Replenishing a computerized adaptive test of patient-reported daily activity functioning.

Purpose: Computerized adaptive testing (CAT) item banks may need to be updated, but before new items can be added, they must be linked to the previous CAT. The purpose of this study was to evaluate 41 pretest items prior to including them into an operational CAT.Methods: We recruited 6,882 patients...

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Publicado en:Quality of Life Research Vol. 18; no. 4; pp. 461 - 472
Autores principales: Haley SM, Ni P, Jette AM, Tao W, Moed R, Meyers D, Ludlow LH, Haley, Stephen M, Ni, Pengsheng, Jette, Alan M, Tao, Wei, Moed, Richard, Meyers, Doug, Ludlow, Larry H
Formato: research Journal Article
Publicado: Springer Nature May2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2009
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      pub: Springer Nature
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        atl: Replenishing a computerized adaptive test of patient-reported daily activity functioning.
      aug:
        au:
          Haley SM
          Ni P
          Jette AM
          Tao W
          Moed R
          Meyers D
          Ludlow LH
          Haley, Stephen M
          Ni, Pengsheng
          Jette, Alan M
          Tao, Wei
          Moed, Richard
          Meyers, Doug
          Ludlow, Larry H
        affil: Boston University School of Public Health, Boston, MA, USA
      sug:
        subj:
          Activities of Daily Living
          Disability Evaluation
          Outcome Assessment Methods
          Questionnaires
          User-Computer Interface
          Adult
          Aged
          Computer-Assisted Instruction
          Female
          Male
          Middle Age
          Prospective Studies
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Purpose: Computerized adaptive testing (CAT) item banks may need to be updated, but before new items can be added, they must be linked to the previous CAT. The purpose of this study was to evaluate 41 pretest items prior to including them into an operational CAT.Methods: We recruited 6,882 patients with spine, lower extremity, upper extremity, and nonorthopedic impairments who received outpatient rehabilitation in one of 147 clinics across 13 states of the USA. Forty-one new Daily Activity (DA) items were administered along with the Activity Measure for Post-Acute Care Daily Activity CAT (DA-CAT-1) in five separate waves. We compared the scoring consistency with the full item bank, test information function (TIF), person standard errors (SEs), and content range of the DA-CAT-1 to the new CAT (DA-CAT-2) with the pretest items by real data simulations.Results: We retained 29 of the 41 pretest items. Scores from the DA-CAT-2 were more consistent (ICC = 0.90 versus 0.96) than DA-CAT-1 when compared with the full item bank. TIF and person SEs were improved for persons with higher levels of DA functioning, and ceiling effects were reduced from 16.1% to 6.1%.Conclusions: Item response theory and online calibration methods were valuable in improving the DA-CAT.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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