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Evaluation of Computerized Adaptive Tests (CATs) for longitudinal monitoring of depression, anxiety, and stress reactions

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Evaluation of Computerized Adaptive Tests (CATs) for longitudinal monitoring of depression, anxiety, and stress reactions. / Devine, Janine; Fliege, Herbert; Kocalevent, Rüya; Mierke, Annett; Klapp, Burghard F; Rose, Matthias.

In: J AFFECT DISORDERS, Vol. 190, 01.2016, p. 846-53.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Devine, J, Fliege, H, Kocalevent, R, Mierke, A, Klapp, BF & Rose, M 2016, 'Evaluation of Computerized Adaptive Tests (CATs) for longitudinal monitoring of depression, anxiety, and stress reactions', J AFFECT DISORDERS, vol. 190, pp. 846-53. https://doi.org/10.1016/j.jad.2014.10.063

APA

Devine, J., Fliege, H., Kocalevent, R., Mierke, A., Klapp, B. F., & Rose, M. (2016). Evaluation of Computerized Adaptive Tests (CATs) for longitudinal monitoring of depression, anxiety, and stress reactions. J AFFECT DISORDERS, 190, 846-53. https://doi.org/10.1016/j.jad.2014.10.063

Vancouver

Devine J, Fliege H, Kocalevent R, Mierke A, Klapp BF, Rose M. Evaluation of Computerized Adaptive Tests (CATs) for longitudinal monitoring of depression, anxiety, and stress reactions. J AFFECT DISORDERS. 2016 Jan;190:846-53. https://doi.org/10.1016/j.jad.2014.10.063

Bibtex

@article{79f718c1b9a345fba7c3f0dca38743fe,
title = "Evaluation of Computerized Adaptive Tests (CATs) for longitudinal monitoring of depression, anxiety, and stress reactions",
abstract = "BACKGROUND: Computerized adaptive testing (CAT) based on Item Response Theory, (IRT) offers an efficient way for accurate measurement of patient reported outcomes. The efficiency lies within a minimal response burden and a high measurement precision over a broad measurement range. The objective of the study was to evaluate and compare the responsiveness of CATs measuring anxiety, depression, and stress reaction to standard static self-assessment tools.METHODS: Longitudinal data of n=595 psychosomatic inpatients were analyzed for evaluating retest-reliability and sensitivity to change of the CATs compared to static measures (GAD-7, PHQ-9, and PSQ) using correlational and ANOVA statistics. The study hypothesized that CATs are at least as retest-reliable and as sensitive to change as static tools.RESULTS: The three CATs show a low burden for patients, administering on average 5-7 (±2-6SD) items with similar retest-reliability compared to the static tools applied (A-CAT: r=.78 vs. GAD-7: r=.75, D-CAT: r=.71 vs. PHQ-9: r=.75, S-CAT: r=.80 vs. PSQworries scale: r=.80). The CATs were overall as sensitive to change as the static tools (Cohen׳s d ranged between .19 and .69).LIMITATIONS: This is a monocenter, observational, longitudinal study without external clinical criteria; thus generalization to other settings may be limited.CONCLUSIONS: The tested CATs belong to the first generation of CATs being used in daily routine for more than a decade. They are as retest reliable and sensitive to change as static tools. Newer CATs may provide further practical advantages.",
author = "Janine Devine and Herbert Fliege and R{\"u}ya Kocalevent and Annett Mierke and Klapp, {Burghard F} and Matthias Rose",
note = "06/2015: Epub ahead of print",
year = "2016",
month = jan,
doi = "10.1016/j.jad.2014.10.063",
language = "English",
volume = "190",
pages = "846--53",
journal = "J AFFECT DISORDERS",
issn = "0165-0327",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Evaluation of Computerized Adaptive Tests (CATs) for longitudinal monitoring of depression, anxiety, and stress reactions

AU - Devine, Janine

AU - Fliege, Herbert

AU - Kocalevent, Rüya

AU - Mierke, Annett

AU - Klapp, Burghard F

AU - Rose, Matthias

N1 - 06/2015: Epub ahead of print

PY - 2016/1

Y1 - 2016/1

N2 - BACKGROUND: Computerized adaptive testing (CAT) based on Item Response Theory, (IRT) offers an efficient way for accurate measurement of patient reported outcomes. The efficiency lies within a minimal response burden and a high measurement precision over a broad measurement range. The objective of the study was to evaluate and compare the responsiveness of CATs measuring anxiety, depression, and stress reaction to standard static self-assessment tools.METHODS: Longitudinal data of n=595 psychosomatic inpatients were analyzed for evaluating retest-reliability and sensitivity to change of the CATs compared to static measures (GAD-7, PHQ-9, and PSQ) using correlational and ANOVA statistics. The study hypothesized that CATs are at least as retest-reliable and as sensitive to change as static tools.RESULTS: The three CATs show a low burden for patients, administering on average 5-7 (±2-6SD) items with similar retest-reliability compared to the static tools applied (A-CAT: r=.78 vs. GAD-7: r=.75, D-CAT: r=.71 vs. PHQ-9: r=.75, S-CAT: r=.80 vs. PSQworries scale: r=.80). The CATs were overall as sensitive to change as the static tools (Cohen׳s d ranged between .19 and .69).LIMITATIONS: This is a monocenter, observational, longitudinal study without external clinical criteria; thus generalization to other settings may be limited.CONCLUSIONS: The tested CATs belong to the first generation of CATs being used in daily routine for more than a decade. They are as retest reliable and sensitive to change as static tools. Newer CATs may provide further practical advantages.

AB - BACKGROUND: Computerized adaptive testing (CAT) based on Item Response Theory, (IRT) offers an efficient way for accurate measurement of patient reported outcomes. The efficiency lies within a minimal response burden and a high measurement precision over a broad measurement range. The objective of the study was to evaluate and compare the responsiveness of CATs measuring anxiety, depression, and stress reaction to standard static self-assessment tools.METHODS: Longitudinal data of n=595 psychosomatic inpatients were analyzed for evaluating retest-reliability and sensitivity to change of the CATs compared to static measures (GAD-7, PHQ-9, and PSQ) using correlational and ANOVA statistics. The study hypothesized that CATs are at least as retest-reliable and as sensitive to change as static tools.RESULTS: The three CATs show a low burden for patients, administering on average 5-7 (±2-6SD) items with similar retest-reliability compared to the static tools applied (A-CAT: r=.78 vs. GAD-7: r=.75, D-CAT: r=.71 vs. PHQ-9: r=.75, S-CAT: r=.80 vs. PSQworries scale: r=.80). The CATs were overall as sensitive to change as the static tools (Cohen׳s d ranged between .19 and .69).LIMITATIONS: This is a monocenter, observational, longitudinal study without external clinical criteria; thus generalization to other settings may be limited.CONCLUSIONS: The tested CATs belong to the first generation of CATs being used in daily routine for more than a decade. They are as retest reliable and sensitive to change as static tools. Newer CATs may provide further practical advantages.

U2 - 10.1016/j.jad.2014.10.063

DO - 10.1016/j.jad.2014.10.063

M3 - SCORING: Journal article

C2 - 25481813

VL - 190

SP - 846

EP - 853

JO - J AFFECT DISORDERS

JF - J AFFECT DISORDERS

SN - 0165-0327

ER -