%0 Journal Article %J Quality of Life Research %D 2009 %T Replenishing a computerized adaptive test of patient-reported daily activity functioning %A Haley, S. M. %A Ni, P. %A Jette, A. M. %A Tao, W. %A Moed, R. %A Meyers, D. %A Ludlow, L. H. %K *Activities of Daily Living %K *Disability Evaluation %K *Questionnaires %K *User-Computer Interface %K Adult %K Aged %K Cohort Studies %K Computer-Assisted Instruction %K Female %K Humans %K Male %K Middle Aged %K Outcome Assessment (Health Care)/*methods %X PURPOSE: Computerized adaptive testing (CAT) item banks may need to be updated, but before new items can be added, they must be linked to the previous CAT. The purpose of this study was to evaluate 41 pretest items prior to including them into an operational CAT. METHODS: We recruited 6,882 patients with spine, lower extremity, upper extremity, and nonorthopedic impairments who received outpatient rehabilitation in one of 147 clinics across 13 states of the USA. Forty-one new Daily Activity (DA) items were administered along with the Activity Measure for Post-Acute Care Daily Activity CAT (DA-CAT-1) in five separate waves. We compared the scoring consistency with the full item bank, test information function (TIF), person standard errors (SEs), and content range of the DA-CAT-1 to the new CAT (DA-CAT-2) with the pretest items by real data simulations. RESULTS: We retained 29 of the 41 pretest items. Scores from the DA-CAT-2 were more consistent (ICC = 0.90 versus 0.96) than DA-CAT-1 when compared with the full item bank. TIF and person SEs were improved for persons with higher levels of DA functioning, and ceiling effects were reduced from 16.1% to 6.1%. CONCLUSIONS: Item response theory and online calibration methods were valuable in improving the DA-CAT. %B Quality of Life Research %7 2009/03/17 %V 18 %P 461-71 %8 May %@ 0962-9343 (Print)0962-9343 (Linking) %G eng %M 19288222 %0 Journal Article %J American Journal of Physical Medicine and Rehabilitation %D 2008 %T Adaptive short forms for outpatient rehabilitation outcome assessment %A Jette, A. M. %A Haley, S. M. %A Ni, P. %A Moed, R. %K *Activities of Daily Living %K *Ambulatory Care Facilities %K *Mobility Limitation %K *Treatment Outcome %K Disabled Persons/psychology/*rehabilitation %K Female %K Humans %K Male %K Middle Aged %K Questionnaires %K Rehabilitation Centers %X OBJECTIVE: To develop outpatient Adaptive Short Forms for the Activity Measure for Post-Acute Care item bank for use in outpatient therapy settings. DESIGN: A convenience sample of 11,809 adults with spine, lower limb, upper limb, and miscellaneous orthopedic impairments who received outpatient rehabilitation in 1 of 127 outpatient rehabilitation clinics in the United States. We identified optimal items for use in developing outpatient Adaptive Short Forms based on the Basic Mobility and Daily Activities domains of the Activity Measure for Post-Acute Care item bank. Patient scores were derived from the Activity Measure for Post-Acute Care computerized adaptive testing program. Items were selected for inclusion on the Adaptive Short Forms based on functional content, range of item coverage, measurement precision, item exposure rate, and data collection burden. RESULTS: Two outpatient Adaptive Short Forms were developed: (1) an 18-item Basic Mobility Adaptive Short Form and (2) a 15-item Daily Activities Adaptive Short Form, derived from the same item bank used to develop the Activity Measure for Post-Acute Care computerized adaptive testing program. Both Adaptive Short Forms achieved acceptable psychometric properties. CONCLUSIONS: In outpatient postacute care settings where computerized adaptive testing outcome applications are currently not feasible, item response theory-derived Adaptive Short Forms provide the efficient capability to monitor patients' functional outcomes. The development of Adaptive Short Form functional outcome instruments linked by a common, calibrated item bank has the potential to create a bridge to outcome monitoring across postacute care settings and can facilitate the eventual transformation from Adaptive Short Forms to computerized adaptive testing applications easier and more acceptable to the rehabilitation community. %B American Journal of Physical Medicine and Rehabilitation %7 2008/09/23 %V 87 %P 842-52 %8 Oct %@ 1537-7385 (Electronic) %G eng %M 18806511 %0 Journal Article %J Physical Therapy %D 2007 %T Prospective evaluation of the am-pac-cat in outpatient rehabilitation settings %A Jette, A., %A Haley, S. %A Tao, W. %A Ni, P. %A Moed, R. %A Meyers, D. %A Zurek, M. %B Physical Therapy %V 87 %P 385-398 %G eng