( 您好!臺灣時間:2023/12/07 02:04
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::


研究生(外文):HE, WEI-CHEN
論文名稱(外文):An adaptive assessment tracking system for children's neurodevelopment
指導教授(外文):PAI, TUN-WEN
外文關鍵詞:Developmental DelayAdaptive assessmentTelehealth
  • 被引用被引用:0
  • 點閱點閱:229
  • 評分評分:
  • 下載下載:17
  • 收藏至我的研究室書目清單書目收藏:0



The prevalence rate of developmental delayed children increases annually according to statistical reports from the National Health Insurance Research Database in Taiwan. However, the clinical records are significantly lower than the world trend, which reflects that Taiwan’s monitoring mechanisms for child developmental delays are severely deficient. The research proposed an adaptive assessment tracking system based on cooperation of parents and doctors, and the system provides an efficient mechanism for early identification and appropriate intervening treatments for children with developmental delay.

The research team comprises professionals from Early Evaluation and Treatment Center, Mackay Children Hospital to develop the system and continuously collect subjects for neurodevelopmental assessment. According to answers provided from parents, the assessment system provides questions at different levels to assess children's developmental situation adaptive ley. The assessment contents were designed and performed in multiple aspects and results were visualized to display children's current development status according to her/his biological ages. According to the assessment results, doctors could make a quick decision whether the child was required for early treatment.

The system allows parents to perform periodic assessment remotely and save time to visit hospital in person. The proposed intelligent information system is expected to provide an alternative solution for traditional evaluation mechanisms. However, the performance of the adaptive assessment system only reached an accuracy of 65% and an F1-score of 64%. The main reasons for such a low accuracy rate was due to the system was yet a prototype version and insufficient number of clinical samples. We believe that the assessment performance will be continually improved and optimized when the clinical samples could be gradually increased in the near future.

摘要 i
誌謝 v
目錄 vi
表目錄 viii
圖目錄 x
第一章 緒論 1
1.1 研究背景 1
1.2 研究動機 2
1.3 研究目的 3
第二章 相關研究 4
2.1 發展評估系統 4
2.2 電腦化適應性測驗 5
2.3 Rasch Model 5
2.4 單頁應用 6
2.5 表現層狀態轉移(RESTful) 6
2.6 JSON Web Tokens (JWT) 6
2.7 數據傳輸對象 7
2.8 物件關聯對映 7
第三章 系統設計與評估模型 9
3.1 需求分析 9
3.2 系統架構 9
3.3 收案流程 11
3.4 適應性評估機制 12
3.5 量表難度分析模型 15
3.6 子系統模組設計 17
3.6.1 發展評估模組 17
3.6.2 量表難度分析模組 22
3.6.3 量表管理模組 24
3.6.4 影片資料集搜集模組 25
3.6.5 權限管理模組 28
3.6.6 個案管理模組 32
第四章 實驗結果 35
4.1 實驗環境 35
4.2 系統實作畫面 36
4.2.1 使用者功能 36
4.2.2 管理員功能 41
4.3 適應性評估結果分析 45
第五章 討論與結論 50
5.1 討論 50
5.2 結論 51
參考文獻 53
縮寫對照表 56

[1]J. Cason, "Telerehabilitation: An adjunct service delivery model for early intervention services," International Journal of Telerehabilitation, vol. 3, no. 1, p. 19, 2011.
[2]H.-T. Kuo, C.-H. Muo, Y.-T. Chang, and C.-K. Lin, "Change in prevalence status for children with developmental delay in Taiwan: a nationwide population-based retrospective study," Neuropsychiatric Disease and Treatment, vol. 11, p. 1541, 2015.
[3]J. Cason, "Telerehabilitation: an adjunct service delivery model for early intervention services," (in eng), Int J Telerehabil, vol. 3, no. 1, pp. 19-30, 2011, doi: 10.5195/ijt.2011.6071.
[4]B. Cole, K. Pickard, and A. Stredler-Brown, "Report on the Use of Telehealth in Early Intervention in Colorado: Strengths and Challenges with Telehealth as a Service Delivery Method," (in eng), Int J Telerehabil, vol. 11, no. 1, pp. 33-40, 2019, doi: 10.5195/ijt.2019.6273.
[5]S. M. Kanne, L. A. Carpenter, and Z. Warren, "Screening in toddlers and preschoolers at risk for autism spectrum disorder: Evaluating a novel mobile-health screening tool," Autism Research, vol. 11, no. 7, pp. 1038-1049, 2018, doi: https://doi.org/10.1002/aur.1959.
[6]J. Squires, D. Bricker, and L. Potter, "Revision of a parent-completed development screening tool: Ages and Stages Questionnaires," (in eng), J Pediatr Psychol, vol. 22, no. 3, pp. 313-28, Jun 1997, doi: 10.1093/jpepsy/22.3.313.
[7]H.-L. A. Tsai, M. M. McClelland, C. Pratt, and J. Squires, "Adaptation of the 36-Month Ages and Stages Questionnaire in Taiwan: Results From a Preliminary Study," Journal of Early Intervention, vol. 28, no. 3, pp. 213-225, 2006/04/01 2006, doi: 10.1177/105381510602800308.
[8]H.-Y. K. Cheng, L.-Y. Chen, C.-H. Cheng, Y.-Y. Ju, C.-L. Chen, and K. C. Tseng, "A multimedia child developmental screening checklist: Design and validation," Journal of medical Internet research, vol. 18, no. 10, p. e6249, 2016.
[9]C. F. Hsu, T. W. Chien, J. C. Chow, Y. T. Yeh, and W. Chou, "An App for Identifying Children at Risk for Developmental Problems Using Multidimensional Computerized Adaptive Testing: Development and Usability Study," JMIR Pediatr Parent, vol. 3, no. 1, p. e14632, Apr 16 2020, doi: 10.2196/14632.
[10]A. W. Hwang, Y. T. Chou, C. L. Hsieh, W. S. Hsieh, H. F. Liao, and A. M. Wong, "A developmental screening tool for toddlers with multiple domains based on Rasch analysis," J Formos Med Assoc, vol. 114, no. 1, pp. 23-34, Jan 2015, doi: 10.1016/j.jfma.2014.07.001.
[11]D. J. Weiss and G. G. Kingsbury, "Application of computerized adaptive testing to educational problems," Journal of educational measurement, vol. 21, no. 4, pp. 361-375, 1984.
[12]R. D. Gibbons and F. V. deGruy, "Without wasting a word: Extreme improvements in efficiency and accuracy using computerized adaptive testing for mental health disorders (CAT-MH)," Current Psychiatry Reports, vol. 21, no. 8, pp. 1-9, 2019.
[13]G. Rasch, Probabilistic models for some intelligence and attainment tests. ERIC, 1993.
[14]S. E. Stemler and A. Naples, "Rasch Measurement v. Item Response Theory: Knowing When to Cross the Line," Practical Assessment, Research & Evaluation, vol. 26, p. 11, 2021.
[15]D. Flanagan, JavaScript: the definitive guide. O'reilly, 2006.
[16]R. T. Fielding, Architectural styles and the design of network-based software architectures. University of California, Irvine, 2000.
[17]M. Jones, J. Bradley, and N. Sakimura, "Json web token (jwt)," 2070-1721, 2015.
[18]L. Jackson, "Data Transfer Objects," in The Complete ASP. NET Core 3 API Tutorial: Springer, 2020, pp. 191-206.
[19]M. Lorenz, J.-P. Rudolph, G. Hesse, M. Uflacker, and H. Plattner, "Object-relational mapping revisited-a quantitative study on the impact of database technology on O/R mapping strategies," 2017.
[20]L. H. Ludlow and S. M. Haley, "Rasch model logits: Interpretation, use, and transformation," Educational and Psychological Measurement, vol. 55, no. 6, pp. 967-975, 1995.
[21]J. Linacre, "A User’s guide to Winsteps-ministep: Rasch-model computer programs. Program Manual 3.68. 0," Chicago, IL, 2009.
[22]J. Aas et al., "Let's Encrypt: an automated certificate authority to encrypt the entire web," in Proceedings of the 2019 ACM SIGSAC Conference on Computer and Communications Security, 2019, pp. 2473-2487.

第一頁 上一頁 下一頁 最後一頁 top