Development of an item bank for computerized adaptive test (CAT) measurement of pain.

Purpose: Patient-reported outcomes should ideally be adapted to the individual patient while maintaining comparability of scores across patients. This is achievable using computerized adaptive testing (CAT). The aim here was to develop an item bank for CAT measurement of the pain domain as measured...

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Published in:Quality of Life Research Vol. 25; no. 1; pp. 1 - 12
Main Authors: Petersen, Morten, Aaronson, Neil, Chie, Wei-Chu, Conroy, Thierry, Costantini, Anna, Hammerlid, Eva, Hjermstad, Marianne, Kaasa, Stein, Loge, Jon, Velikova, Galina, Young, Teresa, Groenvold, Mogens, Petersen, Morten Aa, Aaronson, Neil K, Hjermstad, Marianne J, Loge, Jon H
Format: research Journal Article
Published: Springer Nature Jan2016
Online Access:View this record in EBSCOhost
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      pub: Springer Nature
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        atl: Development of an item bank for computerized adaptive test (CAT) measurement of pain.
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          Petersen, Morten
          Aaronson, Neil
          Chie, Wei-Chu
          Conroy, Thierry
          Costantini, Anna
          Hammerlid, Eva
          Hjermstad, Marianne
          Kaasa, Stein
          Loge, Jon
          Velikova, Galina
          Young, Teresa
          Groenvold, Mogens
          Petersen, Morten Aa
          Aaronson, Neil K
          Hjermstad, Marianne J
          Loge, Jon H
        affil: The Research Unit, Department of Palliative Medicine, Bispebjerg Hospital, University of Copenhagen, Bispebjerg Bakke 23 2400 Copenhagen Denmark
      sug:
        subj:
          Psychometrics Methods
          Quality of Life Psychosocial Factors
          Pain Measurement Methods
          Pain Psychosocial Factors
          France
          Young Adult
          Middle Age
          Adult
          Aged, 80 and Over
          Treatment Outcomes
          Great Britain
          Computers and Computerization
          Male
          Neoplasms Therapy
          Female
          Denmark
          Aged
          Questionnaires
          Funding Source
          Human
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Aged, 80 & over
          Aged: 65+ years
          Male
          Female
      ab: Purpose: Patient-reported outcomes should ideally be adapted to the individual patient while maintaining comparability of scores across patients. This is achievable using computerized adaptive testing (CAT). The aim here was to develop an item bank for CAT measurement of the pain domain as measured by the EORTC QLQ-C30 questionnaire.Methods: The development process consisted of four steps: (1) literature search, (2) formulation of new items and expert evaluations, (3) pretesting and (4) field-testing and psychometric analyses for the final selection of items.Results: In step 1, we identified 337 pain items from the literature. Twenty-nine new items fitting the QLQ-C30 item style were formulated in step 2 that were reduced to 26 items by expert evaluations. Based on interviews with 31 patients from Denmark, France and the UK, the list was further reduced to 21 items in step 3. In phase 4, responses were obtained from 1103 cancer patients from five countries. Psychometric evaluations showed that 16 items could be retained in a unidimensional item bank. Evaluations indicated that use of the CAT measure may reduce sample size requirements with 15-25% compared to using the QLQ-C30 pain scale.Conclusions: We have established an item bank of 16 items suitable for CAT measurement of pain. While being backward compatible with the QLQ-C30, the new item bank will significantly improve measurement precision of pain. We recommend initiating CAT measurement by screening for pain using the two original QLQ-C30 pain items. The EORTC pain CAT is currently available for "experimental" purposes.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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