Evaluation of a role functioning computer adaptive test (RF-CAT).

Objectives: To evaluate the validity and participants' acceptance of an online assessment of role function using computer adaptive test (RF-CAT).Methods: The RF-CAT and a set of established quality of life instruments were administered in a cross-sectional study in a panel sample (n = 444) recruited...

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Publicado en:Quality of Life Research Vol. 22; no. 5; pp. 1085 - 1093
Autores principales: Anatchkova, M, Rose, M, Ware, J, Bjorner, J B
Formato: research Journal Article
Publicado: Springer Nature Jun2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2013
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      pub: Springer Nature
      place: New York, New York
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        atl: Evaluation of a role functioning computer adaptive test (RF-CAT).
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          Anatchkova, M
          Rose, M
          Ware, J
          Bjorner, J B
        affil: Department of Quantitative Health Sciences, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01665-002, USA, Milena.Anatchkova@umassmed.edu.
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        subj:
          Computers and Computerization
          Health Status Indicators
          Psychometrics Methods
          Quality of Life
          Sick Role
          Adolescence
          Adult
          Aged
          Aged, 80 and Over
          Chronic Disease Psychosocial Factors
          Cross Sectional Studies
          Diagnosis, Computer Assisted
          Female
          Human
          Male
          Middle Age
          Patient Attitudes
          Questionnaires
          Reproducibility of Results
          Self Report
          Sickness Impact Profile
          Young Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objectives: To evaluate the validity and participants' acceptance of an online assessment of role function using computer adaptive test (RF-CAT).Methods: The RF-CAT and a set of established quality of life instruments were administered in a cross-sectional study in a panel sample (n = 444) recruited from the general population with over-selection of participants with selected self-report chronic conditions (n = 225). The efficiency, score accuracy, validity, and acceptability of the RF-CAT were evaluated and compared to existing measures.Results: The RF-CAT with a stopping rule of six items with content balancing used 25 of the available bank items and was completed on average in 66 s. RF-CAT and the legacy tools scores were highly correlated (.64-.84) and successfully discriminated across known groups. The RF-CAT produced a more precise assessment over a wider range than the SF-36 Role Physical scale. Patients' evaluations of the RF-CAT system were positive overall, with no differences in ratings observed between the CAT and static assessments.Conclusions: The RF-CAT was feasible, more precise than the static SF-36 RP and equally acceptable to participants as legacy measures. In empirical tests of validity, the better performance of the CAT was not uniformly statistically significant. Further research exploring the relationship between gained precision and discriminant power of the CAT assessment is needed.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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