Replenishing a computerized adaptive test of patient-reported daily activity functioning

Haley, Stephen M.; Ni, Pengsheng; Jette, Alan M.; Tao, Wei; Moed, Richard; Meyers, Doug; Ludlow, Larry H.

doi:10.1007/s11136-009-9463-5

Cited by 60 publications

(36 citation statements)

References 41 publications

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“…Although the AM-PAC is comprised of three domains; Mobility, Daily Activities, and Applied Cognition, 15,16 only the 132 item Mobility item bank 17,18 was utilized in this study. 12,13 Each item queries respondents regarding the amount of difficulty they experience performing a specific activity.…”

Section: Methodsmentioning

confidence: 99%

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Imaging and Clinical Characteristics Predict Near-Term Disablement From Bone Metastases: Implications for Rehabilitation

Cheville

Murthy

Basford

et al. 2016

Archives of Physical Medicine and Rehabilitation

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Objective Bone metastases produce severe functional declines in some patients with cancer, but have little impact on others. Distinguishing which patients with bone metastases are at risk for near-term disablement may improve the appropriate and timeliness and referrals for rehabilitation services. Design Prospective cohort study Setting National Cancer Institute designated comprehensive cancer center imbedded in a tertiary medical center Participants Data were collected from the 78 members of a 311-patient cohort with Stage IIIB or IV Non-Small Cell (NSCLC) or Extensive Stage Small Cell Lung Cancer who developed new or progressive imaging-confirmed bone metastases during the 2-year course of the study. Main Outcomes Functional capabilities were assessed at 3–4 week intervals over the study’s 2-year duration with the Activity Measure for Post-Acute Care Computer Adaptive Test (AM-PAC CAT). Results Seventy-eight (78) participants developed new or progressive bone metastases during the study. A majority was male and 83% had NSCLC. Metastases were most frequently located in the ribs (N=62), pelvis (N=49), or the thoracic (N=60) and lumbar spine (N=44). While, neither the number of bone metastases nor their specific location was associated with near-term changes in patient mobility, their association with pain or a focal neurological deficit was strongly associated with large declines in mobility. Similarly, patients whose imaging studies revealed new metastases and the expansion of established metastases were more likely to lose mobility. Conclusions The total burden, specific locations, and overall distribution of bone metastases did not predict disablement. Patients with lung cancer-associated bone metastases are at markedly increased risk for declining mobility when their metastases are expanding in size and increasing in number, or are associated with pain or with new neurological deficits.

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Section: Methodsmentioning

confidence: 99%

“…18,19 The scale ranges from 0 (none) to 10 (as bad as it can be). 23,2420,2119,20 Participants were asked to rate their “worst pain,” fatigue, and dyspnea over the past seven days preceding each assessment point.…”

Section: Methodsmentioning

confidence: 99%

Imaging and Clinical Characteristics Predict Near-Term Disablement From Bone Metastases: Implications for Rehabilitation

Cheville

Murthy

Basford

et al. 2016

Archives of Physical Medicine and Rehabilitation

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“…6 is formed. There are studies that found GRM shows better fit with data (Baker, Rounds, & Zevon, 2000;Demirtaşlı, Yalçın, & Ayan, 2016;Gardner et al, 2004) as well as GPCM (Aybek, 2016a;Haley et al, 2009;Walter et al, 2007). Researchers should investigate to find out which IRT model is applicable most to their data.…”

Section: Graded Response Model (Grm)mentioning

confidence: 99%

Computerized Adaptive Test (CAT) Applications and Item Response Theory Models for Polytomous Items

Aybek¹,

Demirtasli²

2017

International Journal of Research in Education and Science

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This article aims to provide a theoretical framework for computerized adaptive tests (CAT) and item response theory models for polytomous items. Besides that, it aims to introduce the simulation and live CAT software to the related researchers. Computerized adaptive test algorithm, assumptions of item response theory models, nominal response model, partial credit and generalized partial credit models and graded response model are described carefully to reach that aim. Likewise, item selection methods, such as maximum Fisher information, maximum expected information, minimum expected posterior variance, maximum expected posterior weighted-information, and ability prediction methods, such as expected a posteriori and maximum a posteriori, are expounded as well as stopping rules for the computerized adaptive tests.

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“…31,32 Item response theory/CAT methods allow the addition of new items into calibrated banks with replenishment calibrations studies. 33 CAT systems currently in use include the Patient Reported Outcomes Measurement Information System 34 and the osteoarthritis (OA) CAT systems ie OA-DISABILITY-CAT, OA-FUNCTION-CAT). 35,36 Both instruments address pain and function, but neither tool focused specifically on younger persons with FAI during initial development.…”

Section: Future Directions: Computer-adaptive Testing Systemsmentioning

confidence: 99%

Clinical Outcomes Assessment in Clinical Trials to Assess Treatment of Femoroacetabular Impingement: Use of Patientreported Outcome Measures

Harris‐Hayes

McDonough

Leunig

et al. 2013

Journal of the American Academy of Orthopaedic Surgeons

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Patient-reported outcome measures are an important component of outcomes assessment in clinical trials to assess the treatment of femoroacetabular impingement (FAI). This review of disease-specific measures and instruments used to assess the generic quality of life and physical activity levels of patients with FAI found no conclusive evidence to support a single diseasespecific questionnaire. Using a systematic review of study methodology, the Copenhagen Hip and Groin Outcome Score and the 33-item International Hip Outcome Tool scored the best. Nevertheless, both of these instruments were developed recently and have not been established in the literature. Although currently used generic and activity-level measures have limitations, as well, they should be considered, depending on the specific goals of the study. Additional research is needed to assess the properties of these measures fully when used to evaluate patients with FAI.Patient-reported outcome measures (PROs) often are the preferred primary outcome metrics to assess symptom modification in clinical trials. They are an important component of outcomes assessment because they represent the patient's health status as assessed by the patient, without interpretation of the healthcare provider. 1 To be useful, PROs must be reliable, valid, responsive, and representative of the patient population of interest.This article provides recommendations for the PROs to be used in clinical trials investigating the efficacy of treatments for femoroacetabular impingement (FAI). It describes and provides quality ratings for disease-specific PROs developed for young-tomiddle-aged adults with hip pain and dysfunction and presents common instruments to assess generic quality of life (QOL) and physical activity levels. Perspectives on future relevant directions and methodologies, such as computer-adaptive testing (CAT), are discussed, as well. (Table 1). In this review, however, we used stringent criteria for instrument selection and therefore only those diseasespecific PROs are included in which content validity was ensured through input from patients of similar age, sex, and activity level who had experienced symptoms and limitations due to FAI. Accordingly, we excluded instruments such as the Hip Outcome Score that although specifically developed and validated for impingement patients undergoing hip arthroscopy did not involve the patient opinion in the developmental process. Therefore, based on previous reviews of the literature 10-13 and the authors' collective knowledge, focus was placed on three disease-specific PROs that explicitly included young to middle-aged adults in the development of the measures.Each PRO described below is patient administered, with a user-friendly format that requires ≤10 minutes to complete. All of them are self-explanatory and can be administered in the waiting room or mailed so that the patient can complete it at home. The quality of each PRO was assessed using the COnsensus-based Standards for the selection of health Measurement I...

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Replenishing a computerized adaptive test of patient-reported daily activity functioning

Cited by 60 publications

References 41 publications

Imaging and Clinical Characteristics Predict Near-Term Disablement From Bone Metastases: Implications for Rehabilitation

Imaging and Clinical Characteristics Predict Near-Term Disablement From Bone Metastases: Implications for Rehabilitation

Computerized Adaptive Test (CAT) Applications and Item Response Theory Models for Polytomous Items

Clinical Outcomes Assessment in Clinical Trials to Assess Treatment of Femoroacetabular Impingement: Use of Patientreported Outcome Measures

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