BRANCHED OUTCOMES INSTRUMENT FOR MENTAL HEALTH SERVICES

Award Information
Agency: Department of Health and Human Services
Branch: N/A
Contract: 1R43MH064323-01A1
Agency Tracking Number: MH064323
Amount: $99,975.00
Phase: Phase I
Program: SBIR
Awards Year: 2002
Solicitation Year: N/A
Solicitation Topic Code: N/A
Solicitation Number: N/A
Small Business Information
TELESAGE, INC.
TELESAGE, INC., 4558 4TH AVE NE, SEATTLE, WA, 98105
DUNS: N/A
HUBZone Owned: N
Woman Owned: N
Socially and Economically Disadvantaged: N
Principal Investigator
 BENJAMIN BRODEY
 (206) 545-4477
 BBRODEY@TELESAGE.COM
Business Contact
 INGER BRODEY
Phone: (206) 545-4477
Email: IBRODEY@TELESAGE.COM
Research Institution
N/A
Abstract
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.

* information listed above is at the time of submission.

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