César Cibele Comini, Mambrini Juliana Vaz de Melo, Ferreira Fabiane Ribeiro, Lima-Costa Maria Fernanda
Departamento de Estatística, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Fundação Oswaldo Cruz, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Cad Saude Publica. 2015 May;31(5):931-45. doi: 10.1590/0102-311X00093214.
This article aims to evaluate the items used to measure functional capacity in the 2010 Health Survey in Greater Metropolitan Belo Horizonte, Minas Gerais State, Brazil, using Item Response Theory. We analyzed the scale's dimensionality, the items' position and discriminatory power, and the precision of the functional capacity estimate. The study was based on a sample of 2,174 individuals aged 60 to 99 years, 61% of whom were women, with a median of 4 years of schooling. The instrument with 21 items (4 response options) showed a Cronbach's alpha coefficient of 0.98. Factor analysis identified one factor that explained 92% of the variability between the items. The results indicated: (i) redundancy in items; (ii) precise estimation of functional capacity only for elderly below the median on the scale; and (iii) inability of the elderly to differentiate between response options. The analysis suggests the need to discuss items included in the instrument in order to cover a wider range of the scale and seek more appropriate response options.
本文旨在运用项目反应理论,评估巴西米纳斯吉拉斯州大贝洛奥里藏特市2010年健康调查中用于测量功能能力的项目。我们分析了量表的维度、项目的位置和区分度,以及功能能力估计的精度。该研究基于2174名年龄在60至99岁之间的个体样本,其中61%为女性,受教育年限中位数为4年。包含21个项目(4种回答选项)的工具的克朗巴哈系数为0.98。因子分析确定了一个解释项目间92%变异性的因子。结果表明:(i)项目存在冗余;(ii)仅对量表中位数以下的老年人功能能力进行了精确估计;(iii)老年人无法区分回答选项。分析表明,有必要对该工具中包含的项目进行讨论,以涵盖更广泛的量表范围并寻求更合适的回答选项。