Articlegreen2022

Measuring PROMIS® Emotional Distress in Early Childhood

Phillip Sherlock · Courtney K. Blackwell · Michael Anthony Kallen · Jin‐Shei Lai · David F Cella · Sheila Krogh‐Jespersen +4 more

35 citations0/0 files storedJournal of Pediatric Psychology

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Psychometric Methodologies and Testing Child and Adolescent Psychosocial and Emotional Development Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Abstract

OBJECTIVE: Create and validate developmentally sensitive parent-report measures of emotional distress for children ages 1-5 years that conceptually align with the Patient-Reported Outcome Measurement Information System (PROMIS®) pediatric measures. METHODS: Initial items were generated based on expert and parent input regarding core components of emotional distress in early childhood and review of theoretical and empirical work in this domain. Items were psychometrically tested using data from two waves of panel surveys. Item response theory (IRT) was applied to develop item calibration parameters (Wave 1), and scores were centered on a general U.S. population sample (Wave 2). Final PROMIS early childhood (EC) instruments were compared with existing measures of related constructs to establish construct validity. RESULTS: Experts and parents confirmed the content validity of the existing PROMIS Pediatric emotional distress domains (i.e., anger, anxiety, and depressive symptoms) as developmentally salient for young children. Existing items were adapted and expanded for early childhood by employing best practices from developmental measurement science. Item banks as well as 4- and 8-item short forms, free from differential item functioning across sex and age, were constructed for the three domains based on rigorous IRT analyses. Correlations with subscales from previously validated measures provided further evidence of construct validity. CONCLUSIONS: The PROMIS EC Anger/Irritability, Anxiety, and Depressive Symptoms measures demonstrated good reliability and initial evidence of validity for use in early childhood. This is an important contribution to advancing brief, efficient measurement of emotional distress in young children, closing a developmental gap in PROMIS pediatric emotional distress assessment.

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References

1997The Strengths and Difficulties Questionnaire: A Research Note 2007The Patient-Reported Outcomes Measurement Information System (PROMIS)2006Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology 2000Contemporary research on parenting: The case for nature and nurture.1997Graded Response Model 2003The Infant–Toddler Social and Emotional Assessment (ITSEA): Factor Structure, Reliability, and Validity 2004The Brief Infant-Toddler Social and Emotional Assessment: Screening for Social-Emotional Problems and Delays in Competence 2010An item response analysis of the pediatric PROMIS anxiety and depressive symptoms scales

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