The importance and acceptability of general and maladaptive personality trait computerized assessment feedback.

Lengel, Gregory J.; Mullins‐Sweatt, Stephanie N.

doi:10.1037/pas0000321

Cited by 17 publications

(12 citation statements)

References 43 publications

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“…As this represents 1 of the first efforts to do so, we were unable to find a previously validated questionnaire for assessing the relevance and acceptability of feedback and CAT administration. We developed a questionnaire that used items that had been shown to work well in the single other study we found that examined acceptability of feedback for patients completing a personality questionnaire [38]. Though we found that the questionnaire performed well during psychometric evaluation, we acknowledge that the short questionnaire may not cover all relevant aspects of questionnaire completion.…”

Section: Discussionmentioning

confidence: 99%

Computerized Quality of Life Assessment: A Randomized Experiment to Determine the Impact of Individualized Feedback on Assessment Experience

Geerards¹,

Pusic²,

Hoogbergen³

et al. 2019

J Med Internet Res

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Background Quality of life (QoL) assessments, or patient-reported outcome measures (PROMs), are becoming increasingly important in health care and have been associated with improved decision making, higher satisfaction, and better outcomes of care. Some physicians and patients may find questionnaires too burdensome; however, this issue could be addressed by making use of computerized adaptive testing (CAT). In addition, making the questionnaire more interesting, for example by providing graphical and contextualized feedback, may further improve the experience of the users. However, little is known about how shorter assessments and feedback impact user experience. Objective We conducted a controlled experiment to assess the impact of tailored multimodal feedback and CAT on user experience in QoL assessment using validated PROMs. Methods We recruited a representative sample from the general population in the United Kingdom using the Oxford Prolific academic Web panel. Participants completed either a CAT version of the World Health Organization Quality of Life assessment (WHOQOL-CAT) or the fixed-length WHOQOL-BREF, an abbreviated version of the WHOQOL-100. We randomly assigned participants to conditions in which they would receive no feedback, graphical feedback only, or graphical and adaptive text-based feedback. Participants rated the assessment in terms of perceived acceptability, engagement, clarity, and accuracy. Results We included 1386 participants in our analysis. Assessment experience was improved when graphical and tailored text-based feedback was provided along with PROMs (Δ=0.22, P <.001). Providing graphical feedback alone was weakly associated with improvement in overall experience (Δ=0.10, P =.006). Graphical and text-based feedback made the questionnaire more interesting, and users were more likely to report they would share the results with a physician or family member (Δ=0.17, P <.001, and Δ=0.17, P <.001, respectively). No difference was found in perceived accuracy of the graphical feedback scores of the WHOQOL-CAT and WHOQOL-BREF (Δ=0.06, P =.05). CAT (stopping rule [SE<0.45]) resulted in the administration of 25% fewer items than the fixed-length assessment, but it did not result in an improved user experience ( P =.21). Conclusions Using tailored text-based feedback to contextualize numeric scores maximized the acceptability of electronic QoL assessment. Improving user experience may increase response rates and reduce attrition in research and clinical use of PROMs. In this study, CAT administration was associated with a modest decrease in assessment length but did not improve user experience. Patient-perceived accuracy of feedback was equivalent when comparing CAT with fixed-length assessment. Fixed-len...

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Section: Discussionmentioning

confidence: 99%

Computerized Quality of Life Assessment: A Randomized Experiment to Determine the Impact of Individualized Feedback on Assessment Experience

Geerards¹,

Pusic²,

Hoogbergen³

et al. 2019

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…A promising way to deal with such response patterns is using alternative measures that employ forced choice technique such as the Goldsmiths-60-item questionnaire [99]. [115][116][117][118][119][120][121][122][123]. In the following, we provide an updated, comprehensive summary of research on the AMPD.…”

Section: Further Issuesmentioning

confidence: 99%

A Brief but Comprehensive Review of Research on the Alternative DSM-5 Model for Personality Disorders

Zimmermann

Kerber

Kappelmann

et al. 2019

Curr Psychiatry Rep

263

212

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Purpose of Review Both the Alternative DSM-5 Model for Personality Disorders (AMPD) and the chapter on personality disorders (PD) in the recent version of ICD-11 embody a shift from a categorical to a dimensional paradigm for the classification of PD. We describe these new models, summarize available measures, and provide a comprehensive review of research on the AMPD. Recent Findings A total of 237 publications on severity (criterion A) and maladaptive traits (criterion B) of the AMPD indicate (a) acceptable interrater reliability, (b) largely consistent latent structures, (c) substantial convergence with a range of theoretically and clinically relevant external measures, and (d) some evidence for incremental validity when controlling for categorical PD diagnoses. However, measures of criterion A and B are highly correlated, which poses conceptual challenges. Summary The AMPD has stimulated extensive research with promising findings. We highlight open questions and provide recommendations for future research.

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“…Finally, future research may also take a patient perspective on utility and acceptability into account, which has already been carried out in research on the DSM‐5 AMPD model …”

Section: Limitations and Future Directionsmentioning

confidence: 99%

Mental health professionals' perceived clinical utility of the ICD‐10 vs. ICD‐11 classification of personality disorders

Hansen

Christensen

Kongerslev

et al. 2019

Personality & Mental Health

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Aim The ICD‐11 classification of personality disorders (PDs) has adopted a dimensional approach which includes three levels of severity (mild, moderate and severe) with the option of specifying five trait qualifiers (negative affectivity, detachment, dissociality, disinhibition and anankastia) and one borderline pattern qualifier. This study examined mental health professionals' perceived clinical utility of the ICD‐11 PD framework compared with the ICD‐10 categorical PD framework. Method A sample of 163 mental health professionals (primarily psychologists, nurses and medical doctors) completed a survey in which they were asked to apply the ICD‐10 and ICD‐11 PD classifications on one of their patients followed by judgement of their clinical utility. Results The ICD‐11 PD framework was generally rated as being slightly more useful than the ICD‐10 framework even when accounting for educational background and years of experience. This advantage particularly involved the utility for treatment planning, communicating with patients, comprehensiveness and ease of use. The two frameworks showed no significant differences with respect to utility for communicating with other professionals and describing global personality. Conclusion This study provided initial evidence that mental health professionals perceive the ICD‐11 PD classification as slightly more useful for clinical practice than the ICD‐10 classification. © 2019 John Wiley & Sons, Ltd.

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The importance and acceptability of general and maladaptive personality trait computerized assessment feedback.

Cited by 17 publications

References 43 publications

Computerized Quality of Life Assessment: A Randomized Experiment to Determine the Impact of Individualized Feedback on Assessment Experience

Computerized Quality of Life Assessment: A Randomized Experiment to Determine the Impact of Individualized Feedback on Assessment Experience

A Brief but Comprehensive Review of Research on the Alternative DSM-5 Model for Personality Disorders

Mental health professionals' perceived clinical utility of the ICD‐10 vs. ICD‐11 classification of personality disorders

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