Development and validation of parallel short forms PaSA-cardio for the assessment of general anxiety in cardiovascular rehabilitation patients using Rasch analysis

Abberger, Birgit; Haschke, Anne; Tully, Phillip J.; Forkmann, Thomas; Berger, Janna; Wirtz, Markus; Bengel, Juergen; Baumeister, Harald

doi:10.1177/0269215515627288

Cited by 10 publications

(3 citation statements)

References 42 publications

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“…The number of items is fully sufficient for using it to develop specific assessment tools such as CATs 27,47,[49][50][51] and anxiety short forms. 52,53 A CAT adapts questions based on previously given answers. Therefore, the person's ability has to be estimated anew after every item and the next one has to be selected by an information criterion.…”

Section: Discussionmentioning

confidence: 99%

“…19 Nevertheless, the AIB-ortho can also be used for the development of short-form questionnaires to allow for anxiety testing where computers are not available. 52,53 Moreover, AIB-ortho builds a further puzzle for a comprehensive psychodiagnostics in orthopedic and cardiovascular patients using RehaCAT with its already established IRT and CAT dimensions depression, activity in daily living and work capacity as well as the parallel to this study developed item bank on patients' treatment motivation. 19,27,45,47,[49][50][51][52][53][54]55 This study shows one limitation: The potential for exact measurement of a very mild anxiety is limited.…”

Section: Discussionmentioning

confidence: 99%

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Calibration of an item bank in 474 orthopedic patients using Rasch analysis for computer-adaptive assessment of anxiety

et al. 2019

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Objective: To calibrate an item bank of anxiety-related questions for use in orthopedic patients within a computer-adaptive test. Design: This is a psychometric study. Setting: The sample of orthopedic patients was recruited in two orthopedic rehabilitation clinics in Germany. Subjects: A total of 474 orthopedic rehabilitation patients were recruited for this study. Interventions: Not applicable. Main measures: The main measure is an adapted version of an existing anxiety item pool for cardiovascular rehabilitation patients. Results: The results of the confirmatory factor analysis and Mokken analysis confirmed a one-factor structure and double monotonicity. An anxiety item bank (48 items) could be developed and calibrated using Rasch analysis. It fitted to the Rasch model with a non-significant item–trait interaction ( χ2(203) = 172.59; P = .94) and was free of differential item functioning. Unidimensionality could be verified and the person separation reliability was .96. The category threshold parameters varied between 4.72 and 3.16 (7.88 logits). Conclusion: The unidimensional anxiety item bank provides the basis for a computer-adaptive test to assess a wide range of anxiety in rehabilitation patients with orthopedic diseases with very good psychometric characteristics.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Calibration of an item bank in 474 orthopedic patients using Rasch analysis for computer-adaptive assessment of anxiety

et al. 2019

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“…Besides, a reliable assessment of differences between patients (measurement precision) and changes in the condition of patients during and after treatment (change sensitivity of the assessment) is a necessary prerequisite 1. Paper-and-pencil testing procedures are most commonly used, but have crucial limitations, such as the limited scope or the test load as well as difficulties in collecting these measures before, during and after the treatment process 1 9–13…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and cost-effectiveness of a web-based routine assessment with integrated recommendations for action for depression and anxiety (RehaCAT+): protocol for a cluster randomised controlled trial for patients with elevated depressive symptoms in rehabilitation facilities

et al. 2022

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IntroductionThe integration of a web-based computer-adaptive patient-reported outcome test (CAT) platform with persuasive design optimised features including recommendations for action into routine healthcare could provide a promising way to translate reliable diagnostic results into action. This study aims to evaluate the effectiveness and cost-effectiveness of such a platform for depression and anxiety (RehaCAT+) compared with the standard diagnostic system (RehaCAT) in cardiological and orthopaedic health clinics in routine care.Methods and analysisA two-arm, pragmatic, cluster-randomised controlled trial will be conducted. Twelve participating rehabilitation clinics in Germany will be randomly assigned to a control (RehaCAT) or experimental group (RehaCAT+) in a 1:1 design. A total sample of 1848 participants will be recruited across all clinics. The primary outcome, depression severity at 12 months follow-up (T3), will be assessed using the CAT Patient-Reported Outcome Measurement Information System Emotional Distress-Depression Item set. Secondary outcomes are depression at discharge (T1) and 6 months follow-up (T2) as well as anxiety, satisfaction with participation in social roles and activities, pain impairment, fatigue, sleep, health-related quality of life, self-efficacy, physical functioning, alcohol, personality and health economic-specific general quality of life and socioeconomic cost and benefits at T1-3. User behaviour, acceptance, facilitating and hindering factors will be assessed with semistructured qualitative interviews. Additionally, a smart sensing substudy will be conducted, with daily ecological momentary assessments and passive collection of smartphone usage variables. Data analysis will follow the intention-to-treat principle with additional per-protocol analyses. Cost-effectiveness analyses will be conducted from a societal perspective and the perspective of the statutory pension insurance.Ethics and disseminationThe study will be conducted according to the Declaration of Helsinki. The Ethics Committee of Ulm University, has approved the study (on 24 February 2021 ref. 509/20). Written informed consent will be obtained for all participants. Results will be published via peer-reviewed journals.Trial registration numberDRKS00027447

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Psychological and pharmacological interventions for depression in patients with coronary artery disease

Tully

Ang

Lee

et al. 2021

Cochrane Database of Systematic Reviews

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Development and validation of parallel short forms PaSA-cardio for the assessment of general anxiety in cardiovascular rehabilitation patients using Rasch analysis

Abstract: Assessment of general anxiety in cardiovascular rehabilitation patients with the PaSA-cardio was valid, economical and accurate. The two forms of the PaSA-cardio are equivalent and allow retest without contamination from residual practice effect variance.

Cited by 10 publications

References 42 publications

Calibration of an item bank in 474 orthopedic patients using Rasch analysis for computer-adaptive assessment of anxiety

Calibration of an item bank in 474 orthopedic patients using Rasch analysis for computer-adaptive assessment of anxiety

Effectiveness and cost-effectiveness of a web-based routine assessment with integrated recommendations for action for depression and anxiety (RehaCAT+): protocol for a cluster randomised controlled trial for patients with elevated depressive symptoms in rehabilitation facilities

Psychological and pharmacological interventions for depression in patients with coronary artery disease

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