PROMIS TERMS AND CONDITIONS

9/9/2010

You understand and agree that the PROMIS Health Organization and PROMIS Cooperative Group provides access to PROMIS instruments (e.g., item banks, short forms, profile measures) subject to the PROMIS Terms and Conditions (PTAC). The PROMIS Health Organization/Cooperative Group reserves the right to update the PTAC at any time. Changes in the PTAC will apply to new users, new instruments and to new projects created by existing users after these changes are posted. The most current version of the PTAC can be reviewed by clicking on the Terms of Use hypertext link located in Assessment Center.

PERSONAL AND NON-COMMERCIAL USE LIMITATION.

PROMIS instruments measuring self-reported fatigue, pain, physical function, social function, emotional distress, sleep disturbance, sleep-related impairment, and global health are available for adult and pediatric samples. Additionally, an item bank and short form for measuring impact of asthma in pediatric samples is available. These tools were developed in the English language using extensive qualitative methods to ensure conceptual and semantic clarity. They have been tested for reliability and comparability to more established measures of these same content areas. Adult testing in over 20,000 individuals from the United States (U.S.) general population has resulted in individual item calibrations that enable one to generate a T-score (mean=50; standard deviation = 10) based on a sample of people in the general U.S. population. Included in this first wave of PROMIS item testing were several clinical samples. Child and youth testing in over 4,000 individuals from the United States (U.S.) general pediatric clinical population has resulted in individual item calibrations that enable one to generate a T-score (mean=50; standard deviation = 10) based on a sample of children in the U.S. general pediatric clinical population. The item calibrations and test statistics provided are all based upon cross-sectional data collection. PROMIS item banks have not yet been tested longitudinally in clinical or non-clinical samples; therefore information on the responsiveness of PROMIS item banks is unavailable. Their use in clinical research is encouraged, with the understanding that data collected from that use will contribute to knowledge about the validity of PROMIS measures. Therefore, until validity data are more mature, users of promis tools are STRONGLY ENCOURAGED to submit a BRIEF report INCLUDING SAMPLE DEMOGRAPHIC INFORMATION, CLINICAL data sufficient to define the sample without indicating treatment response data, and promis score distributions (e.g., baseline mean and standard deviations or change scores blinded to treatment information). This brief report should be submitted to help@assessmentcenter.net for internal review. None of this submitted information will be published without the written consent and participation of the submitter. In addition to the brief report, clinical researchers are encouraged to submit de-identified data for collaborative analysis and reporting. Data ownership would remain with the submitter. Clinical researchers are strongly encouraged to collaborate with PROMIS investigators when applying these items and banks to their research.

ANY PUBLICATION OR PRESENTATION OF RESULTS OBTAINED FROM STUDIES CONDUCTED USING THESE INSTRUMENTS SHOULD INCLUDE A STATEMENT THAT PROMIS VERSION x INSTRUMENTS WERE USED, AND REFERENCE THe PROMIS SITE ( www.nihpromis.org ) FOR FURTHER INFORMATION.

Permission to use PROMIS INSTRUMENTS does NOT grant permission to modify the wording or layout of items, to distribute to others for a fee, or to translate items into any other language. Such permission to modify, distribute, or translate must BE REQUESTED from THE PROMIS Health Organization OR THE OWNER OF THE COPYRIGHTED MATERIALS FROM WHICH PROMIS HAS BEEN DERIVED.

COPYRIGHT NOTICE AND CLAIMS OF COPYRIGHT INFRINGEMENT.

Information and materials contained herein are ©2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders.

The table set forth below identifies individuals and entities who have contributed items in support of building PROMIS item banks and the copyrighted information and materials employed by such persons. As a user of PROMIS you are entirely responsible for respecting the proprietary rights of such persons, and for complying strictly with the requirements set forth herein. If you have questions about these requirements and your legal obligations, you may wish to consult an attorney.

Thomas M. Achenbach, PhD

Child Behavior Checklist for Youth

Torbjörn Åkerstedt

Karolinska Sleep Diary

Stanley E. Althof

Center for Marital and Sexual Health Sexual Functioning Questionnaire

Julie Barroso, PhD

HIV-Related Fatigue Scale

Dorcas Beaton

Disabilities of the Arm, Shoulder and Hand (DASH)

Basia Belza

Multidimensional Assessment of Fatigue

Jill Binkley, PT

Lower Extremity Functional Scale

Thomas Borkovec

Penn State Worry Questionnaire

Bengt Brorsson

Swedish Health Related Quality of Life Survey

Richard Brown, PhD

Parkinson Fatigue Scale

Elly Budiman-Mak, MD

Foot Function Scale

Arnold Buss

Buss-Durkee Hostility Inventory

Daniel J. Buysse

Pittsburgh Sleep Quality Index

Andrei Calin, MD

Bath Ankylosing Spondylitis Function Index (BASFI)

David Cella, PhD

Functional Assessment of Chronic Illness Therapy (FACIT)

Center on Outcomes, Research, and Education Item Banks

Larry Chambers, PhD

McMaster Health Index Questionnaire

Trudie Chadler

14-Item fatigue scale

Kimberly A. Cote

Brock Sleep and Insomnia Questionnaire

Laura Creti

Sexual History Form

Peter Dent, MD

Juvenile Arthritis Self-Report Index (JASI)

George Domino

Assessment of Sleep

Sleep Questionnaire

Maxime Dougados, MD

Dougados Functional Index (DFI)

Alan B. Douglass

Sleep Disorders Questionnaire

M Tuncay Duruoz, MD

Duruoz Hand Index

Colin A. Espie

Beliefs and Attitudes about Sleep Scale

Dysfunctional Beliefs and Attitudes about Sleep Scale - 10

Glasgow Content of Thoughts Inventory

Insomnia Impact Scale

Sleep Disturbance Questionnaire

Catherine S. Fichten

Sleep Diary

Sleep Questionnaire

Robert Ficke

Performance Outcomes Measures Project

J.D. Fisk

Fatigue Impact Scale

James F Fries, MD

Health Assessment Questionnaire (HAQ)

Johanna CJM de Haes, PhD

Rotterdam Symptom Checklist

Stephen Haley, PhD

Late Life Function and Disability Instrument: Function Component

Danete Hann, PhD and Paul Jacobsen, PhD

Fatigue Symptom Inventory

Philip S Helliwell, MD, PhD

Revised Leeds Disability Questionnaire

Ian Hindmarch

Quality of Life of Insomniacs

Leeds Sleep Evaluation Questionnaire (LESQ)

Mark Hlatky, MD

Duke Activity Status Index (DASI)

Timothy J. Hoelscher

Insomnia Impact Scale

E. Scott Huebner, PhD

Multidimensional Students' Life Satisfaction Scale (MSLSS)

Jeffrey G. Johnson, PhD

Patient Health Questionnaire for Adolescents (PHQ-A)

Lauren Krupp

Fatigue Severity Scale

Sleep Symptom Questionnaire

Jin-Shei Lai, PhD

Pediatric Fatigue Item Bank

Kathryn A. Lee

Numerical Rating Scale for Fatigue

Debra Lerner, PhD

Work Limitations Questionnaire

Kenneth Lichstein

Sleep Questionnaire

Mark S. Litwin

UCLA Prostate Cancer Index

Daniel Lovell, MD

Juvenile Arthritis Functional Assessment Scale

Juvenile Arthritis Functional Assessment Report for Children (JAFAR-C)

Ayala Malach-Pines

Burnout Measure

Ralph Marino, MD

Capabilities of Upper Extremity (CUE)

Robert Meenan, MD

Arthritis Impact Measurement Scales 2 (AIMS2)

Tito Mendoza, Charles Cleeland

MD Anderson Symptom Inventory

Charles M. Morin

Insomnia Interview Schedule

Sleep Diary

Douglas E. Moul

Pittsburgh Insomnia Rating Scale

Nikolaus Netzer

Berlin Questionnaire

Geraldine Padilla

Quality of Life Scale - Cancer

Tonya M. Palermo, PhD

Child Activity Limitations Interview (CALI)

George Parkerson, MD

Duke Health Profile

Donald Patrick, PhD

WHOQOL-100 US Version

Arnold L. Potosky

Prostate Cancer Outcomes Study

Jack D. Edinger, Professional Resource Exchange

Edinger's Sleep History Questionnaire

Quentin R. Regestein

Hyperarousal Scale

Robin Richards, MD

American Shoulder and Elbow Surgeons Shoulder Form (ASES)

Tracey Riseborough

Hospital Anxiety and Depression Scale (HADS)

Kathryn Roach, PhD

Shoulder Pain and Disability Index

Martin Roland, MA, MRCP

Roland-Morris Low Back Pain and Disability Questionnaire

Raymond Rosen and Jules Mitchell

Brief Index of Sexual Functioning for Women

Female Sexual Function Index

Thomas Roth

Global Sleep Assessment Questionnaire

Debra Sciabarrasi

Barthel Index

Cathy Sherbourne, Robert Brook, Brent Bradley

Rand-36 Index of Vitality

Judith Siegel, PhD

Multidimensional Anger Inventory

Ann Skinner

Sickness Impact Profile (SIP)

John Spertus, MD, MPH

Seattle Angina Questionnaire

Charles D. Spielberger, PhD

State-Trait Anger Expression Inventory (STAXI)

Barbara Starfield, MD, MPH

Child Health and Illness Profile - Adolescent Edition (CHIP-AE)

Kevin Stein

Multidimensional Fatigue Symptom Inventory

K.L. Syrjala

Sexual Function Questionnaire

Peter Tugwell, MD

McMaster Toronto Arthritis

James W. Varni, PhD

PedsQL™ Arthritis Module Version 3.0 Child Report (ages 8-12)

PedsQL™ Asthma Module Version 3.0 Child Report (ages 8-12)

PedsQL™ Cerebral Palsy Module Version 3.0 Child Report (ages 8-12)

PedsQL™ Multidimensional Fatigue Scale Standard Version Child Report (ages 8-12)

PedsQL™ Pediatric Quality of Life Inventory Version 4.0 Child Report (ages 8-12)

John Ware, PhD

PIQ-6

SF-36 v2

Medical Outcomes Study Sexual Functioning Scale

Terri E. Weaver

Functional Outcomes of Sleep Questionnaire

Wilse B. Webb

Post-Sleep Inventory

Nadine Weisscher

AMC Linear Disability Score (ALDS)

Nick Wetton

Crown-Crisp Experiential Index

Horng-Shiuann Wu, PhD

Cancer-Related Fatigue Instrument