Reduction in patient burdens with graphical computerized adaptive testing on the ADL scale: Tool development and simulation

Tsair Wei CHIEN, Hing Man WU, Wen Chung WANG, Roberto Vasquez CASTILLO, Willy CHOU

Research output: Contribution to journalArticles

24 Citations (Scopus)

Abstract

Background: The aim of this study was to verify the effectiveness and efficacy of saving time and reducing burden for patients, nurses, and even occupational therapists through computer adaptive testing (CAT). Methods: Based on an item bank of the Barthel Index (BI) and the Frenchay Activities Index (FAI) for assessing comprehensive activities of daily living (ADL) function in stroke patients, we developed a visual basic application (VBA)-Excel CAT module, and (1) investigated whether the averaged test length via CAT is shorter than that of the traditional all-item-answered non-adaptive testing (NAT) approach through simulation, (2) illustrated the CAT multimedia on a tablet PC showing data collection and response errors of ADL clinical functional measures in stroke patients, and (3) demonstrated the quality control of endorsing scale with fit statistics to detect responding errors, which will be further immediately reconfirmed by technicians once patient ends the CAT assessment. Results: The results show that endorsed items could be shorter on CAT (M = 13.42) than on NAT (M = 23) at 41.64% efficiency in test length. However, averaged ability estimations reveal insignificant differences between CAT and NAT. Conclusion: This study found that mobile nursing services, placed at the bedsides of patients could, through the programmed VBA-Excel CAT module, reduce the burden to patients and save time, more so than the traditional NAT paper-and-pencil testing appraisals. Copyright © 2009 Chien et al; licensee BioMed Central Ltd.
Original languageEnglish
Article number39
JournalHealth and Quality of Life Outcomes
Volume7
DOIs
Publication statusPublished - May 2009

Citation

Chien, T.-W., Wu, H.-M., Wang, W.-C., Castillo, R. V., & Chou, W. (2009). Reduction in patient burdens with graphical computerized adaptive testing on the ADL scale: Tool development and simulation. Health and Quality of Life Outcomes, 7, Article 39.

Fingerprint Dive into the research topics of 'Reduction in patient burdens with graphical computerized adaptive testing on the ADL scale: Tool development and simulation'. Together they form a unique fingerprint.