03103nas a2200445   4500008004100000020004100041245012000082210006900202250001500271260001000286300001100296490000700307520175400314653003802068653002102106653001002127653000902137653002202146653002802168653003302196653001102229653001102240653000902251653001602260653001802276653001902294653003102313653003102344653001602375100001602391700001002407700001402417700001502431700001402446700001502460700001802475700002402493700001802517856012202535       2010                        eng d  a0161-8105 (Print)0161-8105 (Linking)00aDevelopment and validation of patient-reported outcome measures for sleep disturbance and sleep-related impairments0 aDevelopment and validation of patientreported outcome measures f  a2010/06/17  cJun 1  a781-920 v333 aSTUDY OBJECTIVES: To develop an archive of self-report questions assessing sleep disturbance and sleep-related impairments (SRI), to develop item banks from this archive, and to validate and calibrate the item banks using classic validation techniques and item response theory analyses in a sample of clinical and community participants. DESIGN: Cross-sectional self-report study. SETTING: Academic medical center and participant homes. PARTICIPANTS: One thousand nine hundred ninety-three adults recruited from an Internet polling sample and 259 adults recruited from medical, psychiatric, and sleep clinics. INTERVENTIONS: None. MEASUREMENTS AND RESULTS: This study was part of PROMIS (Patient-Reported Outcomes Information System), a National Institutes of Health Roadmap initiative. Self-report item banks were developed through an iterative process of literature searches, collecting and sorting items, expert content review, qualitative patient research, and pilot testing. Internal consistency, convergent validity, and exploratory and confirmatory factor analysis were examined in the resulting item banks. Factor analyses identified 2 preliminary item banks, sleep disturbance and SRI. Item response theory analyses and expert content review narrowed the item banks to 27 and 16 items, respectively. Validity of the item banks was supported by moderate to high correlations with existing scales and by significant differences in sleep disturbance and SRI scores between participants with and without sleep disorders. CONCLUSIONS: The PROMIS sleep disturbance and SRI item banks have excellent measurement properties and may prove to be useful for assessing general aspects of sleep and SRI with various groups of patients and interventions.10a*Outcome Assessment (Health Care)10a*Self Disclosure10aAdult10aAged10aAged, 80 and over10aCross-Sectional Studies10aFactor Analysis, Statistical10aFemale10aHumans10aMale10aMiddle Aged10aPsychometrics10aQuestionnaires10aReproducibility of Results10aSleep Disorders/*diagnosis10aYoung Adult1 aBuysse, D J1 aYu, L1 aMoul, D E1 aGermain, A1 aStover, A1 aDodds, N E1 aJohnston, K L1 aShablesky-Cade, M A1 aPilkonis, P A  uhttp://www.iacat.org/content/development-and-validation-patient-reported-outcome-measures-sleep-disturbance-and-sleep03428nas a2200385   4500008004100000020004100041245010600082210006900188250001500257260001200272300001000284490000700294520220300301653002702504653001502531653001002546653002102556653002402577653002802601653003802629653001102667653001102678653001102689653003902700653000902739653002402748653003102772653004002803100001802843700001502861700001302876700001702889700001402906856012202920       2008                        eng d  a0271-6798 (Print)0271-6798 (Linking)00aMeasuring physical functioning in children with spinal impairments with computerized adaptive testing0 aMeasuring physical functioning in children with spinal impairmen  a2008/03/26  cApr-May  a330-50 v283 aBACKGROUND: The purpose of this study was to assess the utility of measuring current physical functioning status of children with scoliosis and kyphosis by applying computerized adaptive testing (CAT) methods. Computerized adaptive testing uses a computer interface to administer the most optimal items based on previous responses, reducing the number of items needed to obtain a scoring estimate. METHODS: This was a prospective study of 77 subjects (0.6-19.8 years) who were seen by a spine surgeon during a routine clinic visit for progress spine deformity. Using a multidimensional version of the Pediatric Evaluation of Disability Inventory CAT program (PEDI-MCAT), we evaluated content range, accuracy and efficiency, known-group validity, concurrent validity with the Pediatric Outcomes Data Collection Instrument, and test-retest reliability in a subsample (n = 16) within a 2-week interval. RESULTS: We found the PEDI-MCAT to have sufficient item coverage in both self-care and mobility content for this sample, although most patients tended to score at the higher ends of both scales. Both the accuracy of PEDI-MCAT scores as compared with a fixed format of the PEDI (r = 0.98 for both mobility and self-care) and test-retest reliability were very high [self-care: intraclass correlation (3,1) = 0.98, mobility: intraclass correlation (3,1) = 0.99]. The PEDI-MCAT took an average of 2.9 minutes for the parents to complete. The PEDI-MCAT detected expected differences between patient groups, and scores on the PEDI-MCAT correlated in expected directions with scores from the Pediatric Outcomes Data Collection Instrument domains. CONCLUSIONS: Use of the PEDI-MCAT to assess the physical functioning status, as perceived by parents of children with complex spinal impairments, seems to be feasible and achieves accurate and efficient estimates of self-care and mobility function. Additional item development will be needed at the higher functioning end of the scale to avoid ceiling effects for older children. LEVEL OF EVIDENCE: This is a level II prospective study designed to establish the utility of computer adaptive testing as an evaluation method in a busy pediatric spine practice.10a*Disability Evaluation10aAdolescent10aChild10aChild, Preschool10aComputer Simulation10aCross-Sectional Studies10aDisabled Children/*rehabilitation10aFemale10aHumans10aInfant10aKyphosis/*diagnosis/rehabilitation10aMale10aProspective Studies10aReproducibility of Results10aScoliosis/*diagnosis/rehabilitation1 aMulcahey, M J1 aHaley, S M1 aDuffy, T1 aPengsheng, N1 aBetz, R R  uhttp://www.iacat.org/content/measuring-physical-functioning-children-spinal-impairments-computerized-adaptive-testing03123nas a2200385   4500008004100000020002200041245012900063210006900192250001500261260000800276300001000284490000700294520188400301653002502185653002702210653001502237653001002252653002102262653002802283653003802311653001102349653001102360653001102371653000902382653004602391653002702437653003002464653003202494100001502526700001602541700001602557700001502573700002502588856012402613       2005                        eng d  a0003-9993 (Print)00aAssessing mobility in children using a computer adaptive testing version of the pediatric evaluation of disability inventory0 aAssessing mobility in children using a computer adaptive testing  a2005/05/17  cMay  a932-90 v863 aOBJECTIVE: To assess score agreement, validity, precision, and response burden of a prototype computerized adaptive testing (CAT) version of the Mobility Functional Skills Scale (Mob-CAT) of the Pediatric Evaluation of Disability Inventory (PEDI) as compared with the full 59-item version (Mob-59). DESIGN: Computer simulation analysis of cross-sectional and longitudinal retrospective data; and cross-sectional prospective study. SETTING: Pediatric rehabilitation hospital, including inpatient acute rehabilitation, day school program, outpatient clinics, community-based day care, preschool, and children's homes. PARTICIPANTS: Four hundred sixty-nine children with disabilities and 412 children with no disabilities (analytic sample); 41 children without disabilities and 39 with disabilities (cross-validation sample). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Summary scores from a prototype Mob-CAT application and versions using 15-, 10-, and 5-item stopping rules; scores from the Mob-59; and number of items and time (in seconds) to administer assessments. RESULTS: Mob-CAT scores from both computer simulations (intraclass correlation coefficient [ICC] range, .94-.99) and field administrations (ICC=.98) were in high agreement with scores from the Mob-59. Using computer simulations of retrospective data, discriminant validity, and sensitivity to change of the Mob-CAT closely approximated that of the Mob-59, especially when using the 15- and 10-item stopping rule versions of the Mob-CAT. The Mob-CAT used no more than 15% of the items for any single administration, and required 20% of the time needed to administer the Mob-59. CONCLUSIONS: Comparable score estimates for the PEDI mobility scale can be obtained from CAT administrations, with losses in validity and precision for shorter forms, but with a considerable reduction in administration time.10a*Computer Simulation10a*Disability Evaluation10aAdolescent10aChild10aChild, Preschool10aCross-Sectional Studies10aDisabled Children/*rehabilitation10aFemale10aHumans10aInfant10aMale10aOutcome Assessment (Health Care)/*methods10aRehabilitation Centers10aRehabilitation/*standards10aSensitivity and Specificity1 aHaley, S M1 aRaczek, A E1 aCoster, W J1 aDumas, H M1 aFragala-Pinkham, M A  uhttp://www.iacat.org/content/assessing-mobility-children-using-computer-adaptive-testing-version-pediatric-evaluation-0