Evidence map›Paper›PMID 35759127›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2022

Item selection, scaling and construct validation of the Patient-Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC) measurement tool in adults.

George Kephart, Tanya Packer, Åsa Audulv, Yu-Ting Chen, Alysia Robinson, Ingrid Olsson, Grace Warner

Abstract read
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Article
  4. The Patient Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC): testing for bias across patient characteristics and languages.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

George KephartDepartment of Community Health and Epidemiology, Dalhousie University, 5790 University Avenue, Halifax, NS, B3H 1V7, Canada. george.kephart@dal.ca.ORCID http://orcid.org/0000-0001-7376-9695
Tanya PackerSchool of Health Administration, Dalhousie University, Halifax, Canada.ORCID http://orcid.org/0000-0003-4831-7691
Åsa AudulvDepartment of Nursing, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0003-4456-7853
Yu-Ting ChenSchool of Occupational Therapy, Dalhousie University, Halifax, Canada.ORCID http://orcid.org/0000-0002-0751-0498
Alysia RobinsonDepartment of Community Health and Epidemiology, Dalhousie University, 5790 University Avenue, Halifax, NS, B3H 1V7, Canada.ORCID http://orcid.org/0000-0003-4915-8944
Ingrid OlssonDepartment of Nursing, Umeå University, Umeå, Sweden.ORCID http://orcid.org/0000-0002-9464-7264
Grace WarnerSchool of Occupational Therapy, Dalhousie University, Halifax, Canada.ORCID http://orcid.org/0000-0001-9865-865X

Funding

CIHR 152932Nova Scotia Health Research Foundation 222
6 · The paper itself

Abstract

purposeTo select and scale items for the seven domains of the Patient-Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC) and assess its construct validity.

methodsUsing an online survey, data on 100 potential items, and other variables for assessing construct validity, were collected from 1055 adults with one or more chronic health conditions. Based on a validated conceptual model, confirmatory factor analysis (CFA) and item response models (IRT) were used to select and scale potential items and assess the internal consistency and structural validity of the PRISM-CC. To further assess construct validity, hypothesis testing of known relationships was conducted using structural equation models.

resultsOf 100 potential items, 36 (4-8 per domain) were selected, providing excellent fit to our hypothesized correlated factors model and demonstrating internal consistency and structural validity of the PRISM-CC. Hypothesized associations between PRISM-CC domains and other measures and variables were confirmed, providing further evidence of construct validity.

conclusionThe PRISM-CC overcomes limitations of assessment tools currently available to measure patient self-management of chronic health conditions. This study provides strong evidence for the internal consistency and construct validity of the PRISM-CC as an instrument to assess patient-reported difficulty in self-managing different aspects of daily life with one or more chronic conditions. Further research is needed to assess its measurement equivalence across patient attributes, ability to measure clinically important change, and utility to inform self-management support.

Indexed as

Self-ManagementAdultChronic DiseaseHumansPatient Reported Outcome MeasuresPsychometricsQuality of LifeReproducibility of ResultsSurveys and QuestionnairesChronic diseaseMultimorbidityPatient-centered carePatient outcome assessmentPsychometricsSelf-management

Identifiers

PMID35759127
PMCPMC9356954

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.