功能,残疾和健康国际分类 (ICF) 的研究范式与项目响应理论:澄清,分类和挑战
Chun Feng1, Shou-Guo Liu2, Liang Zhou3
1Center of Rehabilitation Therapy, The First Rehabilitation Hospital of Shanghai, School of Medicine, Tongji University, Shanghai, China.
概括
项目响应理论 (IRT) 可以通过解决其规模,标准和项目号的挑战来改善国际功能,残疾和健康分类 (ICF). 本综述探讨了IRT的应用,以使ICF在医疗保健中更有效和更有效地使用.
科学领域:
- 康复科学 康复科学 康复科学
- 医疗信息学 医疗信息学
- 测量科学 测量科学 测量科学
背景情况:
- 功能,残疾和健康的国际分类 (ICF) 是衡量健康和残疾的全球标准.
- 广泛实施ICF面临挑战,包括不平等的扩展,缺乏对标准的共识,以及过多的项目数量.
- 项目响应理论 (IRT) 为这些ICF限制提供了潜在的解决方案.
研究的目的:
- 审查IRT在ICF研究中的应用.
- 澄清ICF评分的充分性和效率需求.
- 在ICF数据分析中检查分层和赋值原则.
主要方法:
- 对PubMed数据库进行了系统的文献搜索.
- 44篇相关文章被选中进行审查.
- 审查的重点是IRT方法,特别是拉什模型,以跟踪ICF的研究进展.
主要成果:
- 对于ICF研究的分类项目响应模型 (IRM) 和总结了现有的IRT范式.
- 在当前基于IRT的ICF研究中确定了分配原则和难度参数的局限性.
- 介绍了莫肯尺度分析 (MSA) 作为参数IRM的数据塑造工具,并提出了一个MSA-Rasch建模管道.
结论:
- 面向ICF的IRM算法可以增强临床应用的理解.
- 为IRT衍生的ICF问卷提出了一个新的范式,即节的ICF核心集.
- 赖特地图可以帮助理解康复轨迹和个性化目标.
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