Innovate PRO assessment with short index questions, computerized adaptive testing and conversation tools¶

Strategy · All strategies
Evidence · no claims cited

Description¶

The review recommends specific assessment innovations to reduce respondent burden and make psychological needs visible in routine diabetes care. These include short index questions followed by targeted follow-up items when a positive response is detected, Computerized Adaptive Testing that dynamically adjusts questionnaires to responses, and conversation tools such as discussion cards, digital apps or chatbots that make distress easier to discuss. Implementation requires integration into electronic health records with automatic alerts when scores exceed thresholds, plus co-creation of tools with people with diabetes.

Design Implications¶

Context¶

Requirements¶

• Integration into electronic health records with automatic clinician alerts for threshold-exceeding scores
• Training for clinicians to interpret scores and translate them into actionable care pathways

Constraints¶

• The review notes CAT carries potential bias if item banks or algorithms are not broadly validated, and that measurement is not neutral — completing a questionnaire can shape the clinical conversation and risk constraining person-centred dialogue if used inflexibly

Target Learners¶

• People with diabetes in routine diabetes services, including youth and adults

Target Learning Goals¶

• Systematically identify and address psychological needs such as distress, depression and anxiety

Affordances¶

• Stepped Matched Care Diabetes Psychological

Related Strategies¶

Examples¶

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Key Sources¶

• Winterdijk Per, Aanstoot Henk‐Jan, Fransman Christine, Mocan Andreia, Nefs Giesje. (2026). Embedding psychological care in diabetes services: Why it's time to innovate and integrate. Diabetic Medicine. https://doi.org/10.1111/dme.70411