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Customizing Computerized Adaptive Test Stopping Rules for Clinical Settings Using the Negative Affect Subdomain of the NIH Toolbox Emotion Battery: Simulation Study

Customizing Computerized Adaptive Test Stopping Rules for Clinical Settings Using the Negative Affect Subdomain of the NIH Toolbox Emotion Battery: Simulation Study

After 4 items have been administered (the minimum), the default for the NIH Toolbox CAT administration is to stop the CAT after either 12 items have been administered (the maximum) or the SE of the EAP score estimate is less than 0.3, which corresponds to a minimum reliability of 0.91. Other CATs may implement these or additional stopping rules, or may include content balancing or item exposure constraints.

Saki Amagai, Aaron J Kaat, Rina S Fox, Emily H Ho, Sarah Pila, Michael A Kallen, Benjamin D Schalet, Cindy J Nowinski, Richard C Gershon

JMIR Form Res 2025;9:e60215

Clinical Efficacy of Mobile App–Based, Self-Directed Pulmonary Rehabilitation for Patients With Chronic Obstructive Pulmonary Disease: Systematic Review and Meta-Analysis

Clinical Efficacy of Mobile App–Based, Self-Directed Pulmonary Rehabilitation for Patients With Chronic Obstructive Pulmonary Disease: Systematic Review and Meta-Analysis

The symptom scores were measured by using the COPD Assessment Test (CAT) and the m MRC dyspnea scale. Quality of life was measured by using the St. George Respiratory Questionnaire (SGRQ). Hospitalization was defined as hospitalizations resulting from disease exacerbation. The primary time points for the analysis were baseline and the end of the intervention. The continuous variables included the 6 MWD, CAT score, and SGRQ score.

Chiwook Chung, Jong Won Lee, Sei Won Lee, Min-Woo Jo

JMIR Mhealth Uhealth 2024;12:e41753

The Dosing of Mobile-Based Just-in-Time Adaptive Self-Management Prompts for Caregivers: Preliminary Findings From a Pilot Microrandomized Study

The Dosing of Mobile-Based Just-in-Time Adaptive Self-Management Prompts for Caregivers: Preliminary Findings From a Pilot Microrandomized Study

The daily real-time assessments of 3 variables were administered as a computer adaptive test (CAT) [42], which aims to estimate an examinee’s level of the construct (eg, depression) through sequentially administered items (questions), where each item is selected adaptively based on the examinee’s previous response. As a consequence, the estimate of the examinee’s level of the construct typically becomes more precise as more items are administered.

Jitao Wang, Zhenke Wu, Sung Won Choi, Srijan Sen, Xinghui Yan, Jennifer A Miner, Angelle M Sander, Angela K Lyden, Jonathan P Troost, Noelle E Carlozzi

JMIR Form Res 2023;7:e43099

Graded Response Model Analysis and Computer Adaptive Test Simulation of the Depression Anxiety Stress Scale 21: Evaluation and Validation Study

Graded Response Model Analysis and Computer Adaptive Test Simulation of the Depression Anxiety Stress Scale 21: Evaluation and Validation Study

By using start rules, stop rules, estimation methods, and item selection procedures, almost any test can be turned into a CAT. To our knowledge, the graded response model and CAT have not yet been used with the DASS-21.

Jake Kraska, Karen Bell, Shane Costello

J Med Internet Res 2023;25:e45334

The Development, Deployment, and Evaluation of the CLEFT-Q Computerized Adaptive Test: A Multimethods Approach Contributing to Personalized, Person-Centered Health Assessments in Plastic Surgery

The Development, Deployment, and Evaluation of the CLEFT-Q Computerized Adaptive Test: A Multimethods Approach Contributing to Personalized, Person-Centered Health Assessments in Plastic Surgery

For each CAT, at each possible assessment length, concordance between CAT and full-length score was measured with the Pearson correlation coefficient, root-mean-square error (RMSE), and 95% limits of agreement. RMSE is a measure of the difference between full-length CLEFT-Q scale scores and CLEFT-Q CAT scores, averaged across the population, and 95% limits of agreement demonstrate the difference between full-length CLEFT-Q scale scores and CLEFT-Q CAT scores at the individual level.

Conrad Harrison, Inge Apon, Kenny Ardouin, Chris Sidey-Gibbons, Anne Klassen, Stefan Cano, Karen Wong Riff, Andrea Pusic, Sarah Versnel, Maarten Koudstaal, Alexander C Allori, Carolyn Rogers-Vizena, Marc C Swan, Dominic Furniss, Jeremy Rodrigues

J Med Internet Res 2023;25:e41870

Once Daily Versus Overnight and Symptom Versus Physiological Monitoring to Detect Exacerbations of Chronic Obstructive Pulmonary Disease: Pilot Randomized Controlled Trial

Once Daily Versus Overnight and Symptom Versus Physiological Monitoring to Detect Exacerbations of Chronic Obstructive Pulmonary Disease: Pilot Randomized Controlled Trial

Patients were also instructed on the use of a peak expiratory flow (PEF) meter and the Chronic obstructive pulmonary disease assessment test (CAT) questionnaire, and how to record the results on a diary card. Subjects were monitored for 6 months or until they recovered from the first exacerbation (whichever was earlier). Data recorded in the first week were not included in the analysis.

Ahmed M Al Rajeh, Yousef Saad Aldabayan, Abdulelah Aldhahir, Elisha Pickett, Shumonta Quaderi, Jaber S Alqahtani, Swapna Mandal, Marc CI Lipman, John R Hurst

JMIR Mhealth Uhealth 2020;8(11):e17597

Maximizing the Potential of Patient-Reported Assessments by Using the Open-Source Concerto Platform With Computerized Adaptive Testing and Machine Learning

Maximizing the Potential of Patient-Reported Assessments by Using the Open-Source Concerto Platform With Computerized Adaptive Testing and Machine Learning

One of the biggest advantages of using modern test theory is that item properties can be used in a computerized adaptive testing (CAT) environment. CAT refers to a process of selecting the most informative items for people responding to questionnaires.

Conrad Harrison, Bao Sheng Loe, Przemysław Lis, Chris Sidey-Gibbons

J Med Internet Res 2020;22(10):e20950