Cognitive interviewing methodology in the development of a pediatric item bank: a patient reported outcomes measurement information system (PROMIS) study
2009

Developing a Pediatric Item Bank Using Cognitive Interviews

Sample size: 77 publication Evidence: moderate

Author Information

Author(s): Debra E. Irwin, James W. Varni, Karin Yeatts, Darren A. DeWalt

Primary Institution: University of North Carolina at Chapel Hill

Hypothesis

Can cognitive interviews with children and adolescents improve the development of a pediatric item bank for measuring health outcomes?

Conclusion

Children ages 8–17 years were able to comprehend most item stems and response options in the study.

Supporting Evidence

  • Children as young as 8 years could understand 92% of the items and response options.
  • Feedback from children led to important revisions in item wording for clarity.
  • Participants included a diverse population, ensuring a range of perspectives on health items.

Takeaway

Kids aged 8 to 17 can understand questions about their health, and their feedback helps make these questions clearer.

Methodology

Cognitive interviews were conducted with children and adolescents to gather feedback on health-related items.

Potential Biases

Judgments made by the item development team regarding item revisions were inherently qualitative.

Limitations

The study had a limited number of cognitive interviews per item, which may have missed important feedback from younger children.

Participant Demographics

Participants included children aged 8-17, with a mix of genders and ethnicities, including those with asthma.

Digital Object Identifier (DOI)

10.1186/1477-7525-7-3

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