Kristine A Madsen, Hannah R Thompson, Jennifer Linchey, Lorrene D Ritchie, Shalika Gupta, Dianne Neumark-Sztainer, Patricia B Crawford, Charles E McCulloch, Ana Ibarra-Castro
Effect of School-Based Body Mass Index Reporting in California Public Schools: A Randomized Clinical Trial
JAMA pediatrics
research universal screening reading primarily focused psychometric adequacy screening procedures without critically considering costs value educators upper elementary middle school access great deal extant student achievement data makes evaluation costs associated collecting new data screening purposes paramount conducted retrospective analysis four approaches reading screening using costeffectiveness analysis universal screening ie aimswebplus reading statewide reading test data collected midsize school district texas 19417 students grades 48 analyzed total cost classification accuracy based local cutscores derived using receiver operating characteristic analysis costeffectiveness approach full implementation fall administration aimswebplus reading cost district 55199 upper elementary 76832 middle school use prioryear state achievement test data alone represented additional costs screening multivariate model ie prioryear state achievement test data plus aimswebplus met typical recommendations classification accuracy multiplegate model used prioryear state test data fall aimswebplus reading lowachieving subset students produced lowest costeffectiveness ratio 156 per additional student accurately classified upper elementary 181 middle school model also led highest number false negatives use aimswebplus alone resulted highest costs lowest classification accuracy results suggest use prioryear statewide achievement test data alone grades 48 efficient approach universal screening reading risk may allow schools shift resources screening educational priorities