探索方法论决策,以计算发病症中最小可检测的变化:可靠性,统计和标准测量误差
Kelly E Gates1, Antje S Mefferd2, Kaila L Stipancic1
1Department of Communicative Disorders and Sciences, University at Buffalo, NY.
方法的选择显著影响最小可检测变化 (MDC) 计算在失联症的语音可理解性. 对MDC方法的详细报告对于未来的研究和解释可理解性变化至关重要.
科学领域:
- 康复科学 康复科学 康复科学
- 语音语言病理学 语音语言病理学
- 神经学 神经学
背景情况:
- 最少检测到的变化 (MDC) 对于解释结果测量康复中的变化至关重要.
- MDC计算依赖于可靠性方法,统计数据和标准测量误差 (SEM).
- 这些计算组件的变化可以影响MDC值,特别是语音可理解性.
研究的目的:
- 调查不同方法选择对MDC语音可理解度值对患有脱节症的个体的影响.
- 为了比较来自各种可靠性方法,可靠性统计和SEM计算的MDC.
主要方法:
- 利用了来自200名演讲者 (包括各种神经疾病和健康对照) 的语音可理解性测试记录.
- 使用三种可靠性方法 (测试-重新测试,分半,内部测试),两种可靠性统计 (皮尔森r,ICCs) 和三种SEM公式计算MDC.
- 采用克鲁斯卡尔-瓦利斯试验来分析这些方法变化的影响.
主要成果:
- 当将分半与测试-重新测试可靠性进行比较时,观察到MDC的显著差异.
- 在皮尔森r和类内相关系数 (ICC) 之间也发现了MDC的差异.
- 三种SEM计算方法中有两种在MDC值中产生了显著差异.
结论:
- 在计算MDC时的方法决定显然会影响发言障碍症患者的语音可理解度.
- 强调在未来的研究中对MDC计算方法进行准确和详细的报告至关重要.
- 为研究人员和临床医生提供指导,帮助他们选择合适的方法,并将现有的可理解性数据置于背景中.
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