ASAP-YS: Adaptive Screening and Assessment of Psychopathology

ASAP-YS：精神病理学的适应性筛查和评估

• 批准号: 7406929
• 负责人: Christopher Paul Lucas
• 金额: $ 9.97万
• 依托单位: CASIA SOFTWARE, LLC
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-30 至 2010-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7406929
• 关键词: Address; Adherence; Adolescent; Adoption; Adult; Agreement; Algorithms; Area; Businesses; Caring; Characteristics; Child; Child Welfare; Clinic; Clinical; Computer Assisted; Computer software; Computerized Medical Record; Computers; Criminal Justice; DSM-IV; Data; Databases; Development; Diagnosis; Diagnostic; Early Diagnosis; Early Intervention; Elements; Evaluation; Evidence based practice; Family; Freedom; Frequencies; Geographic Distribution; Geographic Locations; Goals; Health; Health Personnel; Health care facility; Human; Impairment; Individual; Internet; Intervention; Interview; Justice; Life; Logic; Low income; Measurement; Measures; Mental Health; Mental Health Services; Mental disorders; Modeling; Needs Assessment; New Mexico; Numbers; Outcome; Pattern; Phase; Play; Primary Health Care; Provider; Psyche structure; Psychiatrist; Psychologist; Psychometrics; Psychopathology; Purpose; Question Text; Questionnaires; Range; Reading; Reporting; Risk; Running; Rural; Safety; Sampling; Schools; Score; Screening Result; Screening procedure; Self Assessment; Sensitivity and Specificity; Services; Severities; Site; Specialist; Specific qualifier value; Staging; Standards of Weights and Measures; Stigmata; Students; Symptoms; System; Technology; Technology Transfer; Testing; Text; Time; To specify; Training; Triage; Underserved Population; United States; Vision; Voice; Work; Youth; base; computerized; cost; cost effective; functional disability; improved; indexing; innovation; instrument; laptop; literacy; platform-independent; prototype; response; rural area; social; social stigma; theories; tool

DESCRIPTION (provided by applicant): ASAP-YS: Adaptive Screening and Assessment of Psychopathology. Project Summary: This Small Business Technology Transfer (STTR) Phase I proposal will develop and test a new computerized adaptive self-assessment measure: the Adaptive Screening and Assessment of Psychopathology-Youth Self-informant (ASAP-YS). This is a computer-assisted self-interview (A-CASI) for adolescents that presents the text of each question on screen as well as playing a high-quality audio recording of a human voice reading the question (in either English or Spanish). The ASAP-YS is innovative because it: 1. Combines Item Response Theory (IRT) based adaptive and rule-based algorithms to control the content and flow of an assessment that can efficiently screen for, and assess, a broad range of psychiatric disorders in adolescents. 2. Yields screening estimates, clinical risk profiles, and DSM-IV diagnoses, as well as continuous severity scores of psychopathology and functional impairment while using substantially fewer questions than comparable diagnostic interviews and with greater accuracy than brief screening questionnaires. Evaluation of the Phase I prototype will be carried out in four low-income, rural, and ethnically diverse sites in New Mexico. The screening module of the ASAP-YS will be given to 80 adolescents attending school based health clinics in these areas. Students will complete the ASAP-YS, a second non-adaptive screening instrument (in counterbalanced order) and then later receive a full psychiatric diagnostic interview. Administration time, number of questions asked, subject acceptability and diagnostic screening accuracy of the ASAP-YS will be calculated. If the ASAP-YS proves effective and acceptable in this sample, then the product will likely be appropriate for many under-served populations within the United States. While the shortage of mental health care for young people is not limited to rural areas, the lack of trained providers in these areas exacerbates the problem of screening, assessment and triage and makes the development of cost-effective, efficient and customizable automated assessment tools particularly attractive. Project Narrative: Adolescents are a particularly under-served population whose mental health needs are not frequently identified or treated. The shortage of trained mental health providers in many areas of the United States is compounded by a shortage of cost-effective, efficient and accurate standardized self-assessment measures. Developing a computerized adaptive test such as the ASAP-YS, that utilizes Item Response Theory (IRT) to carry out screening, diagnostic assessment and triage in a very time-efficient manner without sacrificing safety or accuracy, is a major advance.

描述（由申请人提供）：ASAP-YS：精神病理学自适应筛查和评估。项目概要：这项小企业技术转让（STTR）第一阶段提案将开发和测试一种新的计算机化自适应自我评估措施：精神病理学自适应筛选和评估-青年自我信息提供者（ASAP-YS）。这是针对青少年的计算机辅助自我面试（A-CASI），在屏幕上呈现每个问题的文本，并播放人类声音阅读问题的高质量录音（英语或西班牙语）。ASAP-YS是创新的，因为它：1.结合基于项目反应理论（IRT）的自适应和基于规则的算法来控制评估的内容和流程，可以有效地筛选和评估青少年的各种精神疾病。2.产生筛选估计，临床风险概况，和DSM-IV诊断，以及精神病理学和功能障碍的连续严重程度评分，同时使用比可比诊断访谈少得多的问题，并具有比简短的筛选问卷更高的准确性。第一阶段原型的评估将在新墨西哥州的四个低收入、农村和种族多样化的地点进行。在这些地区，将向80名在学校卫生诊所就诊的青少年提供ASAP-YS筛查模块。学生将完成ASAP-YS，第二个非适应性筛选工具（以平衡顺序），然后接受全面的精神病学诊断面试。将计算ASAP-YS的给药时间、提问次数、受试者可接受性和诊断筛选准确性。如果ASAP-YS在这个样本中证明是有效的和可接受的，那么该产品可能适用于美国许多服务不足的人群。虽然青年人缺乏心理保健的问题不仅限于农村地区，但这些地区缺乏训练有素的提供者，加剧了筛查、评估和分类的问题，使开发具有成本效益、高效和可定制的自动评估工具特别具有吸引力。项目说明：青少年是一个特别得不到充分服务的群体，他们的心理健康需求往往得不到确认或治疗。美国许多地区缺乏训练有素的心理健康服务提供者，而缺乏具有成本效益、高效和准确的标准化自我评估措施又加剧了这一问题。开发一个计算机化的自适应测试，如ASAP-YS，利用项目反应理论（IRT）进行筛选，诊断评估和分流，在一个非常有效的方式，而不牺牲安全性或准确性，是一个重大的进步。