Development and validation of software for an electronic-based DISC-5, the NetDISC-5

项目摘要 自1982年以来，通过四个版本，儿童诊断面谈时间表（DISC）一直是一个 诊断6至17岁儿童行为和DSM障碍的金标准评估。作为一台电脑- 辅助外行访谈（LI）和最近的自我报告（SR）格式，DISC-IV是可靠的， 相对便宜的管理，并在超过805同行评审的出版物中引用。该盘已经 修订后的DSM-5现在涵盖了56个配对模块中的37个诊断（28个用于青年，28个用于 父母/监护人）。作为一个高度结构化、分支化的面试，DISC过于复杂，难以管理 本文计算机化的C-DISC-IV已经过时4年了。要使DISC再次可用，请使用 尖端的技术功能，我们需要建立在我们的第一阶段的工作。这将使广泛的DISC- 5用于（1）常规初级保健儿科，（2）常规行为保健，（3）青少年司法，（4）K-12 学校健康计划，（5）一般研究，和（6）流行病学研究。越来越多的证据表明 在儿童时期早期识别和治疗精神病理学可以预防或大大减轻 终身精神疾病，增加成年人的情感和社会福祉，降低医疗保健费用， 增加职能，并为少年司法中的儿童减少未来监禁的可能性。 我们成功的第一阶段项目响应了疾病控制中心（CDC）的电子RFP， DISC-5核心模块的管理和报告系统。TeleSage成功完成了 超越了第一阶段的具体目标和成功标准。我们将DISC-5的28个核心模块（14个 青少年和14名家长）分为两个产品，核心NetDISC-LI-5-Y和NetDISC-LI-5-P。 经过全面测试，目前已被研究人员使用。疾病预防控制中心对第二阶段项目感兴趣， 完成NetDISC-5产品的开发，以代表DSM-5诊断的全部范围，以及 利用云计算和基于浏览器的计算的新功能，例如实时、高 高质量的文本到语音功能，我们将使用它来开发DISC的计算机化自我报告版本。 NetDISC-5的功能将大大增加DISC在研究和临床实践中的潜在影响。 在这个为期两年的第二阶段项目中，TeleSage将继续与Prudence Fisher博士密切合作， DISC-5的作者在第一季度，DISC-5的其余28个模块（14个青年模块和14个家长模块） 模块）将被转换和编程，以完成NetDISC-5-LI Y & P。在第二季度，所有56个 NetDISC-5-LI-Y & P的模块将进行转换，使青少年和家长的自我报告（SR） 仪器.在中间6个季度，将通过800个配对LI和SR评估对软件进行测试。 在第8季度，我们将分析可靠性数据，以及年轻人，父母和临床医生的满意度。我们还将 发布所有四个完整的商业产品：NetDISC-5-Y-LI、NetDISC-5-P-LI、NetDISC-5-Y-SR和 NetDISC-5-P-SR。

Project Summary Since 1982, through four versions, the Diagnostic Interview Schedule for Children (DISC) has served as a gold-standard assessment for diagnosing behavioral, DSM disorders in children aged 6 to 17. As a computer- assisted lay interview (LI) and more recently in a self-report (SR) format, the DISC-IV has been reliable, comparatively inexpensive to administer, and was cited in over 805 peer-reviewed publications. The DISC has been revised for the DSM-5 and now covers 37 diagnoses in 56 paired modules (28 for Youth, and 28 for Parents/guardians). As a highly structured, branched interview, the DISC is too complex to administer on paper. The computerized C-DISC-IV been obsolete for 4 years. To make the DISC available again with cutting-edge technological features, we need to build on our Phase 1 work. This will enable widespread DISC- 5 use in (1) routine primary care pediatrics, (2) routine behavioral healthcare, (3) juvenile justice, (4) K-12 school health programs, (5) general research, and (6) epidemiology research. There is growing evidence that identifying and treating psychopathology early -- during childhood -- may prevent or greatly lessen the severity of life-long mental illness and increase emotional and social wellbeing during adult life, lower health care costs, increase function, and, for children in juvenile justice, decrease the likelihood of future incarceration. Our successful Phase I project responded to a Centers for Disease Control (CDC) RFP for an electronic administration and reporting system for the core DISC-5 modules. TeleSage successfully fulfilled and surpassed its Phase I specific aims and criteria for success. We converted 28 core modules of the DISC-5 (14 youth and 14 parent) into two products, the core NetDISC-5-LI-Y and the NetDISC-LI-5-P. These have been thoroughly tested and are now being used by researchers. The CDC is interested in a Phase II project to complete development of the NetDISC-5 products to represent the full range of DSM-5 diagnoses, as well as to take advantage of the new functionality of cloud and browser-based computing, such as the real-time, high- quality text-to-speech functionality that we will use to develop computerized self-report versions of the DISC. The NetDISC-5 features will greatly increase the DISC’s potential impact in research and clinical practice. In this proposed two-year Phase II project, TeleSage will continue to work closely with Dr. Prudence Fisher, author of the DISC-5. In Quarter 1, the remaining 28 modules of the DISC-5 (14 Youth modules &14 Parent modules) will be converted and programmed to complete the NetDISC-5-LI Y & P. In Quarter 2, all 56 modules of the NetDISC-5-LI-Y & P will be converted to make the self-report (SR) youth and parent instruments. During the middle 6 Quarters, the software will be tested via 800 paired LI and SR assessments. In Quarter 8, we will analyze data on reliability, as well as youth, parent, and clinician satisfaction. We will also release all four complete commercial products: NetDISC-5-Y-LI, NetDISC-5-P-LI, NetDISC-5-Y-SR, and NetDISC-5-P-SR.