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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>A cloud-based flexible solution for psychometric tests validation, administration and evaluation</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Grazia Lo Sciuto</string-name>
          <email>glosciuto@dii.unict.it</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Samuele Russo</string-name>
          <email>samuelerussoct@gmail.com</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Christian Napoli</string-name>
          <email>napoli@dmi.unict.it</email>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Advanced specialization student, University of Palermo Piazza Marina 61</institution>
          ,
          <addr-line>Palermo 90133 PA</addr-line>
          ,
          <country country="IT">Italy</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Department of Electrical, Electronics and Computer Engineering, University of Catania Viale Andrea Doria 6</institution>
          ,
          <addr-line>Catania 95126 CT</addr-line>
          ,
          <country country="IT">Italy</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Department of Mathematics and Computer Science, University of Catania Viale Andrea Doria 6</institution>
          ,
          <addr-line>Catania 95126 CT</addr-line>
          ,
          <country country="IT">Italy</country>
        </aff>
      </contrib-group>
      <fpage>16</fpage>
      <lpage>21</lpage>
      <abstract>
        <p>-Psychological tests generally provide an evaluation scale to evaluate whether or not the subject manifests some traits. Such kind of tests are generally used for attitude evaluation, personal selection, educational and rehabilitation purposes, as well as for the diagnosis of cognitive disorders. The use of test and other questions-based diagnostic tools, represents one of the main and principal actions in order to start a clinical and therapeutic path, as well as for the evaluation and assessment of the possible educational and rehabilitation effort. Unfortunately such tests are generally the result of a long and difficult process of validation for their standardization, simplification and reorganizations driven by operations performed by means of complex statistical methods. In the work presented on this paper we developed a unified cloud-based resource for the management and execution of all the task related to psychometric testing, from the creation of a test, to its validation and use. The solution has been designed to grant maximum flexibility allocating resources on a cloud service. Such resources can be used as a remote support for the psychologists designing and administering the test, as well as computing platform to unburden the single terminals of the heavy computations required during the standardization procedure. Moreover, by means of the distributed database, our solution is also able to support the simplification and reorganization process, as well as to serve as online platform for the administration and consequent scoring of the finalized and standardized test. Index Terms-component, formatting, style, styling, insert</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>I. INTRODUCTION</title>
      <p>
        In the recent years a ever increasing number of
responsibilities has been assigned to expert on the field of mental health
and psychology. Moreover the number of actual applications
for such a professional group is continuously growing. Besides
the classical occupations in the clinical environment, for
both public and private practice, psychologists are nowadays
©2019 for this paper by its authors. Use permitted under Creative
Commons License Attribution 4.0 International (CC BY 4.0)
employed in many different contests such as human resource
selection, hiring and management, as well as on the field
of education and rehabilitation. In all the said application a
psychologist cannot avoid to use highly specific diagnostic
tools such as psychological and psychometric tests [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ].
      </p>
      <p>
        The use of test and other questions-based diagnostic tools,
represents one of the main and principal actions in order
to start a clinical and therapeutic path, as well as for the
evaluation and assessment of the possible educational and
rehabilitation effort [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ].
      </p>
      <p>
        Moreover these kind of tools are nowadays largely used
also for human resource management, as well as for personal
selection and assessment before hiring. In clinical psychology
the assessment phase can be based on the submission of several
tests batteries in order to formulate a diagnostic hypothesis
based on the answers given by the psychological patient [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ].
The administered questionnaires can vary both in length and
structure, on the other hand a great majority of such tests are
given in multiple-answers form.
      </p>
      <p>
        Psychological tests generally provide an evaluation scale to
evaluate whether or not the subject manifests some traits. A
classical example can be the Mini-Mental Test [?], la Symptom
Checklist-90 [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ], il Minnesota multiphasic personality
inventory [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ], [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ], etc. Among the most widely used assessment
tools it is possible to notice several psychometric tests for
cognitive skills assessment and evaluation. Such kind of tests
are generally used for attitude evaluation, personal selection,
educational and rehabilitation purposes, as well as for the
diagnosis of cognitive disorders. The most known tests of
this kind are the Wechsler Adult Intelligence Scale [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ], the
Wechsler Intelligence Scale for Children [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ], [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ], the Raven’s
progressive matrices and vocabulary scales [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ], etc...
      </p>
      <p>Unfortunately such tests are generally the result of a long
and difficult process of validation for their standardization,
SU</p>
      <p>CN
SU</p>
      <p>CN
SU
ONLINE
SERVICE</p>
      <p>CLOUD
FRONTEND</p>
      <p>BACKEND</p>
      <p>TLN
ONLINE
SERVICE
FRONTEND
REMOTE
CLIENT
TESTED
USER</p>
      <p>FRONTEND
REMOTE</p>
      <p>CLIENT
PSYCHOLOGIST
(USER)
EDITING</p>
      <p>BACKEND
PSYCHOLOGIST
(ADMIN)</p>
      <p>
        TECHNICAL
BACKEND
TECHNICIAN
(ADMIN)
simplification and reorganization. Generally such operations
are performed by means of complex statistical methods which
make use of heavy computations (i.e. very large covariance
matrices [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ], factorial analysis [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ], multidimensional
scaling [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ], cluster analysis [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ], etc...).
      </p>
      <p>In the work presented on this paper we developed a unified
cloud-based resource for the management and execution of all
the task related to psychometric testing, from the creation of a
test, to its validation and use. The solution has been designed
to grant maximum flexibility allocating resources on a cloud
service. Such resources can be used as a remote support for
the psychologists designing and administering the test, as well
as computing platform to unburden the single terminals of
the heavy computations required during the standardization
procedure. Moreover, by means of the distributed database,
our solution is also able to support the simplification and
reorganization process, as well as to serve as online platform
for the administration and consequent scoring of the finalized
and standardized test.</p>
      <p>The paper is organized as follows. After this brief
introduction, in the following Section II the designed system is
described in its constituent parts. In Section III we will focus
on the management of the cloud services giving further details
on the resource allocation policies. Finally in Section IV we
will report a pilot case study and the obtained results. Finally
in Section V we will draw our conclusions.</p>
    </sec>
    <sec id="sec-2">
      <title>II. THE DEVELOPED SYSTEM In Figure 1 a gross schema of the designed system is reported, this is composed by the following agents and components:</title>
    </sec>
    <sec id="sec-3">
      <title>A. Frontend:</title>
      <sec id="sec-3-1">
        <title>Online interface</title>
      </sec>
      <sec id="sec-3-2">
        <title>Frontend remote clients</title>
        <p>B. Backend:</p>
      </sec>
      <sec id="sec-3-3">
        <title>Online interface</title>
      </sec>
      <sec id="sec-3-4">
        <title>Administration backend</title>
      </sec>
      <sec id="sec-3-5">
        <title>Technical backend</title>
        <p>C. Cloud</p>
      </sec>
      <sec id="sec-3-6">
        <title>Trusted Login Node (TLN)</title>
      </sec>
      <sec id="sec-3-7">
        <title>Cloud administration service (CAS)</title>
      </sec>
      <sec id="sec-3-8">
        <title>Login nodes (LN)</title>
      </sec>
      <sec id="sec-3-9">
        <title>Computing nodes (CN)</title>
        <sec id="sec-3-9-1">
          <title>REQUIREMENTS</title>
        </sec>
        <sec id="sec-3-9-2">
          <title>REQUEST</title>
        </sec>
        <sec id="sec-3-9-3">
          <title>HANDLER</title>
        </sec>
        <sec id="sec-3-9-4">
          <title>CLOUD</title>
        </sec>
        <sec id="sec-3-9-5">
          <title>MANAGER APPLICATION PROCESS</title>
        </sec>
        <sec id="sec-3-9-6">
          <title>EXECUTION</title>
        </sec>
        <sec id="sec-3-9-7">
          <title>MONITOR</title>
        </sec>
      </sec>
      <sec id="sec-3-10">
        <title>Storage Units (SU)</title>
        <p>The components are better described in the following.</p>
      </sec>
      <sec id="sec-3-11">
        <title>A. Frontend</title>
        <p>
          The frontend of the system has been developed by means
of the Angular JS [
          <xref ref-type="bibr" rid="ref15">15</xref>
          ], [
          <xref ref-type="bibr" rid="ref16">16</xref>
          ] framework in order to grant
portability and compatibility with almost all the available
hardware and software systems. In this manner there are no
particular requirements to interface with the developed system,
granted the ability to execute JavaScript on a browser-like
application. Although a web browser would have sufficed to
interface with the online service, we developed a simple
adhoc application to oversimplify the interface. In this manner
it is possible to avoid unnecessary distractions during the test
execution. Finally a psychologist provided with the necessary
credentials can log into the system to administer the test to a
patient once such a test has been standardized and approved to
be used. The frontend remote client only provides the interface
for the final users, but it is not designed to create a new tests
or operate for its standardization, since these latter procedures
are related with the backend.
        </p>
      </sec>
      <sec id="sec-3-12">
        <title>B. Backend</title>
        <p>While the frontend for the proposed system is constituted
by the final interface that the users and patients can use for
the only purpose of executing a certain test, the the backend
of the developed system provides the necessary support for
the design of new tests and their standardization as well
as for the technical administration of the overall platform.
Differently from the frontend, the backend provides two
separated consoles for psychologists and technicians. The first
allows the psychologist to design a new test, insert the item,
provide the validation rules, and request to the system to
analyze the validation data. The second console is reserved
for technical administration in terms of resource allocation,
cloud management policies, etc...</p>
      </sec>
      <sec id="sec-3-13">
        <title>C. Cloud</title>
        <p>The cloud resources are allocated both for computational
and provisional purposes. Complete standardized tests can
be administered and performed by means of the frontend
interface. In this case a simple set of queries can do the
job, by selecting and extracting the required data from the
databases, distributed on several storage units (SU), as well as
by uploading the given answers for further use. On the other
hand the standardization of a new test, due to the required
statistical analysis, also makes use of the computing nodes
(CN). The cloud system is also provided with several login
node in order to avoid direct interactions with the allocated
computing nodes and storage units, excepted for the storage
units containing the public database useful to run the fronted
interface. Finally the technical administration of the cloud, due
to the criticality of the matter, makes use of a trusted login
node that ensure a grater security level. The details on the
cloud policies are given in the following Section III.</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>III. THE CLOUD ENVIRONMENT</title>
      <p>
        In our proposal the cloud environment is administered on
a technical level by expert users. Moreover the system has
been studied in order to adapt to the total load by allocating
or freeing resources. For the implementation we supported
our system with the Amazon Web Services (AWS) [
        <xref ref-type="bibr" rid="ref17">17</xref>
        ], and
particularly on the AWS ECS and S3 service [
        <xref ref-type="bibr" rid="ref18">18</xref>
        ]. The main
component for the administration of the cloud environment
is the Cloud Administration Service (CAS) depicted in
Figure 2. The Cloud Administration Service analyzes the provided
application and estimate the computational burden by means
of a XML application requirement descriptor. Along with the
single application (e.g. a meta-analysis by means of factorial
analysis, multidimensional scaling, etc...), the psychologist
administrator also submits a set of requirements (e.g. the
desired deadline or throughput, etc...). Both the application
descriptor and the submitted requirements, are then analyzed
AMAZON S3
      </p>
      <p>AWS IOT CORE
by the request handler module. The request handler has the
responsibility to determine the correct allocation request
mediating between the application requirements, the user defined
constraints, and the effective resource availability on the cloud
system (see Figure 3).</p>
      <p>The resource request is provided to the cloud manager
component which uses the Amazon AWS APIs to effectively
request the allocation of new virtual machines. The cloud
manager interfaces with the AWS IoT Core taking into
consideration the AWS IoT rule component that determine the policies
for the Amazon Kinesis Data Stream. The Amazon Kinesis
Data Stream is a real-time streaming service that provides
event-driven messaging and supports extended microservice
architectures. This latter allows the processing requests trough
the Amazon API Gateway once an admin has been logged and
identified trough his credentials by the Amazon Lex component
to access the Amazon S3 service.</p>
      <p>In our system design also the database is distributed on
the cloud and supported by the Amazon DynamoDB services
that allows data flow by means of the Amazon DynamoDb
Streams component. Data transactions and session state are
encrypted at-rest and securely managed in the high-performance
and scalable NoSQL datastore offered by DynamoDB. The
Amazon DynamoDB Streams is also able to trigger an AWS
Lambda function in order to send notifications, by means of the
Amazon Pinpoint and Amazon Polly services, to psychologist
users when a patient has completed a test, as well as to send
notification to a psychologist admin when the validation and
standardization process advances or changes status.</p>
      <p>An example of the system in action is provided in the
following Section IV.</p>
    </sec>
    <sec id="sec-5">
      <title>IV. A CASE STUDY</title>
      <p>
        In order to check the developed system on the field, we
simulated the development of a novel test for the diagnosis
of Attention deficit and hyperactivity disorder (ADHD). We
mixed two well known and largely used test: the Conners
Rating Scales for Teacher (CRST) [
        <xref ref-type="bibr" rid="ref19">19</xref>
        ] and the SCOD [
        <xref ref-type="bibr" rid="ref20">20</xref>
        ].
Among the available items we selected the following 54 items
concerning the related subscales:
      </p>
    </sec>
    <sec id="sec-6">
      <title>CRST (36 items):</title>
      <p>Oppositional-defiant disorders (10 items)
Conduct disorders (5 items)
Psychosomatic disorders (6 items)
Anxiety and shyness (8 items)</p>
      <p>Perfectionism (6 items)
SCOD (18 items):</p>
      <p>Attention deficit (9 items)</p>
      <p>Hyperactivity (9 items)</p>
      <p>The draft of such a test has been submitted to the system
for the validation sequence, after it it has been undergone a
standardization procedure that reduced it to 30 items. After
that the so-created 32-items test has been used on a group of
non-psychologist volunteers. The results has been made
available in the system to be securely viewed by the psychologist
involved in the system check.</p>
      <p>While the reported case is only an example, the system has
been tested with the help of 25 psychologists that, after using
the developed system, evaluated the overall performances
and utility as an asset for their profession.Figure 4 shows
the results of such a poll that indicated an high degree of
appreciation for the developed solution with 80% of good
evaluations among the overall received scores.</p>
    </sec>
    <sec id="sec-7">
      <title>V. CONCLUSION</title>
      <p>Test and other questions-based diagnostic tools that
represents one of the main and principal actions in order to start
a clinical and therapeutic path, as well as for the evaluation
and assessment of the possible educational and rehabilitation
effort, are generally the result of a long and difficult process of
validation for their standardization, simplification and
reorganizations driven by operations performed by means of complex
statistical methods. In this paper we have shown the utility of
a novel unified cloud-based resource for the management and
execution of all the task related to psychometric testing, from
the creation of a test, to its validation and use. The solution
has been designed to grant maximum flexibility allocating
resources on a cloud service. It has been shown that such
resources can be used as a remote support for the psychologists
designing and administering the test, as well as
computing platform to unburden the single terminals of the heavy
computations required during the standardization procedure.
Moreover, by means of the distributed database, our solution
has been shown to be able to support the simplification and
reorganization process, as well as to serve as online platform
for the administration and consequent scoring of the finalized
and standardized test. The system has been tested with the
help of 25 psychologists that, after using the developed system,
evaluated the overall performances and utility as an asset for
their profession with an high degree of appreciation for the
developed solution.</p>
    </sec>
    <sec id="sec-8">
      <title>ACKNOWLEDGMENT</title>
      <p>This work has been supported by “Piano della Ricerca
2016/2018 - linea di intervento 2, University of Catania”.</p>
    </sec>
  </body>
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