A Computerized Asthma Outcomes Measure Is Feasible for Disease Management.
A Computerized Asthma Outcomes Measure Is Feasible for Disease Management.
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发表时间：
2010-04
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通讯作者：
D. Turner-Bowker;R. Saris-Baglama;M. Anatchkova;D. Mosen
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作者：
D. Turner-Bowker;R. Saris-Baglama;M. Anatchkova;D. Mosen
目的：开发和测试一种称为ASTHMA-CAT（计算机化自适应测试）的在线评估，这是一种基于患者的哮喘影响、控制和一般健康相关生活质量（HRQOL）测量。研究设计：ASTHMA-CAT在疾病管理人群中管理可行性的横断面试点研究。方法：ASTHMA-CAT包括动态或静态哮喘影响调查（AIS）、哮喘控制测试和SF-8健康调查。临床诊断的成人哮喘患者的样本（N = 114）完成ASTHMA-CAT。结果被用来评估管理的可行性的仪器和心理测量性能的动态AIS相对于静态AIS。护理提供者编制并审查了一份原型汇总（群体一级）报告。结果：ASTHMA-CAT的在线管理对于疾病管理中的患者是可行的。在初步研究中，与静态AIS相比，动态AIS在评估应答负担、精确度和有效性方面表现良好。提供者发现报告是相关的，有用的，适用于护理管理。结论：ASTHMA-CAT可促进哮喘护理管理。
OBJECTIVE: To develop and test an online assessment referred to as the ASTHMA-CAT (computerized adaptive testing), a patient-based asthma impact, control, and generic health-related quality of life (HRQOL) measure. STUDY DESIGN: Cross-sectional pilot study of the ASTHMA-CAT's administrative feasibility in a disease management population. METHODS: The ASTHMA-CAT included a dynamic or static Asthma Impact Survey (AIS), Asthma Control Test, and SF-8 Health Survey. A sample of clinician-diagnosed adult asthmatic patients (N = 114) completed the ASTHMA-CAT. Results were used to evaluate administrative feasibility of the instrument and psychometric performance of the dynamic AIS relative to the static AIS. A prototype aggregate (group-level) report was developed and reviewed by care providers. RESULTS: Online administration of the ASTHMA-CAT was feasible for patients in disease management. The dynamic AIS functioned well compared with the static AIS in preliminary studies evaluating response burden, precision, and validity. Providers found reports to be relevant, useful, and applicable for care management. CONCLUSION: The ASTHMA-CAT may facilitate asthma care management.