de Vet Henrica C W, Mokkink Lidwine B, Mosmuller David G, Terwee Caroline B
Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, De Boelelaan 1089A, Amsterdam 1081HV, The Netherlands.
Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, De Boelelaan 1089A, Amsterdam 1081HV, The Netherlands.
J Clin Epidemiol. 2017 May;85:45-49. doi: 10.1016/j.jclinepi.2017.01.013. Epub 2017 Mar 22.
There are similarities between the different forms of reliability, such as internal consistency (internal reliability) and interrater and intrarater reliability. Reliability coefficients that are based on classical test theory can be expressed as intraclass correlation coefficients (ICCs), such as Cronbach's alpha. The Spearman-Brown prophecy formula (SB formula) is used to calculate the reliability when the number of items in a questionnaire is changed. This paper aims to increase insight into reliability studies by pointing to the assumptions of reliability coefficients, similarities between various coefficients, and the subsequent new applications of reliability coefficients.
DESIGN, SETTINGS AND RESULTS: The origin and assumptions of Cronbach's alpha and the SB formula are discussed. Cronbach's alpha is written as an ICC formula, using the well-known property that taking the average value of a number of ratings increases the reliability of a measurement. We illustrate with an example that the ICC formulas for average measurements of multiple raters and the SB formula give similar results. This implies that the SB formula can be used to decide on the number of measurements to be averaged and thus on the number of raters required, for obtaining measurements with acceptable reliability, even if the variance components of the ICC formula are not known. Using the same example, we illustrate the principle of "Cronbach's alpha if item deleted" to decide on the poorest performing raters in a set of raters.
These applications have different assumptions: the principle of "Cronbach's alpha if item deleted" is based on the assumption of a fixed set of items/raters and the SB formula is based on the assumption of random raters. The example also emphasizes the need for more raters in the design of the reliability study to obtain a robust estimation of reliability.
不同形式的信度之间存在相似性,如内部一致性(内部信度)以及评分者间信度和评分者内信度。基于经典测试理论的信度系数可以表示为组内相关系数(ICC),如克朗巴哈系数。斯皮尔曼 - 布朗预测公式(SB公式)用于在问卷项目数量发生变化时计算信度。本文旨在通过指出信度系数的假设、各种系数之间的相似性以及信度系数随后的新应用,来增进对信度研究的理解。
设计、背景与结果:讨论了克朗巴哈系数和SB公式的起源及假设。克朗巴哈系数被写成一个ICC公式,利用了对多个评分取平均值会提高测量信度这一众所周知的特性。我们通过一个例子说明,多个评分者平均测量的ICC公式和SB公式给出了相似的结果。这意味着,即使ICC公式的方差成分未知,SB公式也可用于确定为获得具有可接受信度的测量而要平均的测量次数,从而确定所需的评分者数量。使用同一个例子,我们说明了“删除项目后的克朗巴哈系数”原则,以确定一组评分者中表现最差的评分者。
这些应用有不同的假设:“删除项目后的克朗巴哈系数”原则基于固定的项目/评分者集的假设,而SB公式基于随机评分者的假设。该例子还强调了在信度研究设计中需要更多评分者,以获得稳健的信度估计。