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ERIC Number: EJ1006850
Record Type: Journal
Publication Date: 2013-Jan
Pages: 18
Abstractor: As Provided
Reference Count: 38
ISSN: ISSN-0146-6216
Item Response Modeling of Presence-Severity Items: Application to Measurement of Patient-Reported Outcomes
Liu, Ying; Verkuilen, Jay
Applied Psychological Measurement, v37 n1 p58-75 Jan 2013
The Presence-Severity (P-S) format refers to a compound item structure in which a question is first asked to check the presence of the particular event in question. If the respondent provides an affirmative answer, a follow-up is administered, often about the frequency, density, severity, or impact of the event. Despite the popularity of the P-S format in areas such as patient reported outcomes, little attention has been paid to their psychometric analysis, which is necessary for making key design decisions about a scale. In this study, an item response theory-based framework is proposed to perform item analysis involving P-S data, which improves psychometric analysis for (a) scoring response categories, (b) calibrating items, (c) calculating reliability or internal consistency, and (d) selecting and revising items. A real-data example involving the Memorial Symptom Assessment Scale-Short Form, which is used as symptom distress measure for terminally ill cancer patients, demonstrates how the new framework can be used to address various psychometric issues in practice. (Contains 3 tables, 5 figures and 1 note.)
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Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A