ASAP-YS: Adaptive Screening and Assessment of Psychopathology

描述（由申请人提供）：ASAP-YS：适应性筛选和精神病理学评估。项目概述：这项小型企业技术转移（STTR）第一阶段提案将开发和测试一种新的计算机自适应自我评估方法：精神病理学-青年自我信息的自适应筛选和评估（asp - ys）。这是一种针对青少年的计算机辅助自我访谈（a - casi），它在屏幕上显示每个问题的文本，同时播放高质量的人声朗读问题的录音（英语或西班牙语）。asp - ys具有创新性，因为它：结合基于项目反应理论（IRT）的自适应算法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广泛的青少年精神疾病。2. 产生筛选估计、临床风险概况和DSM-IV诊断，以及精神病理和功能障碍的持续严重程度评分，而使用的问题比可比的诊断访谈少得多，比简短的筛选问卷更准确。第一阶段的原型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区进行。将向在这些地区校本保健诊所就诊的80名青少年提供“青少年健康援助计划”的筛查单元。学生将完成ASAP-YS，第二种非适应性筛选工具（以平衡顺序），然后接受全面的精神病学诊断访谈。将计算asa - 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。如果在这个样本中证明asp - ys是有效和可接受的，那么该产品可能适用于美国许多服务不足的人群。虽然青年心理保健的短缺不仅限于农村地区，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，并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：青少年是一个特别缺乏服务的群体，他们的心理健康需求不经常得到确认或治疗。美国许多地区缺乏训练有素的心理健康提供者，同时缺乏具有成本效益、高效和准确的标准化自我评估措施。开发一种计算机化的自适应测试，如asp - ys，它利用项目反应理论（IRT）以非常省时的方式进行筛选、诊断评估和分类，而不会牺牲安全性或准确性，这是一项重大进步。

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.