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Advancing the efficiency and efficacy of patient reported outcomes with multivariate computer adaptive testing
Author(s) -
Scott B. Morris,
Mike Bass,
Mirinae Lee,
Richard E. Neapolitan
Publication year - 2017
Publication title -
journal of the american medical informatics association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.614
H-Index - 150
eISSN - 1527-974X
pISSN - 1067-5027
DOI - 10.1093/jamia/ocx003
Subject(s) - computerized adaptive testing , item response theory , trait , anger , distress , multivariate statistics , item bank , clinical psychology , multivariate analysis , psychology , psychometrics , computer science , machine learning , programming language
The Patient Reported Outcomes Measurement Information System (PROMIS) initiative developed an array of patient reported outcome (PRO) measures. To reduce the number of questions administered, PROMIS utilizes unidimensional item response theory and unidimensional computer adaptive testing (UCAT), which means a separate set of questions is administered for each measured trait. Multidimensional item response theory (MIRT) and multidimensional computer adaptive testing (MCAT) simultaneously assess correlated traits. The objective was to investigate the extent to which MCAT reduces patient burden relative to UCAT in the case of PROs.

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