Issues in the development of an item bank

Issues in the development of an item bank
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DOI:
10.1053/apmr.2003.50247
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发表时间:
2003-04-01
影响因子:
4.3
通讯作者:
Heinemann, AW
Heinemann, AW
中科院分区:
医学1区
文献类型:
--
作者:
Bode, RK;Lai, JS;Heinemann, AW

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目的:描述和说明题库开发中涉及的两个问题,该题库可用于改善跨环境和随时间推移的测量。设计:对现有生活质量(QOL)工具收集的数据进行二级(心理测量)分析。背景:美国不同地区医院环境中的5家癌症诊所;美国3个主要城市的523家个人或小组诊所;参与者:399人正在接受癌症治疗或有癌症病史,170人正在接受人类免疫缺陷病毒(HIV)治疗,328人在急性康复期间和之后接受评估,433人正在接受多发性硬化症治疗。插图2:1714名癌症和/或HIV患者参加了一项大规模的多点研究,3429名患有普遍可治疗的慢性疾病的患者和125名IV期转移性乳腺癌患者。干预措施:不适用。主要结果测量:通过10种不同的工具测量生活质量。结果:插图显示:(1)在4个诊断小组中起相似作用的核心项目可以被识别并用于构建测量身体功能的工具,这些工具是为这些小组中的每一个量身定制的,和(2)来自3个独立数据集的条目可以被链接以创建一个数据集,该数据集可以作为初始疼痛题库。结论:存在开发题库以开发更好的生活质量测量的方法。
Objective: To describe and illustrate 2 issues involved in the development of an item bank that can be used to improve measurement across settings and over time.Design: Secondary (psychometric) analysis of data collected on existing quality of life (QOL) instruments.Setting: Five cancer clinics in hospital settings in various parts of the United States; 523 solo or group practices in 3 major US cities; and an inpatient rehabilitation hospital in a large metropolitan area.Participants: Illustration 1: 399 persons being treated for or having a history of cancer, 170 persons being treated for human immunodeficiency virus (HIV), 328 persons with stroke assessed during and after acute rehabilitation, and 433 persons being treated for multiple sclerosis. Illustration 2: 1714 persons with cancer and/or HIV participating in a large-scale multisite study, 3429 persons with prevalent treatable chronic health conditions, and 125 persons with stage IV metastatic breast cancer.Interventions: Not applicable.Main Outcomes Measures: QOL as measured by 10 different instruments.Results: The illustrations show that (1) core items, which functioned similarly across 4 diagnostic groups, can be identified and used to construct instruments measuring physical function that are tailored to each of these groups, and (2) items from 3 separate datasets can be linked to create a dataset that can serve as an initial pain item bank.Conclusion: The methodology exists to develop item banks to develop better measures of QOL.