Faculty Collaboration Database

Using cognitive interviews to evaluate items for measuring sexual functioning across cancer populations: improvements and remaining challenges. Qual Life Res 2009 Oct;18(8):1085-93

Date

08/13/2009

Pubmed ID

19672697

Pubmed Central ID

PMC2759179

DOI

10.1007/s11136-009-9523-x

Scopus ID

2-s2.0-70349257191 (requires institutional sign-in at Scopus site)   43 Citations

Abstract

PURPOSE: One goal of the Patient-Reported Outcomes Measurement Information System (PROMIS) is to develop a measure of sexual functioning that broadens the definition of sexual activity and incorporates items that reflect constructs identified as important by patients with cancer. We describe how cognitive interviews improved the quality of the items and discuss remaining challenges to assessing sexual functioning in research with cancer populations.

METHODS: We conducted 39 cognitive interviews of patients with cancer and survivors on the topic of sexual experience. Each of the 83 candidate items was seen by 5-24 participants. Participants included both men and women and varied by cancer type, treatment trajectory, race, and literacy level. Significantly revised items were retested in subsequent interviews.

RESULTS: Cognitive interviews provided useful feedback about the relevance, sensitivity, appropriateness, and clarity of the items. Participants identified broad terms (e.g., "sex life") to assess sexual experience and exposed the challenges of measuring sexual functioning consistently, considering both adjusted and unadjusted sexual experiences.

CONCLUSIONS: Cognitive interviews were critical for item refinement in the development of the PROMIS measure of sexual function. Efforts are underway to validate the measure in larger cancer populations.

Author List

Fortune-Greeley AK, Flynn KE, Jeffery DD, Williams MS, Keefe FJ, Reeve BB, Willis GB, Weinfurt KP, PROMIS Sexual Function Domain Committee

Author

Kathryn Eve Flynn PhD Vice Chair, Professor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adaptation, Psychological
Adult
Aged
Cognition
Female
Focus Groups
Humans
Male
Middle Aged
Models, Theoretical
Neoplasms
Patient Satisfaction
Psychometrics
Qualitative Research
Quality Indicators, Health Care
Quality of Life
Sexual Behavior
Sexual Dysfunctions, Psychological
Stress, Psychological
Surveys and Questionnaires
Treatment Outcome
United States