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Factor analysis found two health constructs consistent with \u2018Pain\u2019 and \u2018Motor Function\u2019. Two computerized adaptive tests were developed, which reduced the number of items from five to a median of one (\u2018Pain\u2019), and from 10 to two (\u2018Motor Function\u2019). Both computerized adaptive tests achieved high levels of precision (standard error of measurement &lt;0.3) and similar scores to the full-length measure, demonstrated by Bland\u2013Altman analysis. Dividing the Patient-Rated Wrist and Hand Evaluation into two subscales could reduce the response burden, improve standardization of outcome measurement for clinicians and provide precise insight into patient symptoms.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of evidence:<\/jats:bold>\n                    N\/A\n                  <\/jats:p>","DOI":"10.1177\/17531934241306287","type":"journal-article","created":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T04:54:27Z","timestamp":1736398467000},"page":"940-948","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Computerized adaptive testing for PRWHE measurements using domains of pain and motor function"],"prefix":"10.1177","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9578-5220","authenticated-orcid":false,"given":"Mary Rose","family":"Harvey","sequence":"first","affiliation":[{"name":"Oxford University Hospitals NHS Trust, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Buckinghamshire Healthcare NHS Trust, Stoke Mandeville Hospital, Mandeville Road, Aylesbury, HP21 8AL, UK"},{"name":"Warwick Clinical Trials Unit, University of Warwick, Gibbet Hill Road, Coventry, CV4 7AL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"McEachan","sequence":"additional","affiliation":[{"name":"Fife Hand Clinic, NHS Fife, Victoria Hospital, Hayfield Road, Kirkcaldy, KY2 5AH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simpson","family":"Shiu Chung Tam","sequence":"additional","affiliation":[{"name":"School of Clinical Medicine, University of Cambridge, Addenbrookes Hospital, Hills Road, Cambridge CB2 2QQ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Conrad","family":"Harrison","sequence":"additional","affiliation":[{"name":"University of Oxford, Wellington Square, Oxford OX1 2JD, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,9]]},"reference":[{"key":"e_1_3_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-021-02760-1"},{"key":"e_1_3_9_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/met0000074"},{"key":"e_1_3_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193409103733"},{"key":"e_1_3_9_5_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v048.i06"},{"key":"e_1_3_9_6_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v071.i05"},{"key":"e_1_3_9_7_1","unstructured":"Choi SW Gibbons wcfLE Crane PK. lordif: Logistic ordinal regression differential item functioning using IRT. 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