A computer adaptive testing approach for assessing physical functioning in children and adolescents.

The purpose of this article is to demonstrate: (1) the accuracy and (2) the reduction in amount of time and effort in assessing physical functioning (self-care and mobility domains) of children and adolescents using computer-adaptive testing (CAT). A CAT algorithm selects questions directly tailored...

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Published in:Developmental Medicine & Child Neurology Vol. 47; no. 2; pp. 113 - 121
Main Authors: Haley SM, Ni P, Fragala-Pinkham MA, Skrinar AM, Corzo D, Haley, Stephen M, Ni, Pengsheng, Fragala-Pinkham, Maria A, Skrinar, Alison M, Corzo, Deyanira
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Feb2005
Online Access:View this record in EBSCOhost
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      dt: Feb2005
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        atl: A computer adaptive testing approach for assessing physical functioning in children and adolescents.
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        au:
          Haley SM
          Ni P
          Fragala-Pinkham MA
          Skrinar AM
          Corzo D
          Haley, Stephen M
          Ni, Pengsheng
          Fragala-Pinkham, Maria A
          Skrinar, Alison M
          Corzo, Deyanira
        affil: Health and Disability Research Institute, Boston University, Boston, MA 02215, USA
      sug:
        subj:
          Computerized Adaptive Testing Evaluation
          Functional Assessment In Infancy and Childhood
          Funding Source
          Adolescence
          Child
          Child, Preschool
          Confidence Intervals
          Descriptive Statistics
          Female
          Infant
          Interviews
          Intraclass Correlation Coefficient
          Male
          Research Instruments
          Retrospective Design
          T-Tests
          Human
          Adolescent: 13-18 years
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Infant: 1-23 months
          Female
          Male
      ab: The purpose of this article is to demonstrate: (1) the accuracy and (2) the reduction in amount of time and effort in assessing physical functioning (self-care and mobility domains) of children and adolescents using computer-adaptive testing (CAT). A CAT algorithm selects questions directly tailored to the child's ability level, based on previous responses. Using a CAT algorithm, a simulation study was used to determine the number of items necessary to approximate the score of a full-length assessment. We built simulated CAT (5-, 10-, 15-, and 20-item versions) for self-care and mobility domains and tested their accuracy in a normative sample (n=373; 190 males, 183 females; mean age 6y 11mo [SD 4y 2m], range 4mo to 14y 11mo) and a sample of children and adolescents with Pompe disease (n=26; 21 males, 5 females; mean age 6y 1mo [SD 3y 10mo], range 5mo to 14y 10mo). Results indicated that comparable score estimates (based on computer simulations) to the full-length tests can be achieved in a 20-item CAT version for all age ranges and for normative and clinical samples. No more than 13 to 16% of the items in the full-length tests were needed for any one administration. These results support further consideration of using CAT programs for accurate and efficient clinical assessments of physical functioning.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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