Assessing Social Participation Among Kidney Transplant Recipients Using PROMIS Computer Adaptive Testing
Introduction: Social participation is a valued aspect of quality of life among kidney transplant recipients; however, few validated measures exist to assess it. This study aimed to explore the reliability and validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Ability t...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Kidney International Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468024925003250 |
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| author | Maria G. Pucci Mowa Ayibiowu Jad Fadlallah Aghna Wasim Nathaniel Edwards Madeline Li Doris Howell Susan Bartlett John D. Peipert Samantha Anthony Istvan Mucsi Janine Farragher |
| author_facet | Maria G. Pucci Mowa Ayibiowu Jad Fadlallah Aghna Wasim Nathaniel Edwards Madeline Li Doris Howell Susan Bartlett John D. Peipert Samantha Anthony Istvan Mucsi Janine Farragher |
| author_sort | Maria G. Pucci |
| collection | DOAJ |
| description | Introduction: Social participation is a valued aspect of quality of life among kidney transplant recipients; however, few validated measures exist to assess it. This study aimed to explore the reliability and validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Ability to Participate in Social Roles and Activities (PROMIS-SP), administered as a computer adaptive test (CAT), among kidney transplant recipients. Methods: This was a cross-sectional study involving a convenience sample of adult recipients from Toronto, Canada. Participants completed the PROMIS-SP CAT and legacy measures of social participation on an electronic data capture platform. Reliability of the PROMIS-SP CAT was determined using standard error of measurement (SEM) and test-retest reliability using intraclass correlation coefficient. Convergent validity was assessed by calculating Spearman’s correlation between the PROMIS-SP CAT and legacy measures, and construct validity was assessed using known group comparisons. Results: We recruited 284 participants with a mean (SD) age of 53 (14) years and a median of 5.5 years since kidney transplantation; 61% were male, 53% were White, and 30% had diabetes. The mean (SD) PROMIS T-score was 51 (9). Reliability (r = 0.93) and test-retest reliability (intraclass correlation coefficient = 0.97) of the PROMIS-SP CAT were excellent. Strong correlations were observed between PROMIS-SP CAT and social difficulty inventory (SDI) (rho = −0.65), SDI “everyday living” (rho = −0.68), and EuroQol-5 Dimensions-5 Levels (EQ5D5L) “usual activities” (rho = −0.66). PROMIS-SP CAT scores were significantly different between known groups in the expected direction. Conclusion: Our results support the validity and reliability of PROMIS-SP CAT among kidney transplant recipients, and suggest that this tool can be used to identify recipients with restricted social participation. |
| format | Article |
| id | doaj-art-e71d9081e6074a16b42404b5d84fec6a |
| institution | Kabale University |
| issn | 2468-0249 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Kidney International Reports |
| spelling | doaj-art-e71d9081e6074a16b42404b5d84fec6a2025-08-20T03:58:11ZengElsevierKidney International Reports2468-02492025-08-011082708271910.1016/j.ekir.2025.05.023Assessing Social Participation Among Kidney Transplant Recipients Using PROMIS Computer Adaptive TestingMaria G. Pucci0Mowa Ayibiowu1Jad Fadlallah2Aghna Wasim3Nathaniel Edwards4Madeline Li5Doris Howell6Susan Bartlett7John D. Peipert8Samantha Anthony9Istvan Mucsi10Janine Farragher11Ajmera Transplant Centre, University Health Network, Toronto, Ontario, CanadaAjmera Transplant Centre, University Health Network, Toronto, Ontario, CanadaAjmera Transplant Centre, University Health Network, Toronto, Ontario, CanadaAjmera Transplant Centre, University Health Network, Toronto, Ontario, CanadaAjmera Transplant Centre, University Health Network, Toronto, Ontario, CanadaPsychosocial Oncology, Princess Margaret Cancer Centre, Toronto, Ontario, CanadaPrincess Margaret Cancer Research Institute, Toronto, Ontario, CanadaCentre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada; Division of Clinical Epidemiology, Department of Medicine, McGill University, Montreal, Quebec, CanadaDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA; Northwestern University Transplant Outcomes Research Collaborative, Comprehensive Transplant Center, Feinberg School of Medicine, Chicago, Illinois, USAChild Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, Toronto, Ontario, CanadaAjmera Transplant Centre, University Health Network, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, CanadaDepartment of Occupational Science and Occupational Therapy, University of Toronto, Ontario, Canada; Correspondence: Janine Farragher, Department of Occupational Science and Occupational Therapy, University of Toronto, 160-500 University Ave., Toronto, Ontario M5G 1V7, Canada.Introduction: Social participation is a valued aspect of quality of life among kidney transplant recipients; however, few validated measures exist to assess it. This study aimed to explore the reliability and validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Ability to Participate in Social Roles and Activities (PROMIS-SP), administered as a computer adaptive test (CAT), among kidney transplant recipients. Methods: This was a cross-sectional study involving a convenience sample of adult recipients from Toronto, Canada. Participants completed the PROMIS-SP CAT and legacy measures of social participation on an electronic data capture platform. Reliability of the PROMIS-SP CAT was determined using standard error of measurement (SEM) and test-retest reliability using intraclass correlation coefficient. Convergent validity was assessed by calculating Spearman’s correlation between the PROMIS-SP CAT and legacy measures, and construct validity was assessed using known group comparisons. Results: We recruited 284 participants with a mean (SD) age of 53 (14) years and a median of 5.5 years since kidney transplantation; 61% were male, 53% were White, and 30% had diabetes. The mean (SD) PROMIS T-score was 51 (9). Reliability (r = 0.93) and test-retest reliability (intraclass correlation coefficient = 0.97) of the PROMIS-SP CAT were excellent. Strong correlations were observed between PROMIS-SP CAT and social difficulty inventory (SDI) (rho = −0.65), SDI “everyday living” (rho = −0.68), and EuroQol-5 Dimensions-5 Levels (EQ5D5L) “usual activities” (rho = −0.66). PROMIS-SP CAT scores were significantly different between known groups in the expected direction. Conclusion: Our results support the validity and reliability of PROMIS-SP CAT among kidney transplant recipients, and suggest that this tool can be used to identify recipients with restricted social participation.http://www.sciencedirect.com/science/article/pii/S2468024925003250kidney transplantationPROMISsocial participation |
| spellingShingle | Maria G. Pucci Mowa Ayibiowu Jad Fadlallah Aghna Wasim Nathaniel Edwards Madeline Li Doris Howell Susan Bartlett John D. Peipert Samantha Anthony Istvan Mucsi Janine Farragher Assessing Social Participation Among Kidney Transplant Recipients Using PROMIS Computer Adaptive Testing Kidney International Reports kidney transplantation PROMIS social participation |
| title | Assessing Social Participation Among Kidney Transplant Recipients Using PROMIS Computer Adaptive Testing |
| title_full | Assessing Social Participation Among Kidney Transplant Recipients Using PROMIS Computer Adaptive Testing |
| title_fullStr | Assessing Social Participation Among Kidney Transplant Recipients Using PROMIS Computer Adaptive Testing |
| title_full_unstemmed | Assessing Social Participation Among Kidney Transplant Recipients Using PROMIS Computer Adaptive Testing |
| title_short | Assessing Social Participation Among Kidney Transplant Recipients Using PROMIS Computer Adaptive Testing |
| title_sort | assessing social participation among kidney transplant recipients using promis computer adaptive testing |
| topic | kidney transplantation PROMIS social participation |
| url | http://www.sciencedirect.com/science/article/pii/S2468024925003250 |
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