2012年2月2日 星期四

快速準確之EF評估工具

最近一直在思考如何發展一個施測時間短但測量準確之EF評估工具??
之前曾經想過二個方法:
1. 使用多向度IRT ,提出此方式並無創意,因為之前薛老師的研究計畫就已提過要使用這個方法。
2. 減少施測題目,但要思考少題目就可以達到測量準確的程度嗎?

最近二天,我搜索有關快速、short form等關鍵字。以下為整理如何發展一個short form評估工具的項目選擇方法:
1. Overall item index: 項目選擇依據internal consistency和responsiveness.1-3
2. Criteria of item selection: (1) corrected item-total correlation; (2) response distribution; (3) correlation with a criterion assessment.4
3. Initial item reduction was based on item content, rate of mission data, and item-level response to change over time. Next, conducting exploratory factor analysis.5
4. Conducting factor analysis and regression methods.6, 7
5. Expert-based approach6
6. Item-impact method6
7. Regression8, 9
8. Responsiveness10

我現在的想法是:
1. 先參考現有的實作評量EF評估工具之題目和計分方法,發展出10題可使用於中風患者之實作評量EF題目。
2. 接著我比較想用第1或第2個方法,以確定選擇5題以下之題目(理想狀況是2-3題),以發展之測量時間短之實作評量EF評估工具。


References:

1.       Chou CY, Chien CW, Hsueh IP, Sheu CF, Wang CH, Hsieh CL. Developing a short form of the Berg Balance Scale for people with stroke. Physical therapy 2006;86(2):195-204.
2.       Chien CW, Lin JH, Wang CH, Hsueh IP, Sheu CF, Hsieh CL. Developing a Short Form of the Postural Assessment Scale for people with Stroke. Neurorehabilitation and neural repair 2007;21(1):81-90.
3.       Hobart JC, Thompson AJ. The five item Barthel index. J Neurol Neurosurg Psychiatry 2001;71(2):225-30.
4.       von Baeyer CL, Chambers CT, Eakins DM. Development of a 10-item short form of the parents' postoperative pain measure: the PPPM-SF. The journal of pain : official journal of the American Pain Society 2011;12(3):401-6.
5.       Bann CM, Fehnel SE, Gagnon DD. Development and validation of the Diabetic Foot Ulcer Scale-short form (DFS-SF). PharmacoEconomics 2003;21(17):1277-90.
6.       Locker D, Allen PF. Developing short-form measures of oral health-related quality of life. Journal of public health dentistry 2002;62(1):13-20.
7.       Gross DP, Battie MC, Asante A. Development and validation of a short-form functional capacity evaluation for use in claimants with low back disorders. Journal of occupational rehabilitation 2006;16(1):53-62.
8.       Vlachonikolis IG, Pallis AG, Mouzas IA. Improved validation of the Inflammatory Bowel Disease Questionnaire and development of a short form in Greek patients. The American journal of gastroenterology 2003;98(8):1802-12.
9.       Wong AH, Cheung CS, McGrath C. Developing a short form of Oral Health Impact Profile (OHIP) for dental aesthetics: OHIP-aesthetic. Community dentistry and oral epidemiology 2007;35(1):64-72.
10.    Bonniaud V, Bryant D, Parratte B, Guyatt G. Development and validation of the short form of a urinary quality of life questionnaire: SF-Qualiveen. The Journal of urology 2008;180(6):2592-8.

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