Patient-reported outcome measures (PROMs): how should I interpret reports of measurement properties?

This paper is intended to help clinicians and researchers to comprehend studies on the validity, responsiveness and reliability of patient-reported outcome measures (PROMs) and to interpret the scores and change scores derived from these and other types of outcome measures. Validity studies provide a method for assessing whether the underlying construct of interest is sufficiently assessed. Responsiveness studies explore the longitudinal validity of a test and provide evidence that an instrument can detect change in the construct of interest. Reliability is often assessed with correlation indices, which indicate the stability of repeated measurements and the ‘noise’ or error in the measurement. Proposed indicators for clinical interpretation of test scores are the minimum clinically significant difference, the standard error of measurement and the minimum detectable change. Studies of the Victorian Institute of Sports Assessment questionnaire for patellar tendinopathy and other PROMs are used to illustrate concepts.