Assessing mobility in children using a computer adaptive testing version of the Pediatric Evaluation of Disability Inventory.
OBJECTIVE: To assess score agreement, validity, precision, and response burden of a prototype computerized adaptive testing (CAT) version of the Mobility Functional Skills Scale (Mob-CAT) of the Pediatric Evaluation of Disability Inventory (PEDI) as compared with the full 59-item version (Mob-59). D...
| Publicado en: | Archives of Physical Medicine & Rehabilitation Vol. 86; no. 5; pp. 932 - 940 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
W B Saunders
May2005
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| 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=106513963&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106513963 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039993 1XL jtl: Archives of Physical Medicine & Rehabilitation issn: 00039993 maglogo: N pubinfo: dt: May2005 vid: 86 iid: 5 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 106513963 106513963 2009021185 10.1016/j.apmr.2004.10.032 NLM15895339 106513963 ppf: 932 ppct: 8 formats: tig: atl: Assessing mobility in children using a computer adaptive testing version of the Pediatric Evaluation of Disability Inventory. aug: au: Haley SM Raczek AE Coster WJ Dumas HM Fragala-Pinkham MA affil: Health and Disability Research Institute, Boston University, 53 Bay State Rd, Boston, MA 02215; smhaley@bu.edu sug: subj: Computer Simulation Disability Evaluation Instrument Validation Children with Disabilities Rehabilitation Sensitivity and Specificity Clinical Assessment Tools Physical Mobility Pediatric Physical Therapy Prospective Studies Retrospective Design Validation Studies Cross Sectional Studies Rasch Analysis Discriminant Validity Paired T-Tests Intraclass Correlation Coefficient T-Tests Confidence Intervals Convenience Sample Software Funding Source Human ab: OBJECTIVE: To assess score agreement, validity, precision, and response burden of a prototype computerized adaptive testing (CAT) version of the Mobility Functional Skills Scale (Mob-CAT) of the Pediatric Evaluation of Disability Inventory (PEDI) as compared with the full 59-item version (Mob-59). DESIGN: Computer simulation analysis of cross-sectional and longitudinal retrospective data; and cross-sectional prospective study. SETTING: Pediatric rehabilitation hospital, including inpatient acute rehabilitation, day school program, outpatient clinics, community-based day care, preschool, and children's homes. PARTICIPANTS: Four hundred sixty-nine children with disabilities and 412 children with no disabilities (analytic sample); 41 children without disabilities and 39 with disabilities (cross-validation sample). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Summary scores from a prototype Mob-CAT application and versions using 15-, 10-, and 5-item stopping rules; scores from the Mob-59; and number of items and time (in seconds) to administer assessments. RESULTS: Mob-CAT scores from both computer simulations (intraclass correlation coefficient [ICC] range, .94-.99) and field administrations (ICC=.98) were in high agreement with scores from the Mob-59. Using computer simulations of retrospective data, discriminant validity, and sensitivity to change of the Mob-CAT closely approximated that of the Mob-59, especially when using the 15- and 10-item stopping rule versions of the Mob-CAT. The Mob-CAT used no more than 15% of the items for any single administration, and required 20% of the time needed to administer the Mob-59. CONCLUSIONS: Comparable score estimates for the PEDI mobility scale can be obtained from CAT administrations, with losses in validity and precision for shorter forms, but with a considerable reduction in administration time. Copyright © 2005 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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