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Protocol - Physical Mobility - Adult

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Description

Patient-Reported Outcomes Measurement Information System® (PROMIS®) Item Bank v2.1 Mobility is a 44-item self-administered questionnaire, with items prompting on a scale from 1-5 how well an individual can perform a specified task. This protocol was validated in individuals aged 18 years and older.

Specific Instructions
The PhenX Working Group recommends this PROMIS® protocol. For additional information regarding PROMIS® instruments (including scoring, validity, and interpretation) please visit: www.healthmeasures.net. For specific information about this instrument, please visit: www.healthmeasures.net/index.php?option=com_instruments&view=measure&id=3392&Itemid=992
Protocol

Patient-Reported Outcomes Measurement Information System® (PROMIS) Item Bank v2.1 - Mobility

Please respond to each item by marking one box per row.

Without any difficulty

With a little difficulty

With some difficulty

With much difficulty

Unable to do

Are you able to stand for one hour?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to stand up from an armless straight chair?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to run or jog for two miles (3 km)?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to go up and down stairs at a normal pace?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to go for a walk of at least 15 minutes?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to step up and down curbs?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to stand with your knees straight?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to stand for short periods of time?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to run at a fast pace for two miles (3 km)?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to squat and get up?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to climb up five steps?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to run a short distance, such as to catch a bus?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to stand unsupported for 10 minutes?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to stand up on tiptoes?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to stand unsupported for 30 minutes?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to jump up and down?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to run 100 yards (100 m)?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to walk up and down two steps?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to climb up 5 flights of stairs?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to walk at a normal speed?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to stand without losing your balance for several minutes?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to kneel on the floor?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to walk a block (about 100 m) on flat ground?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to run five miles (8 km)?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to climb the stairs of a 10-story building without stopping?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to walk briskly for 20 minutes without stopping to rest?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to come to a complete stop while running?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to make sharp turns while running fast?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to jump over an object that is 1 foot (30 cm) tall?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to jump 2 feet (60 cm) high?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to walk across a balance beam?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to walk in a straight line putting one foot in front of the other (heel to toe) for 5 yards (5 m)?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to dance energetically for an hour?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to run on uneven ground?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to run on even ground?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to run ten miles (16 km)?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Are you able to stand on one foot with your eyes closed for 30 seconds?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Does your health now limit you in bending, kneeling, or stooping?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Does your health now limit you in going for a short walk (less than 15 minutes)?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Does your health now limit you in hiking a couple of miles (3 km) on uneven surfaces, including hills?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Does your health now limit you in climbing several flights of stairs?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Does your health now limit you in walking more than a mile (1.6 km)?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Does your health now limit you in climbing one flight of stairs?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Does your health now limit you in walking about the house?

[ ]
5

[ ]
4

[ ]
3

[ ]
2

[ ]
1

Availability

Available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Lifestage

Adult, Senior

Participants

Adults aged 18 years and older

Selection Rationale

The Patient-Reported Outcomes Measurement Information System® (PROMIS®) protocols have been tested and have been found to be reliable and comparable to established measures of these same content areas. Additionally, they are quick and easy to administer, either via paper and pencil or as a computer-based instrument.

Language

English, Spanish

Standards
StandardNameIDSource
caDSR Common Data Elements (CDE) Pain Physical Mobility-Adult Assessment Score 7997228 CDE Browser
Derived Variables

None

Process and Review

Not Applicable

Protocol Name from Source

Patient-Reported Outcomes Measurement Information System® (PROMIS) Item Bank v2.1 - Mobility

Source

Hays, R. D., Spritzer, K. L., Amtmann, D., Lai, J-S., Dewitt, E. M., Rothrock, N., Dewalt, D. A., Riley, W. T., Fries, J. F., & Krishnan, E. (2013). Upper-extremity and mobility subdomains from the Patient-Reported Outcomes Measurement Information System (PROMIS) adult physical functioning item bank. Archives of Physical Medicine and Rehabilitation, 94(11), 2291-2296.

General References

McDermott, M. M., Spring, B., Berger, J. S., Treat-Jacobson, D., Conte, M. S., Creager, M. A., Criqui, M. H., Ferrucci, L., Gornik, H. L., Guralnik, J. M., Hahn, E. A., Henke, P., Kibbe, M. R., Kohlman-Trighoff, D., Li, L., Lloyd-Jones, D., McCarthy, W., Polonsky, T. S., Skelly, C., Tian, L., … Rejeski, W. J. (2018). Effect of a home-based exercise intervention of wearable technology and telephone coaching on walking performance in peripheral artery disease: The HONOR Randomized Clinical Trial. JAMA, 319(16), 1665-1676.

Protocol ID

860901

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX860901_Physical_Mobility_Adult_Bending_Kneeling_Stooping
PX860901380000 Does your health now limit you in bending, more
kneeling, or stooping? show less
N/A
PX860901_Physical_Mobility_Adult_Curbs
PX860901060000 Are you able to step up and down curbs? N/A
PX860901_Physical_Mobility_Adult_Dance
PX860901330000 Are you able to dance energetically for an hour? N/A
PX860901_Physical_Mobility_Adult_Five_Steps
PX860901110000 Are you able to climb up five steps? N/A
PX860901_Physical_Mobility_Adult_Hiking
PX860901400000 Does your health now limit you in hiking a more
couple of miles (3 km) on uneven surfaces, including hills? show less
N/A
PX860901_Physical_Mobility_Adult_Jog_Two_Miles
PX860901030000 Are you able to run or jog for two miles (3 km)? N/A
PX860901_Physical_Mobility_Adult_Jump
PX860901160000 Are you able to jump up and down? N/A
PX860901_Physical_Mobility_Adult_Jump_One_Foot
PX860901290000 Are you able to jump over an object that is more
1 foot (30 cm) tall? show less
N/A
PX860901_Physical_Mobility_Adult_Jump_Two_Feet
PX860901300000 Are you able to jump 2 feet (60 cm) high? N/A
PX860901_Physical_Mobility_Adult_Kneel
PX860901220000 Are you able to kneel on the floor? N/A
PX860901_Physical_Mobility_Adult_Running_Sharp_Turns
PX860901280000 Are you able to make sharp turns while more
running fast? show less
N/A
PX860901_Physical_Mobility_Adult_Running_Stop
PX860901270000 Are you able to come to a complete stop more
while running? show less
N/A
PX860901_Physical_Mobility_Adult_Run_100_Yards
PX860901170000 Are you able to run 100 yards (100 m)? N/A
PX860901_Physical_Mobility_Adult_Run_Catch_Bus
PX860901120000 Are you able to run a short distance, such more
as to catch a bus? show less
N/A
PX860901_Physical_Mobility_Adult_Run_Even
PX860901350000 Are you able to run on even ground? N/A
PX860901_Physical_Mobility_Adult_Run_Fast_Two_Miles
PX860901090000 Are you able to run at a fast pace for two more
miles (3 km)? show less
N/A
PX860901_Physical_Mobility_Adult_Run_Five_Miles
PX860901240000 Are you able to run five miles (8 km)? N/A
PX860901_Physical_Mobility_Adult_Run_Ten_Miles
PX860901360000 Are you able to run ten miles (16 km)? N/A
PX860901_Physical_Mobility_Adult_Run_Uneven
PX860901340000 Are you able to run on uneven ground? N/A
PX860901_Physical_Mobility_Adult_Short_Walk
PX860901390000 Does your health now limit you in going for more
a short walk (less than 15 minutes)? show less
N/A
PX860901_Physical_Mobility_Adult_Squat
PX860901100000 Are you able to squat and get up? N/A
PX860901_Physical_Mobility_Adult_Stairs
PX860901040000 Are you able to go up and down stairs at a more
normal pace? show less
N/A
PX860901_Physical_Mobility_Adult_Stairs_Five_Flights
PX860901190000 Are you able to climb up 5 flights of stairs? N/A
PX860901_Physical_Mobility_Adult_Stairs_One_Flight
PX860901430000 Does your health now limit you in climbing more
one flight of stairs? show less
N/A
PX860901_Physical_Mobility_Adult_Stairs_Several_Flights
PX860901410000 Does your health now limit you in climbing more
several flights of stairs? show less
N/A
PX860901_Physical_Mobility_Adult_Stairs_Ten_Story
PX860901250000 Are you able to climb the stairs of a more
10-story building without stopping? show less
N/A
PX860901_Physical_Mobility_Adult_Stand_Chair
PX860901020000 Are you able to stand up from an armless more
straight chair? show less
N/A
PX860901_Physical_Mobility_Adult_Stand_Eyes_Closed
PX860901370000 Are you able to stand on one foot with your more
eyes closed for 30 seconds? show less
N/A
PX860901_Physical_Mobility_Adult_Stand_Knees_Straight
PX860901070000 Are you able to stand with your knees straight? N/A
PX860901_Physical_Mobility_Adult_Stand_One_Hour
PX860901010000 Are you able to stand for one hour? N/A
PX860901_Physical_Mobility_Adult_Stand_Several_Minutes
PX860901210000 Are you able to stand without losing your more
balance for several minutes? show less
N/A
PX860901_Physical_Mobility_Adult_Stand_Short_Periods
PX860901080000 Are you able to stand for short periods of time? N/A
PX860901_Physical_Mobility_Adult_Stand_Tiptoes
PX860901140000 Are you able to stand up on tiptoes? N/A
PX860901_Physical_Mobility_Adult_Stand_Unsupported_30_Minutes
PX860901150000 Are you able to stand unsupported for 30 minutes? N/A
PX860901_Physical_Mobility_Adult_Stand_Unsupported_Ten_Minutes
PX860901130000 Are you able to stand unsupported for 10 minutes? N/A
PX860901_Physical_Mobility_Adult_Walking_House
PX860901440000 Does your health now limit you in walking more
about the house? show less
N/A
PX860901_Physical_Mobility_Adult_Walking_One_Mile
PX860901420000 Does your health now limit you in walking more
more than a mile (1.6 km)? show less
N/A
PX860901_Physical_Mobility_Adult_Walk_Balance_Beam
PX860901310000 Are you able to walk across a balance beam? N/A
PX860901_Physical_Mobility_Adult_Walk_Block
PX860901230000 Are you able to walk a block (about 100 m) more
on flat ground? show less
N/A
PX860901_Physical_Mobility_Adult_Walk_Briskly_Twenty_Minutes
PX860901260000 Are you able to walk briskly for 20 minutes more
without stopping to rest? show less
N/A
PX860901_Physical_Mobility_Adult_Walk_Fifteen_Minutes
PX860901050000 Are you able to go for a walk of at least 15 more
minutes? show less
N/A
PX860901_Physical_Mobility_Adult_Walk_Normal_Speed
PX860901200000 Are you able to walk at a normal speed? N/A
PX860901_Physical_Mobility_Adult_Walk_Straight_Line
PX860901320000 Are you able to walk in a straight line more
putting one foot in front of the other (heel to toe) for 5 yards (5 m)? show less
N/A
PX860901_Physical_Mobility_Adult_Walk_Two_Steps
PX860901180000 Are you able to walk up and down two steps? N/A
Pain
Measure Name

Physical Mobility

Release Date

May 18, 2022

Definition

Measure that rates an individual's overall physical mobility.

Purpose

Ratings from this measure can be used to determine if an individual's physical ability or mobility is limited.

Keywords

Physical function, mobility, adult, PROMIS, Patient-Reported Outcomes Measurement Information System, sickle cell disease, pain, functional assessment

Measure Protocols
Protocol ID Protocol Name
860901 Physical Mobility - Adult
860902 Physical Mobility - Child
860903 Physical Mobility - Hospitalized Individuals
Publications

There are no publications listed for this protocol.