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An Item Bank for Abuse of Prescription Pain Medication from the Patient-Reported Outcomes Measurement Information System (PROMIS®).

Pain Medicine 2017;18(8):1516-1527. [doi: 10.1093/pm/pnw233]

Paul A. Pilkonis, PhD (University of Pittsburgh), Lan Yu, PhD (University of Pittsburgh), Nathan E. Dodds (University of Pittsburgh), Kelly L. Johnston, MPH (University of Pittsburgh), Suzanne M. Lawrence, MS (University of Pittsburgh), Thomas F. Hilton, PhD (National Institute on Drug Abuse), Dennis C. Daley, PhD (University of Pittsburgh), Ashwin A. Patkar, MD (Duke University), Dennis McCarty, PhD (Oregon Health and Science University, WS Node).

There is a need to monitor patients receiving prescription opioids to detect possible signs of abuse. To address this need, the authors developed and calibrated an item bank for severity of abuse of prescription pain medication as part of the Patient-Reported Outcomes Measurement Information System (PROMIS®). Comprehensive literature searches yielded an initial bank of 5,310 items relevant to substance use and abuse, including abuse of prescription pain medication, from over 80 unique instruments. After qualitative item analysis (i.e., focus groups, cognitive interviewing, expert review, and item revision), 25 items for abuse of prescribed pain medication were included in field testing. Items were written in a first-person, past-tense format, with a three-month time frame and five response options reflecting frequency or severity. The calibration sample included 448 respondents, 367 from the general population (ascertained through an internet panel) and 81 from community treatment programs participating in the National Drug Abuse Treatment Clinical Trials Network.

A final bank of 22 items was calibrated using the two-parameter graded response model from item response theory. A seven-item static short form was also developed. The test information curve showed that the PROMIS® item bank for abuse of prescription pain medication provided substantial information in a broad range of severity.

Conclusions: The initial psychometric characteristics of the item bank support its use as a computerized adaptive test or short form, with either version providing a brief, precise, and efficient measure relevant to both clinical and community samples. The new item bank adds to the existing body of PROMIS® measures; further studies of the validity of the item bank are now appropriate to develop a better understanding of its measurement properties. (Article (Peer-Reviewed), PDF, English, 2017)

Keywords: CTN platform/ancillary study | Prescription-type opiates | Screening and assessment instruments | Self-report | Pain Medicine (journal)

Document No: 1231, PMID: 28339555.

Submitted by CTN Dissemination Librarians, 10/17/2016.

Daley, Dennis C.
Dodds, Nathan E. search
Hilton, Thomas F.
Johnston, Kelly L.  
Lawrence, Suzanne M.
McCarty, Dennis
Patkar, Ashwin A. search
Pilkonis, Paul A. mail
Yu, Lan

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Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 8/2017 --
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