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Table 2 Distribution of Items by Proxy Test Administration Form*

From: Development of six PROMIS pediatrics proxy-report item banks

Item Banks (number of total items)

Form 1*

Form 2*

Form 3*

Form 4*

Form 5

Form 6

Form 7

Form 8

Form Asthma

PROMIS Emotional Distress-Anger(n = 10)

10 items

  

10 items

10 items

   

4 items*

PROMIS Emotional Distress- Anxiety(n = 18)

18 items

9 items

 

9 items

9 items

9 items

  

4 items*

PROMIS Emotional Distress-Depressive Symptoms (n = 21)

21 items

11 items

 

10 items

10 items

11 items

  

4 items*

PROMIS Fatigue (n = 39)

14 items

20 items

15 items

19 items

6 items

8 items

12 items

13 items

4 items*

PROMIS Pain (n = 27)

13 items

14 items

14 items

13 items

6 items

7 items

7 items

7 items

3 items*

PROMIS Physical Function-Mobility (n = 32)

13 items

17 items

19 items

15 items

6 items

7 items

10 items

9 items

4 items*

PROMIS Physical Function-Upper Extremity (n = 38)

14 items

20 items

24 items

18 items

6 items

8 items

12 items

12 items

4 items*

PROMIS Social Peer Relationships (n = 74)

26 items

38 items

48 items

36 items

12 items

14 items

24 items

24 items

8 items*

PROMIS Asthma Impact (n = 34)

        

34 items

Legacy Items

    

PedsQL Generic

PedsQL Generic Core

PedsQL Generic Core

PedsQL Generic Core

PedsQL Asthma Module 28 items;

     

Core Scales 23 items; KIDSCREEN 52 items

Scales 23 items; KIDSCREEN 52 items

Scales 23 items; KIDSCREEN 52 items

Scales 23 items; KIDSCREEN 52 items

DISABKIDS Asthma Module 14 items

  1. *some items are duplicated between forms