%0 Journal Article %J Spine %D 2008 %T Computerized adaptive testing in back pain: Validation of the CAT-5D-QOL %A Kopec, J. A. %A Badii, M. %A McKenna, M. %A Lima, V. D. %A Sayre, E. C. %A Dvorak, M. %K *Disability Evaluation %K *Health Status Indicators %K *Quality of Life %K Adult %K Aged %K Algorithms %K Back Pain/*diagnosis/psychology %K British Columbia %K Diagnosis, Computer-Assisted/*standards %K Feasibility Studies %K Female %K Humans %K Internet %K Male %K Middle Aged %K Predictive Value of Tests %K Questionnaires/*standards %K Reproducibility of Results %X STUDY DESIGN: We have conducted an outcome instrument validation study. OBJECTIVE: Our objective was to develop a computerized adaptive test (CAT) to measure 5 domains of health-related quality of life (HRQL) and assess its feasibility, reliability, validity, and efficiency. SUMMARY OF BACKGROUND DATA: Kopec and colleagues have recently developed item response theory based item banks for 5 domains of HRQL relevant to back pain and suitable for CAT applications. The domains are Daily Activities (DAILY), Walking (WALK), Handling Objects (HAND), Pain or Discomfort (PAIN), and Feelings (FEEL). METHODS: An adaptive algorithm was implemented in a web-based questionnaire administration system. The questionnaire included CAT-5D-QOL (5 scales), Modified Oswestry Disability Index (MODI), Roland-Morris Disability Questionnaire (RMDQ), SF-36 Health Survey, and standard clinical and demographic information. Participants were outpatients treated for mechanical back pain at a referral center in Vancouver, Canada. RESULTS: A total of 215 patients completed the questionnaire and 84 completed a retest. On average, patients answered 5.2 items per CAT-5D-QOL scale. Reliability ranged from 0.83 (FEEL) to 0.92 (PAIN) and was 0.92 for the MODI, RMDQ, and Physical Component Summary (PCS-36). The ceiling effect was 0.5% for PAIN compared with 2% for MODI and 5% for RMQ. The CAT-5D-QOL scales correlated as anticipated with other measures of HRQL and discriminated well according to the level of satisfaction with current symptoms, duration of the last episode, sciatica, and disability compensation. The average relative discrimination index was 0.87 for PAIN, 0.67 for DAILY and 0.62 for WALK, compared with 0.89 for MODI, 0.80 for RMDQ, and 0.59 for PCS-36. CONCLUSION: The CAT-5D-QOL is feasible, reliable, valid, and efficient in patients with back pain. This methodology can be recommended for use in back pain research and should improve outcome assessment, facilitate comparisons across studies, and reduce patient burden. %B Spine %7 2008/05/23 %V 33 %P 1384-90 %8 May 20 %@ 1528-1159 (Electronic)0362-2436 (Linking) %G eng %M 18496353 %0 Book Section %B Evidence-based educational methods %D 2004 %T Adaptive computerized educational systems: A case study %A Ray, R. D. %E R. W. Malott %K Artificial %K Computer Assisted Instruction %K Computer Software %K Higher Education %K Individualized %K Instruction %K Intelligence %K Internet %K Undergraduate Education %X (Created by APA) Adaptive instruction describes adjustments typical of one-on-one tutoring as discussed in the college tutorial scenario. So computerized adaptive instruction refers to the use of computer software--almost always incorporating artificially intelligent services--which has been designed to adjust both the presentation of information and the form of questioning to meet the current needs of an individual learner. This chapter describes a system for Internet-delivered adaptive instruction. The author attempts to demonstrate a sharp difference between the teaching that takes place outside of the classroom in universities and the kind that is at least afforded, if not taken advantage of by many, students in a more personalized educational setting such as those in the small liberal arts colleges. The author describes a computer-based technology that allows that gap to be bridged with the advantage of at least having more highly prepared learners sitting in college classrooms. A limited range of emerging research that supports that proposition is cited. (PsycINFO Database Record (c) 2005 APA ) %B Evidence-based educational methods %S Educational Psychology Series %I Elsevier Academic Press %C San Diego, CA. USA %P 143-169 %G eng %& 10 %0 Journal Article %J BMC Psychiatry %D 2004 %T Computerized adaptive measurement of depression: A simulation study %A Gardner, W. %A Shear, K. %A Kelleher, K. J. %A Pajer, K. A. %A Mammen, O. %A Buysse, D. %A Frank, E. %K *Computer Simulation %K Adult %K Algorithms %K Area Under Curve %K Comparative Study %K Depressive Disorder/*diagnosis/epidemiology/psychology %K Diagnosis, Computer-Assisted/*methods/statistics & numerical data %K Factor Analysis, Statistical %K Female %K Humans %K Internet %K Male %K Mass Screening/methods %K Patient Selection %K Personality Inventory/*statistics & numerical data %K Pilot Projects %K Prevalence %K Psychiatric Status Rating Scales/*statistics & numerical data %K Psychometrics %K Research Support, Non-U.S. Gov't %K Research Support, U.S. Gov't, P.H.S. %K Severity of Illness Index %K Software %X Background: Efficient, accurate instruments for measuring depression are increasingly importantin clinical practice. We developed a computerized adaptive version of the Beck DepressionInventory (BDI). We examined its efficiency and its usefulness in identifying Major DepressiveEpisodes (MDE) and in measuring depression severity.Methods: Subjects were 744 participants in research studies in which each subject completed boththe BDI and the SCID. In addition, 285 patients completed the Hamilton Depression Rating Scale.Results: The adaptive BDI had an AUC as an indicator of a SCID diagnosis of MDE of 88%,equivalent to the full BDI. The adaptive BDI asked fewer questions than the full BDI (5.6 versus 21items). The adaptive latent depression score correlated r = .92 with the BDI total score and thelatent depression score correlated more highly with the Hamilton (r = .74) than the BDI total scoredid (r = .70).Conclusions: Adaptive testing for depression may provide greatly increased efficiency withoutloss of accuracy in identifying MDE or in measuring depression severity. %B BMC Psychiatry %V 4 %P 13-23 %G eng %M 15132755 %0 Journal Article %J Journal of Clinical Psychology %D 2004 %T Computers in clinical assessment: Historical developments, present status, and future challenges %A Butcher, J. N. %A Perry, J. L. %A Hahn, J. A. %K clinical assessment %K computerized testing method %K Internet %K psychological assessment services %X Computerized testing methods have long been regarded as a potentially powerful asset for providing psychological assessment services. Ever since computers were first introduced and adapted to the field of assessment psychology in the 1950s, they have been a valuable aid for scoring, data processing, and even interpretation of test results. The history and status of computer-based personality and neuropsychological tests are discussed in this article. Several pertinent issues involved in providing test interpretation by computer are highlighted. Advances in computer-based test use, such as computerized adaptive testing, are described and problems noted. Today, there is great interest in expanding the availability of psychological assessment applications on the Internet. Although these applications show great promise, there are a number of problems associated with providing psychological tests on the Internet that need to be addressed by psychologists before the Internet can become a major medium for psychological service delivery. (PsycINFO Database Record (c) 2007 APA, all rights reserved) %B Journal of Clinical Psychology %I John Wiley & Sons: US %V 60 %P 331-345 %@ 0021-9762 (Print); 1097-4679 (Electronic) %G eng %M 2004-11596-008 %0 Journal Article %J Reading and Writing Quarterly %D 2002 %T Information technology and literacy assessment %A Balajthy, E. %K Computer Applications %K Computer Assisted Testing %K Information %K Internet %K Literacy %K Models %K Systems %K Technology %X This column discusses information technology and literacy assessment in the past and present. The author also describes computer-based assessments today including the following topics: computer-scored testing, computer-administered formal assessment, Internet formal assessment, computerized adaptive tests, placement tests, informal assessment, electronic portfolios, information management, and Internet information dissemination. A model of the major present-day applications of information technologies in reading and literacy assessment is also included. (PsycINFO Database Record (c) 2005 APA ) %B Reading and Writing Quarterly %V 18 %P 369-373 %G eng