Feasibility of Patient-Reported Outcomes Measurement Information System (PROMIS®) computerized adaptive tests in systemic lupus erythematosus outpatients

Lupus. 2018 Sep;27(10):1591-1599. doi: 10.1177/0961203318778372. Epub 2018 May 24.


Objective The aims of this study were to assess the feasibility of administering Patient-Reported Outcomes Measurement Information System (PROMIS®) computerized adaptive tests (CATs) to outpatients with systemic lupus erythematosus (SLE). Methods Adults with SLE were recruited during routine outpatient visits at an SLE Center of Excellence. Participants completed 14 PROMIS CATs and provided feedback on their experience. Differences in socio-demographic and clinical characteristics between participants and non-participants were evaluated. Results A total of 204 (86%) of 238 socioeconomically and racially diverse SLE patients completed PROMIS CATs. There were no significant differences between participants and non-participants. Time constraints were cited most frequently as reasons for non-participation. More than 75% of individuals submitted positive comments, including approval of the content and format of questions, and the survey's promotion of self-reflection. A minority of participants cited challenges, most often related to question phrasing (8%) and technical difficulties (6%). Conclusions The administration of PROMIS CATs was feasible and positively received in a diverse cohort of SLE outpatients. Neither socio-demographic nor disease characteristics were significant barriers to successful completion of PROMIS CATs. PROMIS CATs have great potential for efficiently measuring important patient-centered outcomes in routine clinical care of a wide range of SLE patients.

Keywords: Outcome measures; PROMIS; patient-reported outcomes; systemic lupus erythematosus.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Comprehension
  • Feasibility Studies
  • Feedback, Psychological
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Literacy
  • Humans
  • Lupus Erythematosus, Systemic / diagnosis*
  • Lupus Erythematosus, Systemic / psychology
  • Lupus Erythematosus, Systemic / therapy
  • Male
  • Middle Aged
  • Outpatients / psychology*
  • Patient Reported Outcome Measures*
  • Patient Satisfaction
  • Predictive Value of Tests
  • Treatment Outcome
  • Young Adult