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Computerized Adaptive Testing System of Functional Assessment of Stroke
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Multidimensional Computerized Adaptive Testing: A Potential Path Toward the Efficient and Precise Assessment of

Chun Wang1, David J Weiss2, Shiyang Su3

  • 1College of Education, University of Washington, Seattle, WA.

Archives of Physical Medicine and Rehabilitation
|January 29, 2022
PubMed
Summary

A new functional assessment tool, FAMCAT, efficiently measures cognition, daily activity, and mobility in hospitalized patients. This precise assessment aids in planning mobility preservation and rehabilitation services.

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Area of Science:

  • Gerontology and Rehabilitation
  • Health Services Research
  • Medical Informatics

Background:

  • Hospitalized patients often require comprehensive functional assessments.
  • Existing assessments may lack efficiency or precision in evaluating multiple domains.
  • Accurate functional status is crucial for guiding mobility preservation and rehabilitation.

Purpose of the Study:

  • To develop and evaluate an efficient, variable-length functional assessment tool.
  • To measure applied cognition, daily activity, and mobility in hospitalized patients.
  • To inform mobility preservation and rehabilitation service delivery.

Main Methods:

  • Developed a multidimensional item bank calibrated using a multidimensional graded response model.
  • Utilized adaptive item selection to maximize test information, employing a joint stopping rule.
  • Conducted a simulation study comparing the Functional Assessment in Acute Care Multidimensional Computerized Adaptive Test (FAMCAT) to conventional methods.

Main Results:

  • FAMCAT required an average of 6 minutes for administration in the validation sample (n=2083).
  • 96% of tests were terminated by the standard error rule after an average of 22 items.
  • The tool demonstrated precision and efficiency in assessing functional domains.

Conclusions:

  • FAMCAT offers a promising solution for structured, frequent, and precise functional assessment in hospitalized patients.
  • The instrument is suitable for concurrent assessment of correlated functional domains.
  • Findings may guide the development of similar assessment instruments.