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杨铮, 戚艳波, 万崇华, 李晓梅, 赵芝焕, 段丽萍, 潘家华, 张晓磬. 慢性病生命质量量表共性模块项目反应理论分析[J]. 中国公共卫生, 2012, 28(11): 1477-1480. DOI: 10.11847/zgggws2012-28-11-29
引用本文: 杨铮, 戚艳波, 万崇华, 李晓梅, 赵芝焕, 段丽萍, 潘家华, 张晓磬. 慢性病生命质量量表共性模块项目反应理论分析[J]. 中国公共卫生, 2012, 28(11): 1477-1480. DOI: 10.11847/zgggws2012-28-11-29
YANG Zheng, QI Yan-bo, WAN Chong-hua, . Analysis on items of general module of quality of life instrument for chronic diseases by item response theory[J]. Chinese Journal of Public Health, 2012, 28(11): 1477-1480. DOI: 10.11847/zgggws2012-28-11-29
Citation: YANG Zheng, QI Yan-bo, WAN Chong-hua, . Analysis on items of general module of quality of life instrument for chronic diseases by item response theory[J]. Chinese Journal of Public Health, 2012, 28(11): 1477-1480. DOI: 10.11847/zgggws2012-28-11-29

慢性病生命质量量表共性模块项目反应理论分析

Analysis on items of general module of quality of life instrument for chronic diseases by item response theory

  • 摘要: 目的运用项目反应理论(IRT)对慢性病患者生命质量测定量表共性模块(QLICD-GM)条目进行分析,筛选信息量较高条目。方法应用QLICD-GM测评7种慢性病患者620例,采用塞姆吉玛等级反应模型计算每个条目的难度、区分度系数和信息量,绘制项目特征曲线;根据平均信息量筛选条目;采用MULTILOG 7.0软件进行计算和作图。结果QLICD-GM共性模块29个条目的区分度均为1.2~1.9;难度(程度)均呈严格单调递增,取值范围为-3.05~2.18;依据平均信息量,结合条目特征筛选保留24个条目。结论QLICD-GM各条目区分度均较好、选项设置合理、难度合适,分析模型选择正确;项目反应理论可筛选出信息量较高条目,弥补经典测量理论(CTT)的不足。

     

    Abstract: ObjectiveTo analyze items of the general module of the quality of life instrument for chronic diseases (QLICD-GM)for selection of items with more information using item response theory(IRT).MethodsA total of 602 inpatients with one of the 7 different chronic diseases were measured by QLICD-GM.With MULTILOG,Samejima's Graded Response Model was used to calculate parameters of discrimination and difficulty,information function,and to get item characteristic curve.ResultsAmong the 29 items,the discrimination parameters of all items were between 1.2-1.9 and the difficulty parameters of each item increased monotonically for all items with a range from -3.05 to 2.18.Twenty-four items were selected as good ones by average information and item characteristics.ConclusionEach item of the QLICD-GM has good discrimination,suitable item choice and moderate difficulty.The item analysis based on item response theory can select good items with more information and refined characteristics to overcome weakness of classical test theory

     

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