Silva e Costa Zilma Maria Severino, Pinto Rogério de Melo Costa, Mendonça Tânia Maria da Silva, Silva Carlos Henrique Martins da
Universidade Federal de Uberlândia, Uberlândia, Brasil.
Cad Saude Publica. 2020 Jun 8;36(6):e00228519. doi: 10.1590/0102-311X00228519. eCollection 2020.
This study aimed to validate the Brazilian version of the item banks for Sleep Disturbance and Wake Disturbance from the Patient-Reported Outcomes Measurement Information System (PROMIS). Validation of these item banks used classical test theory, item response theory, calibrations of items according to the gradual response model proposed by Samejima, and analysis of Differential Item Functioning (DIF), with a sample consisting of 627 participants over 18 years of age. As for data quality, there were no missing data, five items from the Sleep Disturbance bank and four items from the WE bank showed a floor effect, and none of the banks showed a ceiling effect. The two banks displayed excellent reliability with homogeneous scale and good temporal stability. With confirmatory factor analysis, using absolute and incremental goodness-of-fit indices, both banks displayed good fit, showing that the instruments are valid and sufficiently unidimensional. The calibration showed that the items' psychometric properties were satisfactory with good coverage of the sleep-wake construct. As for DIF, both the Sleep Disturbance and Wake Disturbance banks proved to be homogeneous for the different test groups. In conclusion, the version in Brazilian Portuguese for the item banks on Sleep Disturbance and Wake Disturbance in the PROMIS proved to be a reliable, precise, and valid instrument with robust psychometric analyses.
本研究旨在验证患者报告结局测量信息系统(PROMIS)中睡眠障碍和觉醒障碍项目库的巴西版本。这些项目库的验证采用了经典测试理论、项目反应理论、根据Samejima提出的渐进反应模型对项目进行校准,以及差异项目功能(DIF)分析,样本包括627名18岁以上的参与者。在数据质量方面,没有缺失数据,睡眠障碍项目库中的5个项目和觉醒障碍项目库中的4个项目显示出地板效应,且两个项目库均未显示出天花板效应。这两个项目库在同质量表上显示出优异的信度和良好的时间稳定性。通过验证性因素分析,使用绝对和增量拟合优度指标,两个项目库均显示出良好的拟合,表明这些工具有效且具有足够的单维度性。校准显示项目的心理测量特性令人满意,对睡眠-觉醒结构有良好的覆盖。至于DIF,睡眠障碍和觉醒障碍项目库在不同测试组中均被证明是同质的。总之,PROMIS中睡眠障碍和觉醒障碍项目库的巴西葡萄牙语版本被证明是一种可靠、精确且有效的工具,具有强大的心理测量分析。