Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Preliminary Validation of the PROMIS Parent-Proxy Peer Relationships Measure in Children with Autism Spectrum Disorder: A DBPNet Study

Toomey, Marisa MD; Schwartz, Justin MD; Laverdiere, Michele MD; Tucker, Carole A. PT, PhD; Bevans, Katherine PhD; Forrest, Christopher B. MD, PhD; Blum, Nathan J. MD

Journal of Developmental & Behavioral Pediatrics: November/December 2016 - Volume 37 - Issue 9 - p 724–729
doi: 10.1097/DBP.0000000000000364
Original Articles
Watch video abstract

Objective: To evaluate the content and construct validity of the existing PROMIS Pediatric Parent-Proxy Peer Relationships Measure in 5- to 12-year-old children with autism spectrum disorder (ASD).

Method: Parents of 121 children aged 5 to 12 years who met DSM-IV criteria for ASD completed the Peer Relationships Measure using computerized adaptive testing (CAT). Parents also completed the Social Responsiveness Scale, Second Edition (SRS-2) and a demographic form. Intelligence quotient test results were extracted from clinical or research records. Five parents participated in semi-structured interviews about their child's peer relationships and the item content on the Peer Relationships Measure.

Results: The children in the sample were primarily male (87%). The sample was racially and ethnically diverse, and parents were predominantly highly educated. The mean T-score (SD) on the Peer Relationships Measure was 36 (8), with a range from 15 to 62. For 98% of subjects, the CAT required administration of 5 items to reach a standard error of measurement of less than 4 T-score units. The Peer Relationships Measure demonstrated a large correlation with the SRS-2 (r = −0.60, p < .0001). In semi-structured interviews, parents reported that the items on the Peer Relationships Measure were relevant to the peer relationships of their child with ASD, but they reported a few challenges related to variability in their children's peer relationships over time and to somewhat limited knowledge of relationships in school.

Conclusion: The PROMIS Pediatric Parent-Proxy Peer Relationships Measure may be an efficient, precise, and valid measure of peer relationships for 5- to 12-year-old children with ASD.

*Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA;

Division of Developmental Medicine, Boston Children's Hospital, Boston, MA;

Department of Pediatrics, Albert Einstein College of Medicine and The Children's Hospital at Montefiore, Bronx, NY;

§Department of Physical Therapy, College of Public Health, Temple University, Philadelphia, PA;

Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.

Address for reprints: Department of Pediatrics, Division of Developmental- Behavioral Medicine 740 S. Limestone, Lexington, KY 40506 e-mail:

DBPNet is supported by cooperative agreement UA3MC20218 from the Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services, Project Director N. J. Blum.

Disclosure: The authors declare no conflict of interest.

Received March , 2016

Accepted August , 2016

Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.