PROJECT SUMMARY/ABSTRACT
BACKGROUND: Mindfulness-Based Interventions (MBIs) have a prominent place in public health and clinical
research, and are the focus of hundreds of NIH-funded trials. Nevertheless, significant gaps exist in how mindfulness is
measured as a construct using currently available self-reported outcomes instruments. Due to the sheer number of
available mindfulness measurement tools, each measuring different concepts in different ways, it has become difficult to
establish whether MBI participants actually develop mindfulness skills and attitudes, and whether health outcomes can be
attributed to gains in mindfulness. Further, it is not possible to compare findings from one mindfulness trial with another
using the same measurement metric. The Patient Reported Outcomes Measurement Information System (PROMIS) has
established a rigorous and systematic instrument development methodology that draws from qualitative, quantitative and
advanced psychometric approaches to create brief, precise, flexible, standardized, and clinically-relevant outcomes tools.
Further, PROMIS-related applications such as PROsetta Stone, have enabled psychometric score linking between
PROMIS and legacy measures using sophisticated cross-walk analytic techniques.
OBJECTIVE: To improve the rigor, relevance, and reproducibility of MBI research results by applying PROMIS and
PROsetta Stone instrument development methodologies to the field of mindfulness measurement.
STUDY DESIGN: We will accomplish our study through the following three aims and related development and analysis
activities: AIM 1. Development of New Mindfulness Item Banks. This will include: 1) a literature review, 2) online
survey of mindfulness researchers (n=50); 3) individual interviews (n=20) and focus groups (n=48 participants) with new
and experienced meditators; 4) item writing and refinement; 6) translatability review; and 7) cognitive interviews (n=30)
with mindfulness instructors and community members. AIM 2. Calibration of New Mindfulness Item Banks and Score
Linking with Legacy Measures. This will include: 1) testing new mindfulness item banks in a large online general
population sample (n=4200) and online sample of mindfulness teachers and students (n=500); 2) evaluating
dimensionality and other Item Response Theory (IRT) assumptions; 3) Conducting IRT analyses; and 4) Creating
computerized adaptive tests (CATs) and fixed length short forms; 5) Linking new mindfulness item banks with legacy
mindfulness measures and creating scoring cross walk tables (n=3000). AIM 3. Validation of New Mindfulness Short
Forms in Ongoing Mindfulness Courses. For Classic Test Theory-based validation outcomes (e.g., construct and
criterion-related validity), responsiveness to change, and estimation of minimally important differences, we will
administer new mindfulness short forms, legacy measures, and a performance-based experiential mindfulness task at
baseline, 8-weeks, and 16 weeks in multiple, on-going 8-week MBI courses programs occurring throughout the United
States (n=250). RELEVANCE: Applying PROMIS and PROsetta Stone methods to mindfulness measurement could
have a major impact on mindfulness research through increasing measurement precision, standardization, and
comparability across and between studies: past, present, and future.
