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| Research article summary (published 12 Mar 2009): |
Replenishing a computerized adaptive test of patient-reported daily activity functioning.
Full Abstract
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.
Author information
Author/s: Haley, Stephen M (SM); Ni, Pengsheng (P); Jette, Alan M (AM); Tao, Wei (W); Moed, Richard (R); Meyers, Doug (D); Ludlow, Larry H (LH);
Affiliation: Boston University School of Public Health, Boston, MA, USA. smhaley(-atsign-)bu.edu
Grants: K02 HD45354-01 (Agency:NICHD NIH HHS)
Journal and publication information
Publication Type: Journal Article; Research Support, N.I.H., Extramural
Journal: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation (Qual Life Res), published in Netherlands. (Language: eng)
Reference: 2009-May; vol 18 (issue 4) : pp 461-71
Dates: Created 2009/04/01; Completed 2009/06/24;
PMID: 19288222, status: MEDLINE (last retrieval date: 6/24/2009, IMS Date: 24 Jun 2009 00:00:00)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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