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采用机器学习方法开发简化成人阅读史问卷(ARHQ-Brief)

Development of an Abbreviated Adult Reading History Questionnaire (ARHQ-Brief) Using a Machine Learning Approach.

机构信息

University of Connecticut, Storrs, CT, USA.

University of California San Francisco, San Francisco, CA, USA.

出版信息

J Learn Disabil. 2022 Sep-Oct;55(5):427-442. doi: 10.1177/00222194211047631. Epub 2021 Oct 9.

Abstract

Several crucial reasons exist to determine whether an adult has had a reading disorder (RD) and to predict a child's likelihood of developing RD. The Adult Reading History Questionnaire (ARHQ) is among the most commonly used self-reported questionnaires. High ARHQ scores indicate an increased likelihood that an adult had RD as a child and that their children may develop RD. This study focused on whether a subset of ARHQ items (ARHQ-Brief) could be equally effective in assessing adults' reading history as the full ARHQ. We used a machine learning approach, lasso (known as L1 regularization), and identified 6 of 23 items that resulted in the ARHQ-Brief. Data from 97 adults and 47 children were included. With the ARHQ-Brief, we report a threshold of 0.323 as suitable to identify past likelihood of RD in adults with a sensitivity of 72.4% and a specificity of 81.5%. Comparison of predictive performances between ARHQ-Brief and the full ARHQ showed that ARHQ-Brief explained an additional 10%-35.2% of the variance in adult and child reading. Furthermore, we validated ARHQ-Brief's superior ability to predict reading ability using an independent sample of 28 children. We close by discussing limitations and future directions.

摘要

有几个关键原因可以确定成年人是否患有阅读障碍 (RD),并预测儿童患 RD 的可能性。成人阅读史问卷 (ARHQ) 是最常用的自我报告问卷之一。高 ARHQ 分数表明成年人小时候有 RD 的可能性增加,他们的孩子也可能患上 RD。本研究专注于一个子集的 ARHQ 项目 (ARHQ-Brief) 是否可以像完整的 ARHQ 一样有效地评估成年人的阅读史。我们使用机器学习方法,lasso(称为 L1 正则化),并确定了 23 个项目中的 6 个,这就是 ARHQ-Brief。共有 97 名成年人和 47 名儿童的数据被纳入研究。使用 ARHQ-Brief,我们报告了一个适合识别成年人过去 RD 可能性的阈值为 0.323,其敏感性为 72.4%,特异性为 81.5%。ARHQ-Brief 和完整的 ARHQ 的预测性能比较表明,ARHQ-Brief 解释了成年人和儿童阅读中额外的 10%-35.2%的差异。此外,我们使用 28 名儿童的独立样本验证了 ARHQ-Brief 预测阅读能力的优越能力。最后,我们讨论了局限性和未来的方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e7a/8993940/7a3418677682/nihms-1777891-f0001.jpg

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