项目响应理论验证被遗忘的联合分数对于接受全膝关节置换的人
Chetan Khatri1, Conrad J Harrison2, Nick D Clement3,4
1Clinical Trials Unit, University of Warwick, Coventry, England, United Kingdom.
The Journal of bone and joint surgery. American volume
|March 19, 2024
概括
遗忘关节评分 (FJS) 是一个有效的患者报告的全膝关节置换的结果指标,通过物品反应理论 (IRT) 得到证实. 适应IRT的FJS为临床实践和研究提供了优势.
科学领域:
- 整形外科 整形外科 整形外科
- 医学统计 医学统计
- 心理测量 心理测量 心理测量
背景情况:
- 被遗忘的联合分数 (FJS) 被广泛使用,但其心理特征需要验证.
- 诸如单维性和项目权重等假设在开发过程中并未得到充分证实.
- 项目响应理论 (IRT) 为验证患者报告的结果措施提供了当代标准.
研究的目的:
- 使用项目响应理论 (IRT) 验证被遗忘的联合分数 (FJS).
- 为了确认FJS测量一个单一的基本特征 (单维性).
- 评估IRT模型对FJS数据的适用性.
主要方法:
- 进行了探索性和确认性因子分析 (EFA,CFA) 和莫肯分析.
- 一个分级响应模型 (GRM) 适应了从1774名接受全膝关节置换的患者的数据.
- 患者的反应是在手术前和手术后6个月和12个月收集的.
主要成果:
- EFA和CFA证实了一个1因素模型,表明单维性.
- FJS表现出良好的单调性和没有差异性项目的功能.
- 项目权重不平等,并且报告了GRM参数.
结论:
- FJS符合关键的有效性假设,支持其持续使用.
- 适应IRT的FJS可以提供更细细的连续测量.
- 适应IRT的FJS允许个性化评分和回顾性分析.
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