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AIDS Research and Treatment
Volume 2016, Article ID 8340863, 12 pages
Research Article

Use of Cognitive Interviews to Adapt PROMIS Measurement Items for Spanish Speakers Living with HIV

1Department of Health Services, School of Public Health, University of Washington, Seattle, WA, USA
2Department of Global Health, University of Washington, Seattle, WA, USA
3Owen Clinic, University of California San Diego Medical Center, San Diego, CA, USA
4Group Health Research Institute, Seattle, WA, USA

Received 1 December 2015; Accepted 28 January 2016

Academic Editor: Otoniel Martinez-Maza

Copyright © 2016 R. Solorio et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To use cognitive interviewing techniques to assess comprehension of existing Patient-Reported Outcomes Measurement Information System (PROMIS) items among Latinos living with HIV and then refine items based on participant feedback. Methods. Latino monolingual Spanish speakers living with HIV () participated in cognitive interviews. Items from four PROMIS domains, including depression, anxiety, fatigue, and alcohol use, were assessed for comprehension. Audiotaped interviews and handwritten notes were subjected to content analysis to identify problems specific to each instrument for each domain. Results. The assessments from the cognitive interviews identified areas for improvement in each domain. We present data on the type of items that were difficult to comprehend and provide examples for how items were refined based on participants’ and PROMIS Statistical Coordinating Center (PSCC) feedback. Six out of 48 depression items, 7 out of the 61 anxiety items, 18 out of 42 fatigue items, and 7 out of 44 alcohol use items were found to have poor comprehension. These items were refined based on participant feedback; the items were then submitted to the PSCC for additional guidance on linguistics and grammar to improve comprehension. Conclusions. Cognitive interviews may be used to enhance comprehension of PROMIS items among Latinos.