BRANCHED OUTCOMES INSTRUMENT FOR MENTAL HEALTH SERVICES
DESCRIPTION (provided by applicant): We propose to use Item Response Theory
(IRT), the mathematical study of computerized adaptive testing, to construct a
brief, highly branched mental health screening and outcomes tracking
instrument. This instrument will use electronic survey technology to administer
surveys while continuously adapting their content and structure in real time,
allowing patients to see only the most individually relevant questions. The
final Phase II product will be the first IRT-based instrument in mental health,
and will screen and track patients with depression, anxiety, alcohol or
substance abuse, and coexisting impairment in social or occupational function.
It is intended for use by clinicians and researchers within primary care and
mental health settings. It will be highly sensitive to change; have a low floor
and high ceiling; use a constant 5-point Likert scale; and screen for six
domains in under eight minutes. In Phase I, we will assess the feasibility of
using IRT to create the instrument by pilot testing a long unbranched version
on 300 mental health patients of varying symptom severity using touch-screen
PCs at two Kaiser Permanente outpatient clinics. We hope the increased
efficiency in tracking outcomes will help improve individual patient care and
help researchers improve the effectiveness of healthcare interventions.
PROPOSED COMMERCIAL APPLICATION:
The final Phase II product will be a brief (8-minute) IRT-based mental health screening and outcomes-tracking instrument for use by clinicians and mental health researchers within primary care and mental health settings. It will be highly sensitive to changes with a high ceiling and low floor. The instrument will contain four separable symptom domains and 2 separable function domains. Its increased efficiency in tracking outcomes will help clinicians and mental health researchers improve the effectiveness of healthcare interventions.
Small Business Information at Submission:
TELESAGE, INC. 4558 4TH AVE NE SEATTLE, WA 98105
Number of Employees: