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  4. Interviewer- vs. Self-administration of PROMIS Measures for Adults with Traumatic Injury

Interviewer- vs. Self-administration of PROMIS Measures for Adults with Traumatic Injury

Health Psychol, 2019 · DOI: 10.1037/hea0000685 · Published: May 1, 2019

Spinal Cord InjuryPatient ExperienceBrain Injury

Simple Explanation

This study examines whether it matters if adults with traumatic injuries complete a health survey (PROMIS) themselves or if an interviewer helps them. Researchers compared the results of adults with spinal cord injuries (SCI) or traumatic brain injuries (TBI) who either self-administered the PROMIS or were interviewed. The study found that the PROMIS measures are generally equivalent whether self-administered or interviewer-administered, but there might be a slight tendency for people to report better emotional support or less depression when interviewed.

Study Duration
Not specified
Participants
277 adults with spinal cord injury (SCI; n = 148) or traumatic brain injury (TBI; n = 129)
Evidence Level
Not specified

Key Findings

  • 1
    PROMIS instruments demonstrated measurement equivalence across interviewer- administered and self-administered conditions.
  • 2
    Participants in the interview-administered condition exhibited higher Emotional Support scores on average as compared with participants in the self-administered condition.
  • 3
    Significant differences also emerged between the interviewer-administered and self-administered conditions for the SCI subsample, with higher scores for Emotional Support and lower scores for Depression.

Research Summary

This study evaluated mode-of-administration effects in a sample of participants with SCI or TBI for whom interviewer-administered measures may be an especially important option. Adults with SCI or TBI were randomized to complete interviewer-administered or self-administered PROMIS measures in order to test the measurement equivalence of administration modes. PROMIS measures appear to be DIF-free across the two modes of administration studied here, although some individuals with SCI may under-report Depression and some individuals with SCI or TBI may over-report Emotional Support on interviewer-administered measures.

Practical Implications

Accessibility

Interviewer-administration makes PROMIS measures more accessible to individuals with physical, cognitive, or economic limitations.

Equivalence

The two modes of administration (self vs interviewer) are generally equivalent, allowing flexibility in research and clinical settings.

Social Desirability

Caution may be needed when interpreting Depression and Emotional Support scores for persons with SCI due to potential social desirability effects.

Study Limitations

  • 1
    The study was cross-sectional and did not involve comparisons within individuals.
  • 2
    The sample may have overrepresented persons with high educational attainment and underrepresented specific racial categories.
  • 3
    SCI and TBI sample sizes were below rules of thumb suggested for conducting DIF testing with logistic regression and likelihood ratio tests.

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