02394nas a2200301   4500008004100000020002200041245010800063210006900171260002400240300000900264490000600273520142200279653002201701653003401723653002301757653003201780653001801812653002101830653001801851100001401869700001301883700001401896700001901910700001501929700001701944700001301961856011801974       2006                        eng d  a1529-7713 (Print)00aExpansion of a physical function item bank and development of an abbreviated form for clinical research0 aExpansion of a physical function item bank and development of an  bRichard M Smith: US  a1-150 v73 aWe expanded an existing 33-item physical function (PF) item bank with a sufficient number of items to enable computerized adaptive testing (CAT). Ten items were written to expand the bank and the new item pool was administered to 295 people with cancer. For this analysis of the new pool, seven poorly performing items were identified for further examination. This resulted in a bank with items that define an essentially unidimensional PF construct, cover a wide range of that construct, reliably measure the PF of persons with cancer, and distinguish differences in self-reported functional performance levels. We also developed a 5-item (static) assessment form ("BriefPF") that can be used in clinical research to express scores on the same metric as the overall bank. The BriefPF was compared to the PF-10 from the Medical Outcomes Study SF-36. Both short forms significantly differentiated persons across functional performance levels. While the entire bank was more precise across the PF continuum than either short form, there were differences in the area of the continuum in which each short form was more precise: the BriefPF was more precise than the PF-10 at the lower functional levels and the PF-10 was more precise than the BriefPF at the higher levels. Future research on this bank will include the development of a CAT version, the PF-CAT. (PsycINFO Database Record (c) 2007 APA, all rights reserved)10aclinical research10acomputerized adaptive testing10aperformance levels10aphysical function item bank10aPsychometrics10atest reliability10aTest Validity1 aBode, R K1 aLai, J-S1 aDineen, K1 aHeinemann, A W1 aShevrin, D1 aVon Roenn, J1 aCella, D  uhttp://iacat.org/content/expansion-physical-function-item-bank-and-development-abbreviated-form-clinical-research02182nas a2200181   4500008004100000245009900041210006900140260000800209300001400217490000700231520157400238100001401812700001301826700001401839700001601853700001301869856011801882       2006                        eng d00aItem banks and their potential applications to health status assessment in diverse populations0 aItem banks and their potential applications to health status ass  cNov  aS189-S1970 v443 aIn the context of an ethnically diverse, aging society, attention is increasingly turning to health-related quality of life measurement to evaluate healthcare and treatment options for chronic diseases. When evaluating and treating symptoms and concerns such as fatigue, pain, or physical function, reliable and accurate assessment is a priority. Modern psychometric methods have enabled us to move from long, static tests that provide inefficient and often inaccurate assessment of individual patients, to computerized adaptive tests (CATs) that can precisely measure individuals on health domains of interest. These modern methods, collectively referred to as item response theory (IRT), can produce calibrated "item banks" from larger pools of questions. From these banks, CATs can be conducted on individuals to produce their scores on selected domains. Item banks allow for comparison of patients across different question sets because the patient's score is expressed on a common scale. Other advantages of using item banks include flexibility in terms of the degree of precision desired; interval measurement properties under most circumstances; realistic capability for accurate individual assessment over time (using CAT); and measurement equivalence across different patient populations. This work summarizes the process used in the creation and evaluation of item banks and reviews their potential contributions and limitations regarding outcome assessment and patient care, particularly when they are applied across people of different cultural backgrounds.1 aHahn, E A1 aCella, D1 aBode, R K1 aGershon, RC1 aLai, J S  uhttp://iacat.org/content/item-banks-and-their-potential-applications-health-status-assessment-diverse-populations01739nas a2200229   4500008004100000245008300041210006900124300001100193490000700204520103000211653003401241100001301275700001401288700001501302700001701317700001501334700001501349700001401364700001301378700001301391856010501404       2005                        eng d00aAn item response theory-based pain item bank can enhance measurement precision0 aitem response theorybased pain item bank can enhance measurement  a278-880 v303 aCancer-related pain is often under-recognized and undertreated. This is partly due to the lack of appropriate assessments, which need to be comprehensive and precise yet easily integrated into clinics. Computerized adaptive testing (CAT) can enable precise-yet-brief assessments by only selecting the most informative items from a calibrated item bank. The purpose of this study was to create such a bank. The sample included 400 cancer patients who were asked to complete 61 pain-related items. Data were analyzed using factor analysis and the Rasch model. The final bank consisted of 43 items which satisfied the measurement requirement of factor analysis and the Rasch model, demonstrated high internal consistency and reasonable item-total correlations, and discriminated patients with differing degrees of pain. We conclude that this bank demonstrates good psychometric properties, is sensitive to pain reported by patients, and can be used as the foundation for a CAT pain-testing platform for use in clinical practice.10acomputerized adaptive testing1 aLai, J-S1 aDineen, K1 aReeve, B B1 aVon Roenn, J1 aShervin, D1 aMcGuire, M1 aBode, R K1 aPaice, J1 aCella, D  uhttp://iacat.org/content/item-response-theory-based-pain-item-bank-can-enhance-measurement-precision01800nas a2200277   4500008004100000245007600041210006900117300001100186490000600197520090300203653001501106653002901121653003001150653002001180653001101200653005001211653001801261653003201279653004101311653001801352100001401370700001301384700001301397700001901410856009301429       2003                        eng d00aDeveloping an initial physical function item bank from existing sources0 aDeveloping an initial physical function item bank from existing   a124-360 v43 aThe objective of this article is to illustrate incremental item banking using health-related quality of life data collected from two samples of patients receiving cancer treatment. The kinds of decisions one faces in establishing an item bank for computerized adaptive testing are also illustrated. Pre-calibration procedures include: identifying common items across databases; creating a new database with data from each pool; reverse-scoring "negative" items; identifying rating scales used in items; identifying pivot points in each rating scale; pivot anchoring items at comparable rating scale categories; and identifying items in each instrument that measure the construct of interest. A series of calibrations were conducted in which a small proportion of new items were added to the common core and misfitting items were identified and deleted until an initial item bank has been developed.10a*Databases10a*Sickness Impact Profile10aAdaptation, Psychological10aData Collection10aHumans10aNeoplasms/*physiopathology/psychology/therapy10aPsychometrics10aQuality of Life/*psychology10aResearch Support, U.S. Gov't, P.H.S.10aUnited States1 aBode, R K1 aCella, D1 aLai, J S1 aHeinemann, A W  uhttp://iacat.org/content/developing-initial-physical-function-item-bank-existing-sources02744nas a2200349   4500008004100000245015800041210006900199260000800268300001200276490000700288520160300295653003001898653002001928653001001948653003201958653001101990653001102001653000902012653001602021653002802037653001802065653003702083653004102120653002802161100001302189700001502202700001302217700001502230700001402245700001902259856011602278       2003                        eng d00aItem banking to improve, shorten and computerized self-reported fatigue: an illustration of steps to create a core item bank from the FACIT-Fatigue Scale0 aItem banking to improve shorten and computerized selfreported fa  cAug  a485-5010 v123 aFatigue is a common symptom among cancer patients and the general population. Due to its subjective nature, fatigue has been difficult to effectively and efficiently assess. Modern computerized adaptive testing (CAT) can enable precise assessment of fatigue using a small number of items from a fatigue item bank. CAT enables brief assessment by selecting questions from an item bank that provide the maximum amount of information given a person's previous responses. This article illustrates steps to prepare such an item bank, using 13 items from the Functional Assessment of Chronic Illness Therapy Fatigue Subscale (FACIT-F) as the basis. Samples included 1022 cancer patients and 1010 people from the general population. An Item Response Theory (IRT)-based rating scale model, a polytomous extension of the Rasch dichotomous model was utilized. Nine items demonstrating acceptable psychometric properties were selected and positioned on the fatigue continuum. The fatigue levels measured by these nine items along with their response categories covered 66.8% of the general population and 82.6% of the cancer patients. Although the operational CAT algorithms to handle polytomously scored items are still in progress, we illustrated how CAT may work by using nine core items to measure level of fatigue. Using this illustration, a fatigue measure comparable to its full-length 13-item scale administration was obtained using four items. The resulting item bank can serve as a core to which will be added a psychometrically sound and operational item bank covering the entire fatigue continuum.10a*Health Status Indicators10a*Questionnaires10aAdult10aFatigue/*diagnosis/etiology10aFemale10aHumans10aMale10aMiddle Aged10aNeoplasms/complications10aPsychometrics10aResearch Support, Non-U.S. Gov't10aResearch Support, U.S. Gov't, P.H.S.10aSickness Impact Profile1 aLai, J-S1 aCrane, P K1 aCella, D1 aChang, C-H1 aBode, R K1 aHeinemann, A W  uhttp://iacat.org/content/item-banking-improve-shorten-and-computerized-self-reported-fatigue-illustration-steps