Streamlining Trauma Research Evaluation With Advanced Measurement
a study on Orthopaedic Trauma
The STREAM Study is a prospective longitudinal observational outcomes study that will examine the reliability, validity and responsiveness of the PROMIS tools for clinical research following orthopaedic trauma.
Streamlining Trauma Research Evaluation With Advanced Measurement: STREAM Study
Objective: As part of the NIH Roadmap initiative, PROMIS (patient reported outcomes measurement information system) has developed tools, including item banks, short forms and computer-adaptive tests (CATs) that can help standardize measurement for many health-related quality of life domains. These PROMIS tools are being tested in large general population samples across the lifespan. The overall goal of the present study is to assess the performance and research utility of these new tools in new patient populations for future comparative effectiveness research projects. The proposed project will examine the reliability, validity and responsiveness of the PROMIS tools for clinical research following orthopaedic trauma.
Specific Aim 1: Examine the measurement properties of existing PROMIS CATs and item banks in patients with orthopaedic trauma. Investigators will incorporate ten (six core and four exploratory) PROMIS short form and CATs into the longitudinal data collection of five ongoing orthopaedic trauma clinical trials and administer an expanded data collection interview at the time of their last study follow up which will be used to:
1a: Evaluate reliability and construct validity of the PROMIS CATs
1b: Compare measurement precision of the six existing item banks when applied in an orthopaedic trauma population versus the general population.
- c: Identify items from existing PROMIS item banks that function differently in our population compared with the general population.
Specific Aim 2: Examine the responsiveness of existing PROMIS domains in patients with orthopaedic trauma. Specifically, investigators will:
- a: Examine the responsiveness of PROMIS domains against expected clinical recovery in this population.
2b: Examine the responsiveness of PROMIS domains against well-defined clinical inflection points in the recovery process, such as infections, non-unions, flap failures, and other complications.
2c: Examine the responsiveness of PROMIS domains against treatment effects observed for interventions being studied in these trials, which include a psychosocial intervention, a pharmacologic intervention, and a device. These trials are being evaluated using widely used traditional outcome measurement tools.
Specific Aim 3: Study the integration of the PROMIS tools within the data collection infrastructure of METRC. Key feasibility components examined will be integration with our distributed electronic data capture system (REDCap), and use of the CAT technology across dozens of trauma centers and orthopaedic trauma clinics.
3a. Compare the rate of use of CAT-based assessment versus short-form data collection 3b: Compare the data completeness using existing METRC approaches, CAT and short form PROMIS instruments 3c: Compare respondent burden using existing METRC approaches, CAT and short form PROMIS instruments.
Study design: The STREAM study is a multi-center, prospective longitudinal observational study to evaluate the reliability, validity and responsiveness of PROMIS tools in orthopaedic trauma patients.
Orthopaedic Trauma Injury Wounds and Injuries Questionnaire
For people ages 18-80
Any patient participating in the FIXIT, OUTLET, TAOS, OXYGEN, VANCO or Pain studies returning for a 3 month follow-up visit is eligible for participation in the proposed STREAM study. Respondents who are unable to give informed consent (or would require a proxy) at the time of the 3 month visit will be excluded.
- University of California San Francisco Medical Center accepting new patients
San Francisco California 94143 United States
- Naval Medical Center San Diego accepting new patients
San Diego California 92134 United States
- University of Washington Harborview accepting new patients
Seattle Washington 98104 United States
- Denver Health and Hospital Authority accepting new patients
Denver Colorado 80203 United States
- University of Oklahoma accepting new patients
Oklahoma City Oklahoma 73104 United States
- University of Texas Southwestern Medical Center accepting new patients
Dallas Texas 75390 United States
- San Antonio Miliary Medical Center accepting new patients
Ft. Sam Houston Texas 78234-6315 United States
- University of Kansas Medical Center accepting new patients
Kansas City Kansas 66160 United States
- University of Texas Health Science Center - Houston accepting new patients
Houston Texas 77030 United States
- Hennepin County Medical Center / Regions Hospital accepting new patients
Minneapolis Minnesota 55415 United States
- accepting new patients
- Start Date
- Completion Date
- Major Extremity Trauma Research Consortium
- Study Type
- Last Updated
- December 2016
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