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Computerized Adaptive Testing System of Functional Assessment of Stroke
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Implementing computerized adaptive tests in routine clinical practice: experience implementing CATs.

Dennis L Hart1, Daniel Deutscher, Mark W Werneke

  • 1Focus On Therapeutic Outcomes, Inc., White Stone, VA 22578, USA. hart@fotoinc.com

Journal of Applied Measurement
|September 18, 2010
PubMed
Summary

Computerized Adaptive Tests (CATs) in outpatient rehabilitation are valuable tools, demonstrating strong clinical utility and patient acceptance. These functional status measures are poised for integration into future electronic medical record systems.

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Area of Science:

  • Rehabilitation Medicine
  • Health Informatics
  • Biostatistics

Background:

  • Computerized Adaptive Tests (CATs) are increasingly used in healthcare.
  • Focus On Therapeutic Outcomes, Inc. (FOTO) manages a large international database of CATs.
  • Over 1.5 million CATs have been administered across the US and Israel.

Purpose of the Study:

  • To trace the development, testing, and use of CATs in outpatient rehabilitation.
  • To assess clinician and patient reception of CATs.
  • To evaluate the psychometric properties and clinical interpretation of CAT-derived functional status measures.

Main Methods:

  • Analysis of published studies and internal public relations surveys.
  • Review of data from FOTO (US) and Maccabi Healthcare Services (Israel).
  • Assessment of psychometric properties of CAT-estimated functional status measures.

Main Results:

  • CATs were well-received by clinicians and patients in both the US and Israel.
  • Psychometric assessments confirmed the validity and reliability of CAT-derived functional status measures.
  • CATs are considered pertinent and valuable for clinicians, patients, and payers.

Conclusions:

  • CATs are effective tools for measuring functional status in outpatient rehabilitation.
  • CATs demonstrate significant value and acceptance in clinical practice.
  • CATs are expected to play a prominent role in future integrated electronic medical record systems.