Computerized Adaptive Testing for Sleep Disorders: Development of An Item Bank and Validation in A Simulated Study
Abstract Background: As more and more people suffer from sleep disorders, developing an efficient, cheap and accurate assessment tool for screening sleep disorders is becoming more urgent. This study developed a computerized adaptive testing for sleep disorders (CAT-SD). Methods: A large sample of 1,304 participants was recruited to construct the item pool of CAT-SD and to investigate the psychometric characteristics of CAT-SD. More specifically, firstly the analyses of unidimensionality, model fit, item fit, item discrimination parameter and differential item functioning (DIF) were conducted to construct a final item pool which meets the requirements of item response theory (IRT) measurement. In addition, a simulated CAT study with real response data of participants was performed to investigate the psychometric characteristics of CAT-SD, including reliability, validity and predictive utility (sensitivity and specificity). Results: The final unidimensional item bank of the CAT-SD not only had good item fit, high discrimination and no DIF; Moreover, it had acceptable reliability, validity and predictive utility. Conclusions: The CAT-SD could be used as an effective and accurate assessment tool for measuring individuals' severity of the sleep disorders and offers a bran-new perspective for screening of sleep disorders with psychological scales.