Qualitative development of the PROMIS® pediatric stress response item banks

Katherine B. Bevans, William Gardner, Kathleen Pajer, Anne W. Riley, Christopher B. Forrest

Research output: Contribution to journalArticlepeer-review

30 Scopus citations


Objective To describe the qualitative development of the Patient-Reported Outcome Measurement Information System (PROMIS®) Pediatric Stress Response item banks. Methods Stress response concepts were specified through a literature review and interviews with content experts, children, and parents. A library comprising 2,677 items derived from 71 instruments was developed. Items were classified into conceptual categories; new items were written and redundant items were removed. Items were then revised based on cognitive interviews (n = 39 children), readability analyses, and translatability reviews. Results 2 pediatric Stress Response sub-domains were identified: somatic experiences (43 items) and psychological experiences (64 items). Final item pools cover the full range of children's stress experiences. Items are comprehensible among children aged 8 years and ready for translation. Conclusions Child- and parent-report versions of the item banks assess children's somatic and psychological states when demands tax their adaptive capabilities.

Original languageEnglish (US)
Pages (from-to)173-191
Number of pages19
JournalJournal of pediatric psychology
Issue number2
StatePublished - Mar 2013
Externally publishedYes


  • child
  • cognitive interviews
  • patient-reported outcomes
  • perceived stress
  • self-report
  • stress experiences

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology


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