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与交互式定制患者评估相关的可靠性和有效性问题:一项案例研究。

Reliability and validity issues related to interactive tailored patient assessments: a case study.

作者信息

Ruland Cornelia M, Bakken Suzanne, Røislien Jo

机构信息

Center for Shared Decision Making and Nursing Research, Rikshospitalet Medical Center, Oslo, Norway.

出版信息

J Med Internet Res. 2007 Aug 1;9(3):e22. doi: 10.2196/jmir.9.3.e22.

Abstract

Recently there has been a proliferation of interactive tailored patient assessment (ITPA) tools. However, evidence of the reliability and validity of these instruments is often missing, which makes their value in research studies questionable. Because several of the common methods to evaluate instrument reliability and validity are not applicable to interactive tailored patient assessments, informatics researchers may benefit from some guidance on which methods of reliability and validity assessment they can appropriately use. This paper describes the main differences between interactive tailored patient assessments and assessment instruments based on psychometric, or classical test, theory; it summarizes the measurement techniques normally used to ascertain the validity and reliability of assessment instruments based on psychometric theory; it discusses which methods are appropriate for interactive tailored patient assessments and which are not; and finally, it illustrates the application of some of the feasible techniques with a case study that describes how the reliability and validity of the tailored symptom assessment instrument called Choice were evaluated.

摘要

最近,交互式定制患者评估(ITPA)工具大量涌现。然而,这些工具的可靠性和有效性证据往往缺失,这使得它们在研究中的价值受到质疑。由于几种评估工具可靠性和有效性的常用方法不适用于交互式定制患者评估,信息学研究人员可能会从关于他们可以适当使用哪些可靠性和有效性评估方法的一些指导中受益。本文描述了交互式定制患者评估与基于心理测量学或经典测试理论的评估工具之间的主要区别;总结了通常用于确定基于心理测量学理论的评估工具的有效性和可靠性的测量技术;讨论了哪些方法适用于交互式定制患者评估,哪些方法不适用于此类评估;最后,通过一个案例研究说明了一些可行技术的应用,该案例描述了如何评估名为Choice的定制症状评估工具的可靠性和有效性。

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