Reliability, validity and administrative burden of the community reintegration of injured service members computer adaptive test (CRIS-CAT)".

Reliability, validity and administrative burden of the community reintegration of injured service members computer adaptive test (CRIS-CAT)".
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DOI:
10.1186/1471-2288-12-145
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发表时间:
2012-09-17
影响因子:
4
通讯作者:
Jette A
Jette A
中科院分区:
医学3区
文献类型:
--
作者:
Resnik L;Borgia M;Ni P;Pirraglia PA;Jette A

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计算机自适应测试版本的受伤服务人员重返社区的措施(CRIS-CAT)包括三个规模测量的程度,感知的限制,并与社区融合的满意度。CRIS-CAT采用项目反应理论方法开发。本研究旨在评估CRIS-CAT的信度、同时性、已知组、预测效度和应答负担。本研究的目的是评估CRIS-CAT的信度、同时性、已知组和预测效度以及应答负担。本研究由三部分组成,包括:1)对517名无家可归者、就业者和持久自由行动/伊拉克自由行动(OEF/OIF)退伍军人的横断面实地研究;完成CRIS项目集中所有项目的人,2)对135名OEF/OIF退伍军人进行为期一年的随访研究的队列研究,以及3)CRIS-CAT管理的50人研究。模拟CAT成绩的条件信度计算从现场研究数据,并用皮尔逊积相关和方差分析的同时效度和已知组效度进行了检查。来自队列的数据用于检查CRIS-CAT预测关键一年结果的能力。来自CRIS-CAT施用研究的数据用于计算ICC(2,1)最小可检测变化(MDC)和CAT施用期间使用的平均项目数。所有量表的可靠性得分均在0.75以上,但在得分连续体的两端下降。CRIS-CAT评分与并发有效性指标相关,并且在三个退伍军人组之间存在显著差异(P < .001)。CRIS-CAT评分较好的退伍军人急诊就诊的几率降低(程度,感知满意度分别为:OR = 0.94,0.93,0.95; P <0.05)。CRIS-CAT评分可预测1年随访时SF-12身心健康相关生活质量评分。量表的ICC>0.9。程度、感知和满意度子量表的MDC分别为5.9、6.2和3.6。对于程度、感知和满意度子量表,访视1时给予的项目数(mn,SD)分别为14.6(3.8)、10.9(2.7)和10.4(1.7)。CRIS-CAT表现出良好的测量特性,包括可靠性,结构,已知组和预测效度,它是管理与最小的应答负担。这些调查结果支持在评估重返社区情况时使用这一措施。
The Computer Adaptive Test version of the Community Reintegration of Injured Service Members measure (CRIS-CAT) consists of three scales measuring Extent of, Perceived Limitations in, and Satisfaction with community integration. The CRIS-CAT was developed using item response theory methods. The purposes of this study were to assess the reliability, concurrent, known group and predictive validity and respondent burden of the CRIS-CAT. The CRIS-CAT was developed using item response theory methods. The purposes of this study were to assess the reliability, concurrent, known group and predictive validity and respondent burden of the CRIS-CAT. This was a three-part study that included a 1) a cross-sectional field study of 517 homeless, employed, and Operation Enduring Freedom / Operation Iraqi Freedom (OEF/OIF) Veterans; who completed all items in the CRIS item set, 2) a cohort study with one year follow-up study of 135 OEF/OIF Veterans, and 3) a 50-person study of CRIS-CAT administration. Conditional reliability of simulated CAT scores was calculated from the field study data, and concurrent validity and known group validity were examined using Pearson product correlations and ANOVAs. Data from the cohort were used to examine the ability of the CRIS-CAT to predict key one year outcomes. Data from the CRIS-CAT administration study were used to calculate ICC (2,1) minimum detectable change (MDC), and average number of items used during CAT administration. Reliability scores for all scales were above 0.75, but decreased at both ends of the score continuum. CRIS-CAT scores were correlated with concurrent validity indicators and differed significantly between the three Veteran groups (P < .001). The odds of having any Emergency Room visits were reduced for Veterans with better CRIS-CAT scores (Extent, Perceived Satisfaction respectively: OR = 0.94, 0.93, 0.95; P < .05). CRIS-CAT scores were predictive of SF-12 physical and mental health related quality of life scores at the 1 year follow-up. Scales had ICCs >0.9. MDCs were 5.9, 6.2, and 3.6, respectively for Extent, Perceived and Satisfaction subscales. Number of items (mn, SD) administered at Visit 1 were 14.6 (3.8) 10.9 (2.7) and 10.4 (1.7) respectively for Extent, Perceived and Satisfaction subscales. The CRIS-CAT demonstrated sound measurement properties including reliability, construct, known group and predictive validity, and it was administered with minimal respondent burden. These findings support the use of this measure in assessing community reintegration.
DOI: 10.2105/ajph.2008.150284
发表时间: 2009-09-01
影响因子: 12.7
作者:
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期刊: PHYSICAL THERAPY
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期刊: BRAIN INJURY
影响因子: 1.9
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影响因子: 2.4
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