Efficiency of static and computer adaptive short forms compared to full-length measures of depressive symptoms.

Purpose: Short-form patient-reported outcome measures are popular because they minimize patient burden. We assessed the efficiency of static short forms and computer adaptive testing (CAT) using data from the Patient-Reported Outcomes Measurement Information System (PROMIS) project.Methods: We evalu...

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Publicado en:Quality of Life Research Vol. 19; no. 1; pp. 125 - 137
Autores principales: Choi SW, Reise SP, Pilkonis PA, Hays RD, Cella D, Choi, Seung W, Reise, Steven P, Pilkonis, Paul A, Hays, Ron D, Cella, David
Formato: research Journal Article
Publicado: Springer Nature Feb2010
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Efficiency of static and computer adaptive short forms compared to full-length measures of depressive symptoms.
      aug:
        au:
          Choi SW
          Reise SP
          Pilkonis PA
          Hays RD
          Cella D
          Choi, Seung W
          Reise, Steven P
          Pilkonis, Paul A
          Hays, Ron D
          Cella, David
        affil: Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA
      sug:
        subj:
          Computer Simulation
          Depression Diagnosis
          Diagnosis, Computer Assisted Methods
          Disability Evaluation
          Calibration
          Human
          Models, Psychological
          Predictive Value of Tests
          Psychometrics Methods
          Questionnaires
          Reproducibility of Results
      ab: Purpose: Short-form patient-reported outcome measures are popular because they minimize patient burden. We assessed the efficiency of static short forms and computer adaptive testing (CAT) using data from the Patient-Reported Outcomes Measurement Information System (PROMIS) project.Methods: We evaluated the 28-item PROMIS depressive symptoms bank. We used post hoc simulations based on the PROMIS calibration sample to compare several short-form selection strategies and the PROMIS CAT to the total item bank score.Results: Compared with full-bank scores, all short forms and CAT produced highly correlated scores, but CAT outperformed each static short form in almost all criteria. However, short-form selection strategies performed only marginally worse than CAT. The performance gap observed in static forms was reduced by using a two-stage branching test format.Conclusions: Using several polytomous items in a calibrated unidimensional bank to measure depressive symptoms yielded a CAT that provided marginally superior efficiency compared to static short forms. The efficiency of a two-stage semi-adaptive testing strategy was so close to CAT that it warrants further consideration and study.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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