What is the clinical evidence from this study?

Study design: Observational. Population: Acute coronary syndrome (n=1545). Intervention: Care Transitions Measure (CTM-15 and CTM-3). Primary outcome: Measurement precision and psychometric properties of CTM-15 and CTM-3.

What does this research mean for the field?

The widely used Care Transitions Measure (CTM-15 and CTM-3) exhibits psychometric limitations, including substantial acquiescence bias and limited score variability, which are not resolved by item response theory scoring. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.CHALLENGES_CONSENSUS.

May 22, 2014Journal of the American Heart AssociationOpen Access

Psychometric Evaluation of the Care Transition Measure in TRACE‐CORE: Do We Need a Better Measure?

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Key result

Care Transitions Measure shows acquiescence bias and limited score variability with no precision gain from IRT.

n=1,545

Why the study?

The widely used Care Transitions Measure (CTM-15 and CTM-3) has psychometric limitations that may affect its validity and precision in assessing transitional care quality.

Are the Care Transitions Measures (CTM-15 and CTM-3) psychometrically valid and precise for evaluating care transitions in patients with acute coronary syndrome?

Population

1545 participants hospitalized for acute coronary syndrome, average age 62 years, 67% male, 79% non-Hispanic white

Comparison

CTM-15 vs CTM-3 vs IRT-based scoring of CTM

Design

Observational psychometric evaluation within TRACE-CORE cohort

Follow-up

1 month postdischarge

Authors

MAMilena AnatchkovaIthaka Harbors CBConstance M. BarysauskasWinston-Salem/Forsyth County Schools RKRebecca L. KinneyUnited States Department of Veterans Affairs

Discussion

Member takes

Implication

CTM-15/3 may have limited utility for ACS transitions; leaves open need for validated alternatives in research and practice.

Study Design

Type

Observational (n=1,545)

Structured PICO

Are the Care Transitions Measures (CTM-15 and CTM-3) psychometrically valid and precise for evaluating care transitions in patients with acute coronary syndrome?

Population

1,545 participants (average age 62 years, 33% female) hospitalized for acute coronary syndrome, evaluated at 1 month postdischarge.

Exposure

Care Transitions Measure (CTM-15 and CTM-3) evaluation using classic test theory and item response theory (IRT)

Outcome

Psychometric properties including internal consistency, acquiescence bias, score variability, and measurement precisionpatient reported

The Care Transitions Measure (CTM-15 and CTM-3) exhibits psychometric challenges, including acquiescence bias and limited score variability, which may limit its utility in research and practice for ACS patients.

Cite This Study

Anatchkova et al. (2014) conducted an observational in Acute coronary syndrome (n=1,545). Care Transitions Measure (CTM-15 and CTM-3) was evaluated on Measurement precision and psychometric properties of CTM-15 and CTM-3. The Care Transitions Measure (CTM-15 and CTM-3) demonstrated acquiescence bias and limited score variability, with no gain in measurement precision from item response theory scoring.

synapsesocial.com/papers/6ab73e855c7cea3ab962db05 https://doi.org/10.1161/jaha.114.001053

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Psychometric Evaluation of the Care Transition Measure in TRACE‐CORE: Do We Need a Better Measure?

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Psychometric Evaluation of the Care Transition Measure in TRACE‐CORE: Do We Need a Better Measure?

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Also Consider

Also Consider