An item response analysis of the pediatric PROMIS anxiety and depressive symptoms scales.

An item response analysis of the pediatric PROMIS anxiety and depressive symptoms scales.
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DOI:
10.1007/s11136-010-9619-3
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发表时间:
2010-05
影响因子:
3.5
通讯作者:
DeWalt, Darren A.
DeWalt, Darren A.
中科院分区:
医学2区
文献类型:
--
作者:
Irwin, Debra E.;Stucky, Brian;Langer, Michelle M.;Thissen, David;DeWitt, Esi Morgan;Lai, Jin-Shei;Varni, James W.;Yeatts, Karin;DeWalt, Darren A.

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患者报告结局测量信息系统(PROMIS)旨在开发用于临床研究的自我报告项目库。PROMIS儿科(8-17岁)项目的重点是在几个健康领域(身体功能,疼痛,疲劳,情绪困扰,社会角色关系和哮喘症状)的项目库的发展。描述了焦虑和抑郁症状项目库的心理测量学特性。参与者(n = 1,529)在公立学校、医院门诊和专科儿科诊所招募。焦虑(k = 18)和抑郁症状(k = 21)项目分为两种试验给药形式。采用层次验证性因素分析模型(CFA)评价量表的维度和局部依赖性。然后使用IRT分析来完成试题库和简短表格。CFA结果证实,焦虑和抑郁症状是独立的结构和指示的负面影响。去除局部依赖和DIF的项目,产生15个焦虑和14个抑郁症状项目。简短的形式和模拟计算机自适应测试之间的心理差异。PROMIS儿科项目库的开发提供了有效的评估健康相关的生活质量领域。此示例提供焦虑和抑郁症状项目库的初始校准,并创建PROMIS儿科仪器,版本1.0。
The Patient-Reported Outcomes Measurement Information System (PROMIS) aims to develop self-reported item banks for clinical research. The PROMIS pediatrics (aged 8–17) project focuses on the development of item banks across several health domains (physical function, pain, fatigue, emotional distress, social role relationships, and asthma symptoms). The psychometric properties of the anxiety and depressive symptom item banks are described. Participants (n = 1,529) were recruited in public school settings, hospital-based outpatient and subspecialty pediatrics clinics. The anxiety (k = 18) and depressive symptoms (k = 21) items were split between two test administration forms. Hierarchical confirmatory factor-analytic models (CFA) were conducted to evaluate scale dimensionality and local dependence. IRT analyses were then used to finalize item banks and short forms. CFA results confirmed that anxiety and depressive symptoms are separate constructs and indicative of negative affect. Items with local dependence and DIF were removed resulting in 15 anxiety and 14 depressive symptoms items. The psychometric differences between short forms and simulated computer adaptive tests are presented. PROMIS pediatric item banks were developed to provide efficient assessment of health-related quality of life domains. This sample provides initial calibrations of anxiety and depressive symptoms item banks and creates PROMIS pediatric instruments, version 1.0.
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