A comparative analysis of multidimensional computerized adaptive testing for the DASH and QuickDASH scores in Dupuytren’s disease

Harrison, Conrad; Clelland, Andrew D.; Davis, Tim R.C.; Scammell, Brigitte E.; Zhang, Weiya; Russell, Peter; Fullilove, Sue; Chakrabarti, Indranil; Davidson, Dominique; Rodrigues, Jeremy

Abstract

The QuickDASH is a short-form version of the DASH questionnaire, the most widely used patient-reported outcome measure in hand surgery. Multidimensional computerized adaptive testing (MCAT) can produce shorter and more precise testing than static short forms, like QuickDASH. We used DASH responses from 507 patients with Dupuytren’s disease to develop a MCAT. The algorithm was evaluated in a Monte Carlo simulation, where the standard error of measurement (SEm) of scores obtained from the 11-item QuickDASH was compared with scores obtained from an MCAT that could administer up to 11 items from the full 30-item DASH. The MCAT asked a mean of 8.51 items (SD 2.93) and 265/1000 simulated respondents needed to complete ≤five items. Median SEms were better for DASH MCAT: 0.299 (hand function) and 0.256 (sensory symptoms) versus 0.320 and 0.290, respectively, for QuickDASH. Our study showed that the DASH MCAT can produce more precise DASH measurement than the QuickDASH, from fewer items.

Citation

Harrison, C., Clelland, A. D., Davis, T. R., Scammell, B. E., Zhang, W., Russell, P., Fullilove, S., Chakrabarti, I., Davidson, D., & Rodrigues, J. (2022). A comparative analysis of multidimensional computerized adaptive testing for the DASH and QuickDASH scores in Dupuytren’s disease. Journal of Hand Surgery (European Volume), 47(7), 750-754. https://doi.org/10.1177/17531934221081803

• Journal Article Type: Article
• Acceptance Date: Feb 3, 2022
• Online Publication Date: Feb 28, 2022
• Publication Date: 2022-07
• Deposit Date: Jan 3, 2024
• Publicly Available Date: Jan 4, 2024
• Journal: Journal of Hand Surgery (European Volume)
• Print ISSN: 1753-1934
• Electronic ISSN: 2043-6289
• Publisher: SAGE Publications
• Peer Reviewed: Peer Reviewed
• Volume: 47
• Issue: 7
• Pages: 750-754
• DOI: https://doi.org/10.1177/17531934221081803
• Keywords: Surgery
• Public URL: https://nottingham-repository.worktribe.com/output/25394471
• Publisher URL: https://journals.sagepub.com/doi/10.1177/17531934221081803