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    Area of Science:

    • Psychometrics
    • Mental Health Care Technology
    • Item Response Theory

    Background:

    • Traditional mental health monitoring uses classical test theory, which has outdated assumptions.
    • Computerised adaptive testing (CAT), based on item response theory, presents a modern alternative.

    Purpose of the Study:

    • Introduce CAT methodology into Dutch mental health care.
    • Provide an overview of current and desirable developments in CAT for mental health.

    Main Methods:

    • Explanation of CAT principles and benefits for mental health care.
    • Discussion of CAT limitations and existing national/international developments.
    • Consideration of future desirable developments for CAT implementation.

    Main Results:

    • PROMIS item banks for anxiety and depression demonstrate CAT's superior efficiency.
    • CAT provides highly precise outcome measurements compared to current instruments.

    Conclusions:

    • CAT technology significantly enhances the efficiency and precision of symptom measurement in mental health.
    • The first CATs for anxiety and depression in the Netherlands are expected by late 2017/early 2018.