Article

OBJECTIVE: To evaluate the feasibility of computer adaptive testing (CAT) using
an Internet or telephone interface to collect patient-reported outcomes after
inpatient rehabilitation and to examine patient characteristics associated with
completion of the CAT-administered measure and mode of administration. DESIGN:
Prospective cohort study of patients contacted approximately 4 weeks after
discharge from inpatient rehabilitation. Patients selected an Internet or
telephone interface. SETTING: Rehabilitation hospital. PARTICIPANTS: Patients
(N=674) with diagnoses of neurologic, orthopedic, or medically complex
conditions. INTERVENTIONS: None. MAIN OUTCOME MEASURE: CAT version of the
Community Participation Indicators (CAT-CPI). RESULTS: From an eligible pool of
3221 patients, 674 (21%) agreed to complete the CAT-CPI. Patients who agreed to
complete the CAT-CPI were younger and reported slightly higher satisfaction with
overall care than those who did not participate. Among these patients, 231 (34%)
actually completed the CAT-CPI; 141 (61%) selected telephone administration, and
90 (39%) selected Internet administration. Decreased odds of completing the
CAT-CPI were associated with black and other race; stroke, brain injury, or
orthopedic and other impairments; and being a Medicaid beneficiary, whereas
increased odds of completing the CAT-CPI were associated with longer length of
stay and higher discharge FIM cognition measure. Decreased odds of choosing
Internet administration were associated with younger age, retirement status, and
being a woman, whereas increased odds of choosing Internet administration were
associated with higher discharge FIM motor measure. CONCLUSIONS: CAT
administration by Internet and telephone has limited feasibility for collecting
postrehabilitation outcomes for most rehabilitation patients, but it is feasible
for a subset of patients. Providing alternative ways of answering questions helps
assure that a larger proportion of patients will respond.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS