Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 11 , Pages 2129-2139 , November 2008

A Computerized Adaptive Test for Patients With Hip Impairments Produced Valid and Responsive Measures of Function

  • Dennis L. Hart, PT, PhD

      Affiliations

    • Department of Consulting and Research, Focus On Therapeutic Outcomes, Inc, Knoxville, TN
    • Corresponding Author InformationReprint requests to Dennis L. Hart, PT, PhD, Director of Consulting and Research, Focus On Therapeutic Outcomes, Inc, 551 Yopps Cove Rd, White Stone, VA, 22578-2403
  • ,
  • Ying-Chih Wang, OT, PhD

      Affiliations

    • Department of Consulting and Research, Focus On Therapeutic Outcomes, Inc, Knoxville, TN
    • Sensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, IL
  • ,
  • Paul W. Stratford, PT, MS

      Affiliations

    • Department of Clinical Epidemiology and Biostatistics, School of Rehabilitation Science, McMaster University, Toronto, ON, Canada
  • ,
  • Jerome E. Mioduski, MS

      Affiliations

    • Department of Information Technology, Focus On Therapeutic Outcomes, Inc, Knoxville, TN

  • Image Result

    Hip CAT functional status score distributions at admission (FS Intake) and discharge (FS Discharge). NOTE. Intake data from the 8714 patients with intake FS estimates and discharge data from the 3841

    Hip CAT functional status score distributions at admission (FS Intake) and discharge (FS Discharge). NOTE. Intake data from the 8714 patients with intake FS estimates and discharge data from the 3841 patients with discharge data.

  • Image Result
    Test information functions. NOTE. Test information function curves were estimated by using item parameter estimates from the original data (n=444 sample 2).26 Abbreviations: Top 7 IER (Low Function Pa

    Test information functions. NOTE. Test information function curves were estimated by using item parameter estimates from the original data (n=444 sample 2).26 Abbreviations: Top 7 IER (Low Function Patients), test information function using the 7 most commonly used items in the hip CAT for patients with lower FS scores; Top 7 IER (High Function Patients), test information function using the 7 most commonly used items in the hip CAT for patients with higher FS scores; Full Test (P&P Version), test information function using all items in the hip CAT item bank for all patients; Top 7 IER (Entire Sample), test information function using the 7 most commonly used items in the hip CAT for all patients regardless of FS scores. Abbreviation: IER, item exposure rate.

  • Image Result
    The measure precision of CAT-estimated FS abilities. Abbreviation: SEM, standard error of the mean.

    The measure precision of CAT-estimated FS abilities. Abbreviation: SEM, standard error of the mean.

  • Image Result
    The hip CAT functional status measure SE 95% CI upper limits and percent of patients per FS range at intake (N=8714).

    The hip CAT functional status measure SE 95% CI upper limits and percent of patients per FS range at intake (N=8714).

  • Image Result
    The hip CAT FS measure MDC 90% and 95% CI upper limits and percent of patients per FS range at intake (n=3838).

    The hip CAT FS measure MDC 90% and 95% CI upper limits and percent of patients per FS range at intake (n=3838).

 Supported by Focus On Therapeutic Outcomes, Inc.

 A commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a financial benefit on the author or 1 or more of the authors. Hart, Wang, and Mioduski are employees of and Hart is an investor in Focus On Therapeutic Outcomes, Inc, which distributes the hip CAT discussed in this study.

PII: S0003-9993(08)00829-0

doi: 10.1016/j.apmr.2008.04.026

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 11 , Pages 2129-2139 , November 2008