Application of validity theory and methodology to patient-reported outcome measures (PROMs): building an argument for validity

Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation
Melanie HawkinsRichard H Osborne

Abstract

Data from subjective patient-reported outcome measures (PROMs) are now being used in the health sector to make or support decisions about individuals, groups and populations. Contemporary validity theorists define validity not as a statistical property of the test but as the extent to which empirical evidence supports the interpretation of test scores for an intended use. However, validity testing theory and methodology are rarely evident in the PROM validation literature. Application of this theory and methodology would provide structure for comprehensive validation planning to support improved PROM development and sound arguments for the validity of PROM score interpretation and use in each new context. This paper proposes the application of contemporary validity theory and methodology to PROM validity testing. The validity testing principles will be applied to a hypothetical case study with a focus on the interpretation and use of scores from a translated PROM that measures health literacy (the Health Literacy Questionnaire or HLQ). Although robust psychometric properties of a PROM are a pre-condition to its use, a PROM's validity lies in the sound argument that a network of empirical evidence supports the intended interpret...Continue Reading

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Citations

Jul 1, 2018·Psycho-oncology·Belinda C GoodwinSuzanne K Chambers
Jan 1, 2019·The British Journal of Dermatology·M H LarsenA K Wahl
Oct 30, 2019·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Hanne VerbelenNick Gebruers
May 29, 2018·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Muirne C S PaapFrans J Oort
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Nov 1, 2020·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Nikki McCaffreyLidia Engel

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