Reduction in patient burdens with graphical computerized adaptive testing on the ADL scale: tool development and simulation.

Background: The aim of this study was to verify the effectiveness and efficacy of saving time and reducing burden for patients, nurses, and even occupational therapists through computer adaptive testing (CAT).Methods: Based on an item bank of the Barthel Index (BI) and the Frenchay Activities Index...

Descripción completa

Detalles Bibliográficos
Publicado en:Health & Quality of Life Outcomes Vol. 7; pp. 39 - 40
Autores principales: Chien TW, Wu HM, Wang WC, Castillo RV, Chou W, Chien, Tsair-Wei, Wu, Hing-Man, Wang, Weng-Chung, Castillo, Roberto Vasquez, Chou, Willy
Formato: research Journal Article
Publicado: BioMed Central 2009
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105220866&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 105220866
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        14777525
        1CPN
      jtl: Health & Quality of Life Outcomes
      issn: 14777525
      maglogo: N
    pubinfo:
      dt: 2009
      vid: 7
      pid: 24147
      pub: BioMed Central
    artinfo:
      ui:
        105220866
        NLM19416521
        2010307198
        10.1186/1477-7525-7-39
        NLM19416521
        PMC2688502
        105220866
      ppf: 39
      ppct: 1
      formats:
      tig:
        atl: Reduction in patient burdens with graphical computerized adaptive testing on the ADL scale: tool development and simulation.
      aug:
        au:
          Chien TW
          Wu HM
          Wang WC
          Castillo RV
          Chou W
          Chien, Tsair-Wei
          Wu, Hing-Man
          Wang, Weng-Chung
          Castillo, Roberto Vasquez
          Chou, Willy
        affil: Department of Rehabilitation, Chi-Mei Medical Center, Taiwan, ROC
      sug:
        subj:
          Activities of Daily Living
          Computer Graphics
          Computer Simulation
          Diagnosis, Computer Assisted
          Stroke Rehabilitation
          Female
          Human
          Male
          Clinical Information Systems
          Reproducibility of Results
          Taiwan
          United States
          Barthel Index
          Scales
          Female
          Male
      ab: Background: The aim of this study was to verify the effectiveness and efficacy of saving time and reducing burden for patients, nurses, and even occupational therapists through computer adaptive testing (CAT).Methods: Based on an item bank of the Barthel Index (BI) and the Frenchay Activities Index (FAI) for assessing comprehensive activities of daily living (ADL) function in stroke patients, we developed a visual basic application (VBA)-Excel CAT module, and (1) investigated whether the averaged test length via CAT is shorter than that of the traditional all-item-answered non-adaptive testing (NAT) approach through simulation, (2) illustrated the CAT multimedia on a tablet PC showing data collection and response errors of ADL clinical functional measures in stroke patients, and (3) demonstrated the quality control of endorsing scale with fit statistics to detect responding errors, which will be further immediately reconfirmed by technicians once patient ends the CAT assessment.Results: The results show that endorsed items could be shorter on CAT (M = 13.42) than on NAT (M = 23) at 41.64% efficiency in test length. However, averaged ability estimations reveal insignificant differences between CAT and NAT.Conclusion: This study found that mobile nursing services, placed at the bedsides of patients could, through the programmed VBA-Excel CAT module, reduce the burden to patients and save time, more so than the traditional NAT paper-and-pencil testing appraisals.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N