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，儿童诊断性面谈时间表(DISC)一直作为 诊断6至17岁儿童行为和需求侧管理障碍的金标准评估。作为一台计算机- 辅助非专业访谈(LI)和最近的自我报告(SR)格式，Disk-IV一直是可靠的， 管理成本相对较低，并在805多份同行评议的出版物中被引用。光盘上有 已针对DSM-5进行了修订，现在包括56个成对模块中的37个诊断(28个用于青年，28个用于 父母/监护人)。作为一种高度结构化、分门别类的采访，光盘太复杂了，无法管理 纸。计算机化的C-CD-IV已经过时4年了。要使用使光盘再次可用，请执行以下操作 尖端技术功能，我们需要在第一阶段工作的基础上再接再厉。这将使广泛的光盘- 5用于(1)常规初级保健儿科，(2)常规行为保健，(3)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 在儿童时期及早识别和治疗精神病可能会预防或大大减轻严重程度 减少终生精神疾病，增加成人生活中的情感和社会健康，降低医疗费用， 增加功能，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)关于电子产品的RFP 核心磁盘-5模块的管理和报告系统。TeleSage成功完成并 超越了第一阶段的具体目标和成功标准。我们转换了Disk-5(14)的28个核心模块 青年和14名家长)分为两个产品，核心NetDISC-5-Li-Y和NetDISC-Li-5-P。这些都是 经过了彻底的测试，目前正在被研究人员使用。疾控中心对第二阶段项目感兴趣，以 完整开发NetDISC-5产品，以代表完整的DSM-5诊断范围，以及 要利用云计算和基于浏览器的计算的新功能，例如实时、高性能 高质量的文本到语音转换功能，我们将使用它来开发光盘的计算机化自我报告版本。 NetDISC-5的功能将极大地增加该光盘在研究和临床实践中的潜在影响。 在这个拟议的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， 光盘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)将进行转换和编程，以完成NetDISC-5-Li Y&P。在第2季度，全部为56 NetDISC-5-LI-Y&P的模块将转换为青少年和家长自我报告(SR) 乐器。在后6个季度，该软件将通过800对LI和SR评估进行测试。 在第8季度，我们将分析有关可靠性以及青少年、家长和临床医生满意度的数据。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.