Assessing self-care and social function using a computer adaptive testing version of the pediatric evaluation of disability inventory
Assessing self-care and social function using a computer adaptive testing version of the pediatric evaluation of disability inventory
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DOI：
10.1016/j.apmr.2007.09.053
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发表时间：
2008-04-01
影响因子：
4.3
通讯作者：
Fragala-Pinkham, Maria A.
中科院分区：
文献类型：
--
作者：
Coster, Wendy J.;Haley, Stephen M.;Fragala-Pinkham, Maria A.
目的：为了检查评分的一致性，有效性，精度，和响应负担的原型计算机自适应测试（CAT）版本的自我照顾和社会功能量表的儿科评估残疾Inventory.Design的全长版本相比，这些scales.Design的全长版本：计算机模拟分析的横截面和纵向回顾性数据;横截面前瞻性研究。儿科康复医院，包括住院急性康复，日间学校计划，门诊;社区日托，学前教育和儿童之家。参与者：残疾儿童（n=469）和412名非残疾儿童（分析样本）; 38名残疾儿童和35名非残疾儿童干预：不适用主要结果测量：使用15-、10-和5-项目停止规则的每个量表的原型CAT应用的总结分数;全长自我护理和社会功能量表的评分;时间结果：计算机模拟和原型CAT现场管理的得分与全长管理的得分高度一致（r范围，.94-99）。使用计算机模拟的回顾性数据，判别效度，和敏感性的变化的CAT接近的全长规模，特别是当15和10项停止规则。在交叉验证研究的时间管理两个CAT是4分钟，相比超过16分钟，完成全长scales.Conclusions：自我保健和社会功能评分估计CAT管理是高度可比的全长规模管理，与小损失的有效性和精度和大幅减少管理时间。
Objective: To examine score agreement, validity, precision, and response burden of a prototype computer adaptive testing (CAT) version of the self-care and social function scales of the Pediatric Evaluation of Disability Inventory compared with the full-length version of these scales.Design: Computer simulation analysis of cross-sectional and longitudinal retrospective data; 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: Children with disabilities (n=469) and 412 children with no disabilities (analytic sample); 38 children with disabilities and 35 children without disabilities (cross-validation sample).Interventions: Not applicable.Main Outcome Measures: Summary scores from prototype CAT applications of each scale using 15-, 10-, and 5-item stopping rules; scores from the full-length self-care and social function scales; time (in seconds) to complete assessments an respondent ratings of burden.Results: Scores from both computer simulations and field administration of the prototype CATs were highly consistent with scores from full-length administration (r range, .94-99). Using computer simulation of retrospective data, discriminant validity, and sensitivity to change of the CATs closely approximated that of the full-length scales, especially when the 15- and 10-item stopping rules were applied. In the cross-validation study the time to administer both CATs was 4 minutes, compared with over 16 minutes to complete the full-length scales.Conclusions: Self-care and social function score estimates from CAT administration are highly comparable with those obtained from full-length scale administration, with small losses in validity and precision and substantial decreases in administration time.