应用于影响患者听力康复历程因素的项目反应理论
Item Response Theory Applied to Factors Affecting the Patient Journey Towards Hearing Rehabilitation.
作者信息
Chenault Michelene, Berger Martijn, Kremer Bernd, Anteunis Lucien
机构信息
Department of Otorhinolaryngology and Head and Neck Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands; Department of Health, Ethics and Society, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands; CAPHRI (School for Public Health and Primary Care), Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Department of Methodology and Statistics, Medicine and Life Sciences, Maastricht University , Maastricht, The Netherlands.
出版信息
Audiol Res. 2016 Nov 30;6(2):159. doi: 10.4081/audiores.2016.159. eCollection 2016 Aug 23.
To develop a tool for use in hearing screening and to evaluate the patient journey towards hearing rehabilitation, responses to scales , and addressing respectively hearing aid stigma, experienced pressure from others; perceived hearing aid benefit were evaluated with The sample was comprised of 212 persons aged 55 years or more; 63 were hearing aid users, 64 with and 85 persons without hearing impairment according to guidelines for hearing aid reimbursement in the Netherlands. Bias was investigated relative to hearing aid use and hearing impairment within the differential test functioning framework. Items compromising model fit or demonstrating differential item functioning were dropped. The scale was reduced from 6 to 4, the from 7 to 4, and the scale from 5 to 4 items. This procedure resulted in bias-free scales ready for screening purposes and application to further understand the help-seeking process of the hearing impaired.
为开发一种用于听力筛查的工具，并评估患者听力康复的过程、对量表的反应以及分别应对听力援助污名化、来自他人的压力；根据荷兰听力援助报销指南，对样本中212名55岁及以上的人员进行了感知听力援助益处的评估；其中63人是助听器使用者，64人有听力障碍，85人无听力障碍。在差异测试功能框架内，研究了与助听器使用和听力障碍相关的偏差。剔除了影响模型拟合或显示差异项目功能的项目。该量表从6项减少到4项，从7项减少到4项，量表从5项减少到4项。这一过程产生了无偏差的量表，可用于筛查目的，并用于进一步了解听力受损者的求助过程。
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