Estimating Skin Cancer Risk: Evaluating Mobile Computer-Adaptive Testing

Djaja, Ngadiman; Janda, Monika; Olsen, Catherine M.; Whiteman, David C.; Chien, Tsair‐Wei

doi:10.2196/jmir.4736

Cited by 13 publications

(48 citation statements)

References 31 publications

(40 reference statements)

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“…None was applicable using an online assessment suited for smartphones until the online skin cancer CAT was published [32]. We do ensure that more papers in future will be published on the usefulness of online CAT as with all forms of Web-based technology are rapidly increasing [34].…”

Section: Discussionmentioning

confidence: 99%

A new technique to measure online bullying: online computerized adaptive testing

Wang

Chien

2017

Ann Gen Psychiatry

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BackgroundWorkplace bullying has been measured in many studies to investigate mental health issues. None uses online computerized adaptive testing (CAT) with cutting points to report bully prevalence at workplace.ObjectiveTo develop an online CAT to examine person being bullied and verify whether item response theory-based CAT can be applied online for nurses to measure exposure to workplace bullying.MethodsA total of 963 nurses were recruited and responded to the 22-item Negative Acts Questionnaire-Revised (NAQ-R). All non-adaptive testing (NAT) items were calibrated with the Rasch rating scale model. Three scenarios (i.e., NAT, CAT, and the randomly selected method to NAT) were manipulated to compare their response efficiency and precision by comparing (i) item length for answering questions, person measure, (ii) correlation coefficients, (iii) paired t tests, and (iv) estimated standard errors (SE) between CAT and the random to its counterpart of NAT.ResultsThe NAQ-R is a unidimensional construct that can be applied for nurses to measure exposure to workplace bullying on CAT. CAT required fewer items (=8.9) than NAT (=22, an efficient gain of 60% =1–8.9/22). Nursing measures derived from both tests (CAT and the random to NAT) were highly correlated (r = 0.93 and 0.96) and their measurement precisions were not statistically different (the percentage of significant count number less than 5%) as expected, but CAT earns smaller person measure SE than the random scenario. The prevalence rate for nurses was 1.5% (=15/963) when cutting points set at −0.7 and 0.7 logits.ConclusionThe CAT-based NAQ-R reduces respondents’ burden without compromising measurement precision and increases endorsement efficiency. The online CAT is recommended for assessing nurses using the criteria at −0.7 and 0.7 (or <30 and <60 in summed score) to identify bully grade as one of the three levels (high, moderate, and low). The bullied nurse can get help from a psychiatrist or a mental health expert at an earlier stage.Electronic supplementary materialThe online version of this article (doi:10.1186/s12991-017-0149-z) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

A new technique to measure online bullying: online computerized adaptive testing

Wang

Chien

2017

Ann Gen Psychiatry

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“…The incorporation of ICTs in oncology provides new opportunities for service provision, particularly with respect to the early detection of cancer 15 , early recognition and monitoring in real time of treatment-related adverse effects 5 , a wider dissemination of information targeted at the healthy population, patients, caregivers, and health care professionals, and improvement of adherence to drug therapy in the home 14 .…”

Section: Introductionmentioning

confidence: 99%

Mobile applications in oncology: A systematic review of health science databases

Ana

Soler

Montesinos

et al. 2020

International Journal of Medical Informatics

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Respondent Burden: CATs instruments were developed to reduce respondent burden by limiting the number of questions that participants need to answer, and our results underscore the importance of that philosophy [36]. The PROMIS CATs for this study usually required between about four and six answers for any given domain.…”

Section: Discussionmentioning

confidence: 78%

Assessing Disease Experience across the Life Span for Individuals with Osteogenesis Imperfecta: Challenges and Opportunities for Patient-Reported Outcomes (PROs) Measurement

Tosi

Floor

Dollar

et al. 2018

Preprint

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Background: Patient reported outcome (PRO) information is crucial for establishing better patient-provider communication, improving shared decision making between clinicians and patients, and assessing patient responses to therapeutic interventions and increasing satisfaction with care. We used the Brittle Bones Disease Consortium (BBDC) Contact Registry for People with OI, managed by the Rare Disease Clinical Research Network (RDCRN) to (1) to evaluate the construct validity of the Patient-Reported Outcome Measurement Information System ® (PROMIS ® ) to record important components of the disease experience among individuals with OI; and (2) explore the feasibility of using a registry to recruit individuals with OI to report on health status. Our long-term goal is to enhance communication of health and disease management findings back to the OI community, especially those who do not have access to major OI clinical centers.Results: We demonstrated the construct validity of PROMIS instruments in OI. Our results confirm that the scores from most domains differ significantly from the general US population: individuals with OI have worse symptom burden and functioning. We found no excessive floor or ceiling effects. Our study demonstrates that the BBDC Contact Registry can be used to recruit participants for online health status surveys. However, there are numerous challenges that must be addressed: lack of self-knowledge of OI type, under-representation of men, limited ethnic diversity, and imperfect questionnaire completion rates.Conclusion: Our pilot study demonstrated the feasibility of using a contact registry to recruit respondents from the OI community and to obtain analyzable PROMIS data regarding disease experience. Because the results differ from the general population and avoid excessive floor and 5 ceiling effects, PROMIS instruments can be used to assess response to therapeutic interventions in individuals with OI. Future directions will include (1) development and validation of an OIspecific patient-based classification system that aggregates persons with similar clinical characteristics and risks for complications to identify treatment needs; and (2) integrating these PRO tools into routine patient care and research studies.

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Estimating Skin Cancer Risk: Evaluating Mobile Computer-Adaptive Testing

Cited by 13 publications

References 31 publications

A new technique to measure online bullying: online computerized adaptive testing

A new technique to measure online bullying: online computerized adaptive testing

Mobile applications in oncology: A systematic review of health science databases

Assessing Disease Experience across the Life Span for Individuals with Osteogenesis Imperfecta: Challenges and Opportunities for Patient-Reported Outcomes (PROs) Measurement

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