%0 Journal Article %J Sleep %D 2010 %T Development and validation of patient-reported outcome measures for sleep disturbance and sleep-related impairments %A Buysse, D. J. %A Yu, L. %A Moul, D. E. %A Germain, A. %A Stover, A. %A Dodds, N. E. %A Johnston, K. L. %A Shablesky-Cade, M. A. %A Pilkonis, P. A. %K *Outcome Assessment (Health Care) %K *Self Disclosure %K Adult %K Aged %K Aged, 80 and over %K Cross-Sectional Studies %K Factor Analysis, Statistical %K Female %K Humans %K Male %K Middle Aged %K Psychometrics %K Questionnaires %K Reproducibility of Results %K Sleep Disorders/*diagnosis %K Young Adult %X STUDY 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. %B Sleep %7 2010/06/17 %V 33 %P 781-92 %8 Jun 1 %@ 0161-8105 (Print)0161-8105 (Linking) %G eng %M 20550019 %2 2880437 %0 Journal Article %J Psychiatric Services %D 2008 %T Using computerized adaptive testing to reduce the burden of mental health assessment %A Gibbons, R. D. %A Weiss, D. J. %A Kupfer, D. J. %A Frank, E. %A Fagiolini, A. %A Grochocinski, V. J. %A Bhaumik, D. K. %A Stover, A. %A Bock, R. D. %A Immekus, J. C. %K *Diagnosis, Computer-Assisted %K *Questionnaires %K Adolescent %K Adult %K Aged %K Agoraphobia/diagnosis %K Anxiety Disorders/diagnosis %K Bipolar Disorder/diagnosis %K Female %K Humans %K Male %K Mental Disorders/*diagnosis %K Middle Aged %K Mood Disorders/diagnosis %K Obsessive-Compulsive Disorder/diagnosis %K Panic Disorder/diagnosis %K Phobic Disorders/diagnosis %K Reproducibility of Results %K Time Factors %X OBJECTIVE: This study investigated the combination of item response theory and computerized adaptive testing (CAT) for psychiatric measurement as a means of reducing the burden of research and clinical assessments. METHODS: Data were from 800 participants in outpatient treatment for a mood or anxiety disorder; they completed 616 items of the 626-item Mood and Anxiety Spectrum Scales (MASS) at two times. The first administration was used to design and evaluate a CAT version of the MASS by using post hoc simulation. The second confirmed the functioning of CAT in live testing. RESULTS: Tests of competing models based on item response theory supported the scale's bifactor structure, consisting of a primary dimension and four group factors (mood, panic-agoraphobia, obsessive-compulsive, and social phobia). Both simulated and live CAT showed a 95% average reduction (585 items) in items administered (24 and 30 items, respectively) compared with administration of the full MASS. The correlation between scores on the full MASS and the CAT version was .93. For the mood disorder subscale, differences in scores between two groups of depressed patients--one with bipolar disorder and one without--on the full scale and on the CAT showed effect sizes of .63 (p<.003) and 1.19 (p<.001) standard deviation units, respectively, indicating better discriminant validity for CAT. CONCLUSIONS: Instead of using small fixed-length tests, clinicians can create item banks with a large item pool, and a small set of the items most relevant for a given individual can be administered with no loss of information, yielding a dramatic reduction in administration time and patient and clinician burden. %B Psychiatric Services %7 2008/04/02 %V 59 %P 361-8 %8 Apr %@ 1075-2730 (Print) %G eng %M 18378832