Creating and Optimizing Mindfulness Measures to Enhance and Normalize Clinical Evaluation (COMMENCE)

创建和优化正念措施以增强和规范临床评估（COMMENCE）

基本信息

批准号：
9364754
负责人：
CAROL MARIE GRECO
金额：
$ 79.63万
依托单位：
NORTHWESTERN UNIVERSITY AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-07-15 至 2022-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9364754
关键词：
Address Assessment tool Attention Attitude Awareness Body measure procedure Calibration Characteristics Chicago Clinical Clinical Research Cognitive Communities Confusion Development Device or Instrument Development Dimensions Emotions Esthesia Evaluation Focus Groups Funding Future General Population Gold Health Health behavior Individual Information Systems Integrative Medicine Intervention Intervention Studies Intervention Trial Interview Length Life Link Literature Measurement Measures Meditation Methodology Methods Outcome Participant Patient Outcomes Assessments Patient Self-Report Performance Persons Procedures Process Psychometrics Public Health Publications Quality of life Reaction Reporter Reproducibility Research Research Design Research Personnel Review Literature Sampling Self Care Site Standardization Stress Students Surveys System Techniques Testing Thinking Time United States United States National Institutes of Health Validation Walking Writing arm base behavioral/social science body-mind clinical efficacy clinically relevant computerized educational atmosphere experience flexibility improved innovation instructor instrument intervention program member method development mindfulness mindfulness intervention mindfulness meditation mindfulness-based stress reduction person centered post intervention practice-based research network programs research clinical testing response skills teacher theories tool

项目摘要

PROJECT SUMMARY/ABSTRACT BACKGROUND: Mindfulness-Based Interventions (MBIs) have a prominent place in public health and clinical research, and are the focus of hundreds of NIH-funded trials. Nevertheless, significant gaps exist in how mindfulness is measured as a construct using currently available self-reported outcomes instruments. Due to the sheer number of available mindfulness measurement tools, each measuring different concepts in different ways, it has become difficult to establish whether MBI participants actually develop mindfulness skills and attitudes, and whether health outcomes can be attributed to gains in mindfulness. Further, it is not possible to compare findings from one mindfulness trial with another using the same measurement metric. The Patient Reported Outcomes Measurement Information System (PROMIS) has established a rigorous and systematic instrument development methodology that draws from qualitative, quantitative and advanced psychometric approaches to create brief, precise, flexible, standardized, and clinically-relevant outcomes tools. Further, PROMIS-related applications such as PROsetta Stone, have enabled psychometric score linking between PROMIS and legacy measures using sophisticated cross-walk analytic techniques. OBJECTIVE: To improve the rigor, relevance, and reproducibility of MBI research results by applying PROMIS and PROsetta Stone instrument development methodologies to the field of mindfulness measurement. STUDY DESIGN: We will accomplish our study through the following three aims and related development and analysis activities: AIM 1. Development of New Mindfulness Item Banks. This will include: 1) a literature review, 2) online survey of mindfulness researchers (n=50); 3) individual interviews (n=20) and focus groups (n=48 participants) with new and experienced meditators; 4) item writing and refinement; 6) translatability review; and 7) cognitive interviews (n=30) with mindfulness instructors and community members. AIM 2. Calibration of New Mindfulness Item Banks and Score Linking with Legacy Measures. This will include: 1) testing new mindfulness item banks in a large online general population sample (n=4200) and online sample of mindfulness teachers and students (n=500); 2) evaluating dimensionality and other Item Response Theory (IRT) assumptions; 3) Conducting IRT analyses; and 4) Creating computerized adaptive tests (CATs) and fixed length short forms; 5) Linking new mindfulness item banks with legacy mindfulness measures and creating scoring cross walk tables (n=3000). AIM 3. Validation of New Mindfulness Short Forms in Ongoing Mindfulness Courses. For Classic Test Theory-based validation outcomes (e.g., construct and criterion-related validity), responsiveness to change, and estimation of minimally important differences, we will administer new mindfulness short forms, legacy measures, and a performance-based experiential mindfulness task at baseline, 8-weeks, and 16 weeks in multiple, on-going 8-week MBI courses programs occurring throughout the United States (n=250). RELEVANCE: Applying PROMIS and PROsetta Stone methods to mindfulness measurement could have a major impact on mindfulness research through increasing measurement precision, standardization, and comparability across and between studies: past, present, and future.

项目摘要/摘要背景：基于正念的干预措施（MBI）在公共卫生和临床上占有重要地位研究，是数百个NIH资助试验的重点。然而，正念的差距很大使用当前可用的自我报告的结果仪器以构造量来衡量。由于数量可用的正念测量工具，每种都以不同的方式测量不同的概念，它变得难以确定MBI参与者是否真正发展正念技巧和态度，以及健康结果是否可以归因于正念的收益。此外，不可能将一个正念试验的发现与另一个正念试验进行比较使用相同的测量指标。患者报告的结果测量信息系统（Promis）具有建立了一种严格而系统的仪器开发方法，该方法从定性，定量和高级心理测量方法可以创建简短，精确，灵活，标准化和与临床相关的结果工具。此外，与Promis相关的应用程序（例如Prosetta Stone）启用了心理计量分数利用复杂的交叉步行分析技术进行的PROMIS和遗产措施。目的：通过应用Promis和 Prosetta Stone仪器开发方法学对正念测量领域的方法。研究设计：我们将通过以下三个目标以及相关的开发和分析来完成我们的研究活动：目标1。开发新的正念项目银行。这将包括：1）文学评论，2）在线正念研究人员的调查（n = 50）； 3）新的访谈（n = 20）和焦点小组（n = 48位参与者）和经验丰富的冥想者； 4）项目写作和精致； 6）翻译性审查； 7）认知访谈（n = 30）有正念教练和社区成员。目标2。校准新的正念项目库和得分与遗产措施联系在一起。这将包括：1）在大型在线将军中测试新的正念项目库人口样本（n = 4200）和在线正念老师和学生的样本（n = 500）； 2）评估维度和其他项目响应理论（IRT）假设； 3）进行IRT分析； 4）创建计算机化自适应测试（CAT）和固定长度短形式； 5）将新的正念物品银行与遗产联系起来正念措施并创建得分横梁表（n = 3000）。目标3。验证新的正念短持续的正念课程中的形式。用于经典测试理论的验证结果（例如，构建和标准相关的有效性），对变化的响应能力以及对最小重要差异的估计，我们将在在整个曼联的多个正在进行的8周MBI课程计划中，基线，8周和16周状态（n = 250）。相关性：将Promis和Prosetta Stone方法应用于正念测量可能通过提高测量精度，标准化和研究之间和研究之间的可比性：过去，现在和未来。