We evaluated construct validity, responsiveness, and utility of change indicators of the Dutch-Flemish PROMIS adult v1.0 item banks for Depression and Anxiety administered as computerized adaptive test (CAT). Specifically, the CATs were compared to the Brief Symptom Inventory (BSI) using pre- and re-test data of adult patients treated for common mental disorders (N = 400; median pre-to-re-test interval = 215 days). Construct validity was evaluated with Pearson's correlations and Cohen's ds; responsiveness with Pearson's correlations and pre-post effect sizes (ES); utility of change indicators with kappa coefficients and percentages of (dis)agreement. The results showed that the PROMIS CATs measure similar constructs as matching BSI scales. Under the assumption of measuring similar constructs, the CAT and BSI Depression scales were similarly responsive. For the Anxiety scales, we found a higher responsiveness for CAT (ES = 0.64) compared to the BSI (ES = 0.50). Finally, both CATs categorized the change scores of more patients as changed compared to matching BSI scales, indicating that the PROMIS CATs may be more able to detect actual change than the BSI. Based on these findings, the PROMIS CATs may be considered a modest improvement over matching BSI scales as tools for reviewing treatment progress with patients. We discuss several additional differences between the PROMIS CATs and the BSI to help test users choose instruments. These differences include the adopted measurement theory (Item Response Theory vs. Classical Test Theory), the mode of administration (CAT vs. fixed items), and the area of application (universal vs. predominantly clinical). (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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构建荷兰-佛兰德 PROMIS 项目库变化指标的有效性、响应性和效用，以计算机化适应性测试 (CAT) 进行管理：与简要症状量表 (BSI) 的比较。

我们评估了荷兰-佛兰芒语 PROMIS 成人 v1.0 项目库的变化指标的构造有效性、响应性和效用，用于作为计算机化适应性测试 (CAT) 管理的抑郁和焦虑。具体来说，使用接受常见精神障碍治疗的成年患者的预测试和再测试数据（N = 400；中位再测试前间隔 = 215 天）将 CAT 与简要症状清单 (BSI) 进行比较。使用 Pearson 相关性和 Cohen 的 ds 评估结构效度；对 Pearson 相关性和前后效应大小 (ES) 的响应；具有 kappa 系数和（不）同意百分比的变化指标的效用。结果表明，PROMIS CATs 测量相似的结构作为匹配的 BSI 量表。在测量相似结构的假设下，CAT 和 BSI 抑郁量表也有类似的反应。对于焦虑量表，我们发现与 BSI (ES = 0.50) 相比，CAT (ES = 0.64) 的反应性更高。最后，与匹配的 BSI 量表相比，两种 CAT 都将更多患者的变化评分归类为变化，这表明 PROMIS CAT 可能比 BSI 更能检测到实际变化。基于这些发现，PROMIS CAT 可以被认为是对匹配 BSI 量表的适度改进，作为审查患者治疗进展的工具。我们讨论了 PROMIS CAT 和 BSI 之间的一些额外差异，以帮助测试用户选择仪器。这些差异包括采用的测量理论（项目反应理论与经典测试理论）、管理模式（CAT 与固定项目）和应用领域（通用与非传统测试理论）。主要是临床）。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。