Department of Speech & Hearing Sciences, Portland State University, OR.
Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN.
J Speech Lang Hear Res. 2023 May 9;66(5):1718-1739. doi: 10.1044/2023_JSLHR-22-00458. Epub 2023 Mar 31.
Item response theory (IRT) is a modern psychometric framework with several advantageous properties as compared with classical test theory. IRT has been successfully used to model performance on anomia tests in individuals with aphasia; however, all efforts to date have focused on noun production accuracy. The purpose of this study is to evaluate whether the Verb Naming Test (VNT), a prominent test of action naming, can be successfully modeled under IRT and evaluate its reliability.
We used responses on the VNT from 107 individuals with chronic aphasia from AphasiaBank. Unidimensionality and local independence, two assumptions prerequisite to IRT modeling, were evaluated using factor analysis and Yen's statistic (Yen, 1984), respectively. The assumption of equal discrimination among test items was evaluated statistically via nested model comparisons and practically by using correlations of resulting IRT-derived scores. Finally, internal consistency, marginal and empirical reliability, and conditional reliability were evaluated.
The VNT was found to be sufficiently unidimensional with the majority of item pairs demonstrating adequate local independence. An IRT model in which item discriminations are constrained to be equal demonstrated fit equivalent to a model in which unique discrimination parameters were estimated for each item. All forms of reliability were strong across the majority of IRT ability estimates.
Modeling the VNT using IRT is feasible, yielding ability estimates that are both informative and reliable. Future efforts are needed to quantify the validity of the VNT under IRT and determine the extent to which it measures the same construct as other anomia tests.
与经典测试理论相比,项目反应理论(IRT)是一种具有多种优势的现代心理测量学框架。IRT 已成功用于对失语症患者的命名障碍测试的表现进行建模;然而,迄今为止所有的努力都集中在名词产生的准确性上。本研究旨在评估动词命名测试(VNT),一种突出的动作命名测试,是否可以在 IRT 下成功建模,并评估其可靠性。
我们使用 AphasiaBank 中 107 名慢性失语症患者的 VNT 反应。使用因子分析和 Yen 的 统计量(Yen,1984)分别评估了维度性和局部独立性这两个 IRT 建模的前提假设。通过嵌套模型比较和实际使用源自 IRT 的分数的相关性来评估测试项目之间平等区分的假设。最后,评估了内部一致性、边缘和经验可靠性以及条件可靠性。
VNT 被发现具有足够的单维性,大多数项目对显示出足够的局部独立性。一种将项目辨别力限制为相等的 IRT 模型与为每个项目估计独特辨别力参数的模型具有相同的拟合度。在大多数 IRT 能力估计中,所有形式的可靠性都很强。
使用 IRT 对 VNT 进行建模是可行的,可产生既信息丰富又可靠的能力估计。需要进一步努力来量化 VNT 在 IRT 下的有效性,并确定它在多大程度上衡量与其他命名障碍测试相同的结构。