient-reported outcome measures (CLIPROMs). The characteristics related to reliability, sensitivity, validity, and clinical utility of instruments are critically reviewed, with particular reference to the differences between clinimetric and psychometric approaches. Of note is the fact that PROMs, rating scales, and indices developed according to psychometric criteria may display relevant clinimetric properties. The present paper underpins the importance of the clini-metric methodology in choosing the appropriate PROMs. CLIPROM criteria may also guide the development of new indices and the validation of existing PROMs to be employed in clinical settings. © 2021 S. Karger AG, Basel.

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出版当年[2020]版:
大类 | 1 区 医学
小类 | 1 区 精神病学 1 区 心理学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 精神病学 1 区 心理学
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出版当年[2019]版:
Q1 PSYCHIATRY Q1 PSYCHOLOGY
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Q1 PSYCHIATRY Q1 PSYCHOLOGY

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第一作者机构: [a]Department of Psychology Renzo Canestrari, University of Bologna, Bologna, Italy
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