Measurement precision and efficiency of multidimensional computer adaptive testing of physical functioning using the pediatric evaluation of disability inventory.

OBJECTIVE: To compare the measurement efficiency and precision of a multidimensional computer adaptive testing (M-CAT) application to a unidimensional CAT (U-CAT) comparison using item bank data from 2 of the functional skills scales of the Pediatric Evaluation of Disability Inventory (PEDI). DESIGN...

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Publicado en:Archives of Physical Medicine & Rehabilitation Vol. 87; no. 9; pp. 1223 - 1230
Autores principales: Haley SM, Ni P, Ludlow LH, Fragala-Pinkham MA
Formato: equations & formulas research tables/charts Journal Article
Publicado: W B Saunders Sep2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2006
      vid: 87
      iid: 9
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      pub: W B Saunders
      place: Philadelphia, Pennsylvania
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        106193893
        106193893
        2009281456
        10.1016/j.apmr.2006.05.018
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        106193893
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        atl: Measurement precision and efficiency of multidimensional computer adaptive testing of physical functioning using the pediatric evaluation of disability inventory.
      aug:
        au:
          Haley SM
          Ni P
          Ludlow LH
          Fragala-Pinkham MA
        affil: Health and Disability Research Institute, Boston University, Boston, MA.
      sug:
        subj:
          Children with Disabilities
          Computerized Adaptive Testing
          Disability Evaluation
          Pediatrics
          Clinical Assessment Tools
          Fisher's Exact Test
          Funding Source
          Outcome Assessment
          Pearson's Correlation Coefficient
          Psychometrics
          Rehabilitation, Pediatric
          Scales
          Secondary Analysis
          Self Care
          Human
      ab: OBJECTIVE: To compare the measurement efficiency and precision of a multidimensional computer adaptive testing (M-CAT) application to a unidimensional CAT (U-CAT) comparison using item bank data from 2 of the functional skills scales of the Pediatric Evaluation of Disability Inventory (PEDI). DESIGN: Using existing PEDI mobility and self-care item banks, we compared the stability of item calibrations and model fit between unidimensional and multidimensional Rasch models and compared the efficiency and precision of the U-CAT- and M-CAT-simulated assessments to a random draw of items. SETTING: Pediatric rehabilitation hospital and clinics. PARTICIPANTS: Clinical and normative samples. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Not applicable. RESULTS: The M-CAT had greater levels of precision and efficiency than the separate mobility and self-care U-CAT versions when using a similar number of items for each PEDI subdomain. Equivalent estimation of mobility and self-care scores can be achieved with a 25% to 40% item reduction with the M-CAT compared with the U-CAT. CONCLUSIONS: M-CAT applications appear to have both precision and efficiency advantages compared with separate U-CAT assessments when content subdomains have a high correlation. Practitioners may also realize interpretive advantages of reporting test score information for each subdomain when separate clinical inferences are desired. Copyright © 2006 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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