Construction of the eight-item patient-reported outcomes measurement information system pediatric physical function scales: built using item response theory.

Construction of the eight-item patient-reported outcomes measurement information system pediatric physical function scales: built using item response theory.
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DOI:
10.1016/j.jclinepi.2010.10.012
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发表时间:
2011-07
影响因子:
7.2
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:
DeWitt, Esi Morgan;Stucky, Brian D.;Thissen, David;Irwin, Debra E.;Langer, Michelle;Varni, James W.;Lai, Jin-Shei;Yeatts, Karin B.;DeWalt, Darren A.

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使用现代心理测量方法为儿童创建自我报告的身体功能(PF)测量,作为患者报告结果测量信息系统(PROMIS)的一部分进行项目分析。采用PROMIS定性方法开发了两个PF项目池,其中包括32个机动性项目和38个上肢项目。项目由计算机对8-17岁的受试者进行管理。采用因子分析对量表维度和局部依赖来源进行评价。对不同性别的项目进行差异项目功能(DIF)分析。具有LD、DIF或低辨别度的项目被考虑移除。模拟了计算机自适应测试性能,并构建了短表格。3048名儿童(51.8%为女性,40%为非白人,22.7%为慢性疾病)参与了研究。每个问题至少有754人回答。因子分析结果证实了PF的两个维度,70个测试项目中有52个被保留。结果建立了23个项目的活动能力库和29个项目的上肢能力库,并创建了8个项目的简短表格。从总体均值到3个标准差以下的信息库有很高的信息。PROMIS儿童PF题库和8项短表评估了活动能力和上肢功能两个维度,经大规模测试显示出良好的心理测量特征。
To create self-report physical function (PF) measures for children using modern psychometric methods for item analysis as part of Patient Reported Outcomes Measurement Information System (PROMIS). PROMIS qualitative methodology was applied to develop two PF item pools comprised of 32 mobility and 38 upper extremity items. Items were computer administered to subjects aged 8–17 years. Scale dimensionality and sources of local dependence (LD) were evaluated with factor analysis. Items were analyzed for differential item functioning (DIF) between genders. Items with LD, DIF, or low discrimination were considered for removal. Computerized adaptive testing performance was simulated, and short forms were constructed. 3,048 children (51.8% female, 40% non-white, 22.7% chronically ill) participated. At least 754 respondents answered each item. Factor analytic results confirmed two dimensions of PF. Fifty-two of 70 items tested were retained. A 23 item mobility bank and a 29 item upper extremity bank resulted, and 8 item short forms were created. The item banks have high information from the population mean to 3 standard deviations below. PROMIS pediatric PF item banks and 8-item short forms assess two dimensions, mobility and upper extremity function, and show good psychometric characteristics after large scale testing.
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