title: Accuracy and precision of the Pediatric Evaluation of Disability Inventory computer-adaptive tests (PEDI-CAT).
abstract: OBJECTIVE
  The aims of the study were to: (1) build new item banks for a revised version of the Pediatric Evaluation of Disability Inventory (PEDI) with four content domains: daily activities, mobility, social/cognitive, and responsibility; and (2) use post-hoc simulations based on the combined normative and disability calibration samples to assess the accuracy and precision of the PEDI computer-adaptive tests (PEDI-CAT) compared with the administration of all items.
  
  
  METHODS
  Parents of typically developing children (n = 2205) and parents of children and adolescents with disabilities (n = 703) between the ages of 0 and 21 years, stratified by age and sex, participated by responding to PEDI-CAT surveys through an existing Internet opt-in survey panel in the USA and by computer tablets in clinical sites.
  
  
  RESULTS
  Confirmatory factor analyses supported four unidimensional content domains. Scores using the real data post hoc demonstrated excellent accuracy (intraclass correlation coefficients ≥ 0.95) with the full item banks. Simulations using item parameter estimates demonstrated relatively small bias in the 10-item and 15-item CAT versions; error was generally higher at the scale extremes.
  
  
  CONCLUSIONS
  These results suggest the PEDI-CAT can be an accurate and precise assessment of children's daily performance at all functional levels.
authors.affiliation: Health & Disability Research Institute, School of Public Health, Boston University, Boston, MA 02215, USA.
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Haley
authors.forename: Wendy J
authors.initials: WJ
authors.lastname: Coster
authors.forename: Helene M
authors.initials: HM
authors.lastname: Dumas
authors.forename: Maria A
authors.initials: MA
authors.lastname: Fragala-Pinkham
authors.forename: Jessica
authors.initials: J
authors.lastname: Kramer
authors.forename: Pengsheng
authors.initials: P
authors.lastname: Ni
authors.forename: Feng
authors.initials: F
authors.lastname: Tian
authors.forename: Ying-Chia
authors.initials: YC
authors.lastname: Kao
authors.forename: Rich
authors.initials: R
authors.lastname: Moed
authors.forename: Larry H
authors.initials: LH
authors.lastname: Ludlow
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003936:Diagnosis, Computer-Assisted / Q000379:methods*; D019988:Children with Disabilities; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D010372:Pediatrics / Q000379:methods; D011581:Psychological Tests / Q000592:standards*; D011594:Psychometrics / Q000379:methods; D055815:Young Adult
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