Background
The following figure illustrates the different areas:
We chose PROMIS (Patient-Reported Outcomes Measurement Information System) to structure outcome areas and domains considering a biopsychosocial conceptual framework.
PROMIS conceptual framework of health
The PROMIS-Model is a formal Model aiming to categorize the complex area of (self-reported) health in different sub-areas. Based on the biopsychosocial understanding of health, the complex construct of (self-reported) health is divided into three areas: physical, mental, and social health. As shown in Figure 1, the three areas of health can be furthermore divided into domains.
In addition, domains are divided into subdomains (cf. Figure 2). Given the described differentiation of the more or less abstract term of (self-reported) health in domains and subdomains, measurable single constructs can be defined. On the basis of subdomains, core outcome sets can be developed.
Idzerda L, Rader T, Tugwell P, Boers M. Can We Decide Which Outcomes Should Be Measured in Every Clinical Trial? A Scoping Review of the Existing Conceptual Frameworks and Processes to Develop Core Outcome Sets. J Rheumatol. 2014