计算机化适应性测试与小儿炎性肠病简体形式相比,患者报告的结果评估
Erica J Brenner1, Li Lin2, Kirsten M Bahnson2
1University of North Carolina, Department of Pediatrics, Division of Pediatric Gastroenterology, Chapel Hill, NC, USA.
Journal of clinical and translational science
|May 30, 2023
概括
针对患者报告结果测量信息系统® (PROMIS®) 的计算机化适应性测试 (CAT) 和静态形式 (SFs) 在儿科炎症性肠病 (IBD) 中的儿科测量产生了类似的结果. CAT表现出更高的精度和更少的地板效应,使其适用于具有极端症状的样品.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 健康研究成果研究结果
- 心理测量 心理测量 心理测量
背景情况:
- 计算机化适应性测试 (CAT) 在评估患者报告的结果 (PROs) 方面比静态形式 (SFs) 有潜在的优势.
- PROMIS® 儿科测量广泛用于评估患有炎性肠病 (IBD) 的儿童的健康状况.
研究的目的:
- 在儿科IBD群体中比较PROMIS®儿科措施的CAT和SF版本的性能.
- 评估CAT和SF管理之间的可靠性,精度和地板/天花板效应.
主要方法:
- 患有儿科IBD的参与者完成了PROMIS®儿科措施的4项CAT,5/6项CAT和4项SF版本.
- 分析包括平均T分数,类内相关性 (ICC),地板/天花板效应,标准测量误差 (SEM) 和疾病活动组之间的效应大小.
主要成果:
- 在所有CAT和SF形式中,PROMIS®的T分数是可比的 (差异为3分).
- 所有形式都显示出高相关性 (ICC ≥0.90) 和类似的上限效应.
- 与CAT-4和SF-4相比,CAT-5/6表现出较低的地板效应和SEM;与SF-4相比,CAT-4的SEM较低.
- 区分疾病活动的效果大小在各种形式中都相似.
结论:
- 无论是CAT和SF PROMIS® 儿科测量都在儿科IBD中提供了可比的得分结果.
- CAT提供了更高的精度和更少的地板效应,对于症状极端的样本尤其有益.
- 考虑PROMIS®儿科CAT用于涉及儿科IBD人群的研究,这些人群可能会表现出极端的症状得分.
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