期刊文献+

项目反应理论在SF-36心理测量学特征评价中的应用 被引量:5

Application of Item Response Theory to the Characteristics Evaluation of SF-36 Scale
原文传递
导出
摘要 目的使用项目反应理论(item response theory,IRT)对SF-36量表进行分析,探讨更适合于量表分析的方法。方法采用横断面研究。使用SF-36量表调查526例确诊的鼻咽癌患者,使用部分评分模型对反映生理健康的21个条目进行分析:计算PSI(person separation index),估计阈值参数和生存质量,对性别、年龄、婚姻等进行项目功能差异(DIF)分析。结果 PSI=0.85,整个模型的拟合效果好;除了条目3i、3j、8的阈值参数顺序出现颠倒外,其余条目均符合理论假设;DIF分析结果显示,所有的条目都没有非一致性DIF,条目4a在性别上存在一致性DIF,条目3g、10a在病人来源上存在一致性DIF。结论 SF-36生理健康的21个条目基本满足单维性、局部独立性的要求,可以放在一起进行IRT分析。IRT能够克服等级资料的限制,能力参数与阈值参数定义在同一个标尺上,而且存在参数不变性的优点,更加适合量表的分析评价。 Objective To explore the effectiveness of item response theory(IRT) on the evaluation of QOL by SF-36 scale.Methods The cross-sectional study was used.526 NPC(nasopharyngeal carcinoma) patients were face-to-face interviewed with the SF-36 by the well-trained investigators in Cancer Centre of Sun Yat-sen University.Partial credit model(PCM) was used to analyze 21 items indicating physical health from SF-36.The content included: to calculate the person separation index(PSI),to get the item threshold parameter and QOL ability,and know whether these 21 items had DIF among different gender,age,marriage and so on.Results PSI was equal to 0.85,which indicated the fitting effect of the whole model was good.Except for the item 3i,3j,and item 8,the threshold order of all other were consistent with the theoretical hypothesis.All the items didn't have inconsistent DIF.The item 4a was diagnosed as uniform DIF between different gender,and the item 3g and 10a were diagnosed as uniform DIF between different sources.Conclusion These 21 items almost met single dimension and local independent,and they were suitable for IRT analysis.Compared with classical test theory,IRT could overcome the limitation of ordered data,and has the invariance of parameter,and with the ability parameter and the threshold parameter being in the same axis.IRT is a more suitable method to analyze the scale.
出处 《中国慢性病预防与控制》 CAS 北大核心 2010年第5期444-447,共4页 Chinese Journal of Prevention and Control of Chronic Diseases
基金 广东省科技计划项目(2006B36002026)
关键词 项目反应理论 鼻咽癌 生存质量 SF-36 Item response theory Nasopharyngeal carcinoma Quality of life SF-36
  • 相关文献

参考文献13

  • 1Power M, Quinn K, Schmidt S. Development of the WHOQOL-OId Module[J]. Quality of Life Research, 2005, 14:2197-2214.
  • 2Warc JE, Snow KK, Kosinski M. SF-36 health survey: manual and interpretation guide[M]. Boston MA: The Health Institute, New England Medical Center, 1993:1-22.
  • 3Ware JE, Gandek B. Overview of the SF-36 health survey and the International Quality of Life Assessment (IQOLA) project [J]. J Clin Epidemiol, 1998, 51:903-912.
  • 4古模发,杜玉忠,陈新林,黎建军,张华满,钟健波.鼻咽癌患者中SF-36量表的信度和效度的研究[J].中华肿瘤防治杂志,2007,14(18):1403-1405. 被引量:29
  • 5郭庆科.心理测量的原理与应用[M].北京:人民军医出版社.2002.
  • 6Masters G. A rasch model for partial credit scoring [J]. Psychometrika, 1982, 47:149-174.
  • 7Andrich D, Lyne A, Sheridon B, et al. RUMM 2020 [M]. Perth WA: RUMM Laboratory, 2002: 1-48.
  • 8Martin M, Kosinski M, Bjomer JB, et al. Item response theory methods can improve the measurement of physical function by combining the modified health assessment questionnaire and the SF-36 physical function scale [J ]. Quality of Life Research, 2007, 16:647-660.
  • 9Pallant JF, Miller RL, Tennant A. Evaluation of the edinburgh post natal depression scale using rasch analysis [J]. BMC Psychiatry, 2006, 12:6- 28.
  • 10Teresi JA, Kleinman M, Ocepek WK. Modern psychometric methods for detection of differential item functioning: Application to Cognitive Assessment Measures [J]. Statistics in Medicine, 2000, 19:1651-1683.

二级参考文献8

共引文献30

同被引文献35

  • 1万崇华,陈明清,张灿珍,汤学良,孟琼,张晓磬.癌症患者生命质量测定量表EORTC QLQ-C30中文版评介[J].实用肿瘤杂志,2005,20(4):353-355. 被引量:1312
  • 2钱勇,潘跃银,孙国平,顾康生,熊福星,郝吉庆,张从军,朱学庆,陈振东.食管癌新辅助化疗患者生活质量的定量研究[J].肿瘤研究与临床,2006,18(4):233-236. 被引量:16
  • 3韩耀风,郝元涛,方积乾.项目反应理论及其在生存质量研究中的应用[J].中国卫生统计,2006,23(6):562-565. 被引量:24
  • 4Gu MF,Su Y,Chen XL,et al. Quality of life and radiotherapy complications of chinese nasopharyngeal carcinoma patients at different 3DCRT [J]. Asian Pac J Cancer Prey,2012,13(1):75-79.
  • 5Hawthorne G, Densley K, PaUant JF, et al. Deriving utility scores from the SF-36 health instrument using Rasch analysis [J]. Qual Life Res, 2008,17(9): 1183-1193.
  • 6Andrich D,Lyne A,Sheridan B,et al. RUMM 2020 version 4.0 for Windows. Getting started, displaying and extending RUMM2020 [CP/DK]. RUMM Laboratory Pty Ltd, 2004.
  • 7Demiral AN, Sen M, Demiral Y, et al. The effect of socioeconomic factors on quality of life after treatment in patients with head and neck cancer [J]. Int J Radiat Oncol Biol Phys, 2008,70(1):23-27.
  • 8Fang FM, Chiu HC, Kuo WR, et al. Health-related quality of life for nasopharyngeal carcinoma patients with cancer- free survival after treatment [J]. Int J Radiat Oncol Biol Phys, 2002,53(4):959-968.
  • 9Aaronson NK, Ahmedzai S, Bergman B, et al. The European Organization for Research and Treatment of Cancer QLQ C30 : a quality of-li{e instrument for use in international clinical trials in oncology [J]. J Natl Cancer lnst, 1993,85 (5) : 365-76.
  • 10Aaronson NK,Cull A,Kaasa S,et al. The EORTC modular ap- proach to quality of life assessment in oncology: an update. In Quality of life and pharmacoeconomies in clinical trials[M]. 2nd edition (B. Spilker, ed). Philadelphia: l.ippincott Raven Publishers, 1996 : 179- 89.

引证文献5

二级引证文献36

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部