Development and validation of software for an electronic-based DISC-5, the NetDISC-5

电子 DISC-5 NetDISC-5 软件的开发和验证

• 批准号: 10394469
• 负责人: BENJAMIN B BRODEY
• 金额: $ 49.85万
• 依托单位: TELESAGE, INC.
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-30 至 2022-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10394469
• 关键词: Development; validation; software; electronic; based

Project Summary Since 1982, through four versions, the Diagnostic Interview Schedule for Children (DISC) has served as a gold-standard assessment for diagnosing behavioral, DSM disorders in children aged 6 to 17. As a computer- assisted lay interview (LI) and more recently in a self-report (SR) format, the DISC-IV has been reliable, comparatively inexpensive to administer, and was cited in over 805 peer-reviewed publications. The DISC has been revised for the DSM-5 and now covers 37 diagnoses in 56 paired modules (28 for Youth, and 28 for Parents/guardians). As a highly structured, branched interview, the DISC is too complex to administer on paper. The computerized C-DISC-IV been obsolete for 4 years. To make the DISC available again with cutting-edge technological features, we need to build on our Phase 1 work. This will enable widespread DISC- 5 use in (1) routine primary care pediatrics, (2) routine behavioral healthcare, (3) juvenile justice, (4) K-12 school health programs, (5) general research, and (6) epidemiology research. There is growing evidence that identifying and treating psychopathology early -- during childhood -- may prevent or greatly lessen the severity of life-long mental illness and increase emotional and social wellbeing during adult life, lower health care costs, increase function, and, for children in juvenile justice, decrease the likelihood of future incarceration. Our successful Phase I project responded to a Centers for Disease Control (CDC) RFP for an electronic administration and reporting system for the core DISC-5 modules. TeleSage successfully fulfilled and surpassed its Phase I specific aims and criteria for success. We converted 28 core modules of the DISC-5 (14 youth and 14 parent) into two products, the core NetDISC-5-LI-Y and the NetDISC-LI-5-P. These have been thoroughly tested and are now being used by researchers. The CDC is interested in a Phase II project to complete development of the NetDISC-5 products to represent the full range of DSM-5 diagnoses, as well as to take advantage of the new functionality of cloud and browser-based computing, such as the real-time, high- quality text-to-speech functionality that we will use to develop computerized self-report versions of the DISC. The NetDISC-5 features will greatly increase the DISC’s potential impact in research and clinical practice. In this proposed two-year Phase II project, TeleSage will continue to work closely with Dr. Prudence Fisher, author of the DISC-5. In Quarter 1, the remaining 28 modules of the DISC-5 (14 Youth modules &14 Parent modules) will be converted and programmed to complete the NetDISC-5-LI Y & P. In Quarter 2, all 56 modules of the NetDISC-5-LI-Y & P will be converted to make the self-report (SR) youth and parent instruments. During the middle 6 Quarters, the software will be tested via 800 paired LI and SR assessments. In Quarter 8, we will analyze data on reliability, as well as youth, parent, and clinician satisfaction. We will also release all four complete commercial products: NetDISC-5-Y-LI, NetDISC-5-P-LI, NetDISC-5-Y-SR, and NetDISC-5-P-SR.

项目概要 自 1982 年以来，儿童诊断访谈表 (DISC) 已经历四个版本 诊断 6 至 17 岁儿童行为、DSM 障碍的金标准评估。 DISC-IV 在辅助外行访谈 (LI) 和最近的自我报告 (SR) 格式中非常可靠， 管理成本相对较低，并在 DISC 超过 805 份同行评审出版物中被引用。 已针对 DSM-5 进行了修订，现在涵盖 56 个配对模块中的 37 种诊断（28 种针对青少年，28 种针对青少年） 作为一种高度结构化、分支式的访谈，DISC 过于复杂，难以管理。 计算机化的 C-DISC-IV 已过时 4 年，以使 DISC 再次可用。 尖端技术特征，我们需要以第一阶段工作为基础，这将使 DISC- 得到广泛应用。 5 用于 (1) 常规初级保健儿科、(2) 常规行为保健、(3) 少年司法、(4) K-12 学校健康计划，(5) 一般研究，以及 (6) 流行病学研究 越来越多的证据表明。 在儿童时期尽早识别和治疗精神病理学可能会预防或大大减轻其严重程度 减少终生精神疾病，提高成年后的情感和社会福祉，降低医疗保健成本， 增强少年司法中儿童的功能，并降低未来被监禁的可能性。 我们成功的第一阶段项目响应了疾病控制中心 (CDC) 的电子征求建议书 TeleSage 核心模块的管理和报告系统已成功实现并 超越了第一阶段的具体目标和成功标准。我们转换了 DISC-5 的 28 个核心模块（14 个）。 青少年和14家长）分为两种产品，核心NetDISC-5-LI-Y和NetDISC-LI-5-P。 疾病控制和预防中心 (CDC) 对第二阶段项目感兴趣，并对其进行了彻底测试。 完整开发代表 DSM-5 诊断全系列的 NetDISC-5 产品，以及 利用云和基于浏览器的计算的新功能，例如实时、高性能 我们将使用高质量的文本转语音功能来开发 DISC 的计算机化自我报告版本。 NetDISC-5 的功能将大大增加 DISC 在研究和临床实践中的潜在影响。 在这个拟议的为期两年的二期项目中，TeleSage 将继续与 Prudence Fisher 博士密切合作， DISC-5 的作者 在第 1 季度，DISC-5 的其余 28 个模块（14 个青少年模块和 14 个家长模块） 模块）将被转换和编程以完成 NetDISC-5-LI Y & P。 ​​在第 2 季度，所有 56 个 NetDISC-5-LI-Y & P 的模块将被转换为自我报告 (SR) 青少年和家长 在中间 6 个季度期间，将通过 800 组 LI 和 SR 评估对软件进行测试。 在第 8 季度，我们将分析可靠性以及青少年、家长和临床医生满意度的数据。 发布全部四种完整的商业产品：NetDISC-5-Y-LI、NetDISC-5-P-LI、NetDISC-5-Y-SR 和 NetDISC-5-P-SR。