Background
Problems and requirements of the CDR in Taiwan
Requirement for multidimensional computerized adaptive testing
Objectives
Methods
Study participants
CDR subscales
Simulation data
Using Rasch analysis to estimate person measures
Using MCAT to estimate person domain scores
Cut-off points for CDR
Online MCAT for smartphones
Statistical tools and data analyses
Results
Patients’ demographic and clinical data
Variable | Male | % | Female | % | Total |
---|---|---|---|---|---|
Age
| |||||
< 60 | 18 | 81.82 | 4 | 18.18 | 22 |
< 70 | 23 | 65.71 | 12 | 34.29 | 35 |
< 80 | 63 | 45.00 | 77 | 55.00 | 140 |
< 90 | 65 | 46.43 | 75 | 53.57 | 140 |
≥ 90 | 10 | 34.48 | 19 | 65.52 | 29 |
CDR score(extent of dementia)
| |||||
Healthy (CDR 0) | 5 | 62.50 | 3 | 37.50 | 8 |
Very mild (CDR 0.5) | 18 | 72.00 | 7 | 28.00 | 25 |
Mild (CDR 1) | 56 | 56.57 | 43 | 43.43 | 99 |
Moderate (CDR 2) | 59 | 42.75 | 79 | 57.25 | 138 |
Severe (CDR 3) | 41 | 42.71 | 55 | 57.29 | 96 |
Education
| |||||
Elementary or under | 53 | 27.04 | 143 | 72.96 | 196 |
Junior high | 76 | 69.09 | 34 | 30.91 | 110 |
Senior high | 34 | 85.00 | 6 | 15.00 | 40 |
College | 3 | 50.00 | 3 | 50.00 | 6 |
University or above | 13 | 92.86 | 1 | 7.14 | 14 |
Occupation
| |||||
Agriculture | 36 | 38.71 | 57 | 61.29 | 93 |
Home service | 28 | 33.33 | 56 | 66.67 | 84 |
Industry | 26 | 59.09 | 18 | 40.91 | 44 |
Public official | 31 | 43.06 | 41 | 56.94 | 72 |
Army | 14 | 100.00 | 14 | ||
Teacher | 1 | 50.00 | 1 | 50.00 | 2 |
Commerce | 21 | 84.00 | 4 | 16.00 | 25 |
Others | 31 | 96.88 | 1 | 3.13 | 32 |
Total | 188 | 51.37 | 178 | 48.63 | 366 |
n
| % | |
---|---|---|
Sons | 70 | 19.13 |
Spouses | 66 | 18.03 |
Daughters | 63 | 17.21 |
Father-sons | 59 | 16.12 |
Father-daughters | 45 | 12.30 |
Daughters-in-law | 39 | 10.66 |
Grand sons/daughers | 11 | 3.01 |
Sons-in-law | 6 | 1.64 |
Brothers/sisters | 4 | 1.09 |
Nephews/nieces | 3 | 0.82 |
Total | 366 | 100.00 |
MCAT for person and item analyses
Domain | A | B | C | D | E | F | G | H |
---|---|---|---|---|---|---|---|---|
A | 0.55 | 0.55 | 0.11 | 0.28 | 0.29 | 0.1 | 0.27 | |
B | 0.91 | 0.64 | 0.13 | 0.31 | 0.32 | 0.11 | 0.31 | |
C | 0.92 | 0.94 | 0.12 | 0.29 | 0.29 | 0.1 | 0.32 | |
D | 0.88 | 0.92 | 0.83 | 0.06 | 0.07 | 0.02 | 0.06 | |
E | 0.95 | 0.93 | 0.89 | 0.89 | 0.16 | 0.06 | 0.16 | |
F | 0.93 | 0.91 | 0.84 | 0.89 | 0.96 | 0.06 | 0.17 | |
G | 0.82 | 0.8 | 0.72 | 0.79 | 0.86 | 0.86 | 0.06 | |
H | 0.8 | 0.79 | 0.84 | 0.74 | 0.86 | 0.85 | 0.79 | |
Variance | 0.53 | 0.69 | 0.67 | 0.03 | 0.16 | 0.18 | 0.03 | 0.22 |
Reliabilitya | 0.78 | 0.75 | 0.73 | 0.68 | 0.78 | 0.75 | 0.69 | 0.63 |
Item length | 14 | 6 | 3 | 5 | 5 | 5 | 9 | 6 |
Reliabilityb | 0.72 | 0.5 | 0.41 | 0.43 | 0.43 | 0.43 | 0.69 | 0.5 |
Mean in logit | − 0.92 | − 0.69 | − 0.01 | − 0.86 | − 0.61 | − 0.71 | − 0.97 | − 0.44 |
SD | 0.02 | 0.03 | 0.03 | 0.01 | 0.01 | 0.01 | 0.01 | 0.02 |