Performance of PROMIS Measures to Assess Fatigue and Sleep Symptom Severity Among African American Patients Newly Diagnosed With Obstructive Sleep Apnea

Clin Nurs Res. 2023 Sep;32(7):1041-1045. doi: 10.1177/10547738231182550. Epub 2023 Jun 29.

Abstract

This pilot study examined the concurrent validity of Patient-Reported Outcomes Measurement Information System (PROMIS), Short Form, measures with the longer Multidimensional Fatigue Inventory among patients living with obstructive sleep apnea (OSA). A total of 26 African American patients living with prediabetes and newly diagnosed with OSA completed the six-item short form versions of PROMIS Fatigue and PROMIS Sleep Disturbance, and the longer 20-item Multidimensional Fatigue Inventory. Both PROMIS Fatigue and Sleep Disturbance scales demonstrated high reliability with Cronbach's α of .91 and .92, respectively. PROMIS Fatigue scores were significantly correlated with Multidimensional Fatigue Inventory scores (rs = .53; p = .006) and demonstrated concurrent validity. However, PROMIS Sleep Disturbance scores and Multidimensional Fatigue Inventory scores were not associated with one another. The brief PROMIS Fatigue scale is a useful, succinct approach to assess fatigue severity among diverse patient populations living with OSA. This study is among the first to evaluate the performance of PROMIS Fatigue in a sample living with OSA.

Keywords: fatigue; nursing assessment; patient-reported outcomes; sleep apnea syndromes; sleep disturbance; sleep medicine specialty.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Black or African American
  • Fatigue / diagnosis
  • Humans
  • Pilot Projects
  • Quality of Life
  • Reproducibility of Results
  • Sleep
  • Sleep Apnea, Obstructive* / diagnosis
  • Sleep Wake Disorders*
  • Surveys and Questionnaires