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用项目响应理论提高语音障碍指数-10的测量效率

Elliana Kirsh DeVore^1,2, Thomas L Carroll^2,3, Maria Edelen⁴

¹Department of Otolaryngology, Mount Sinai Hospital, New York, New York, USA.

The Laryngoscope

|April 1, 2025

概括

项目响应理论 (IRT) 确定了一个更短的语音障碍-10 (VHI) 尺度的关键项目. 这5项VHI子集有效地测量语音障碍和诊断声麻,类似于完整的10项VHI.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
语音和听力科学语言和听力科学
心理测量心理测量心理测量

背景情况:

语音障碍-10 (VHI) 是一种常见的患者报告结果指标.
优化VHI以获得临床效率是可取的.
项目响应理论 (IRT) 可以识别尺度内的最有信息的项目.

研究的目的:

将IRT应用于VHI-10以识别高信息项.
评估较短的VHI子集,以有效评估语音障碍.
为了比较较短VHI尺度与VHI-10的诊断区分能力.

主要方法:

对3640名患者前性收集的VHI-10数据进行IRT分析.
使用项目信息函数曲线对5项VHI子集的评估.
用于诊断歧视的接收机-操作员特征曲线 (ROC-AUC) 分析.

主要成果:

IRT确定了从1.55到4.68.8不等的项目歧视参数.
拟议的5项VHI子集保持了评估语音障碍的能力.
在5项和10项VHI尺度之间,诊断能力 (例如,声麻) 没有显著差异.

结论:

通过IRT分析,成功地确定了更有效的5项VHI子集的项目.
较短的VHI尺度提供了与VHI-10相比的可比性和精度.
这种优化的VHI尺度可以促进高效的语音障碍评估.

关键词:

曲线下的面积是曲线下的面积.效率效率效率效率效率效率效率项目响应理论是物品响应理论.喉科喉科喉科喉镜检查 (Laryngoscopy) 是一种用于检查喉的方法.耳鼻喉科耳鼻喉科耳鼻喉科经过验证的仪器.一个声音,一个声音,一个声音.

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