OBJECTIVE To develop a comprehensive, psychometrically sound, and conceptually grounded patient reported outcomes (PRO) measurement system for individuals with spinal cord injury (SCI). METHODS Individual interviews (n=44) and focus groups (n=65 individuals with SCI and n=42 SCI clinicians) were used to select key domains for inclusion and to develop PRO items. Verbatim items from other cutti...

OBJECTIVE Measures of shoulder function may differ by dominance of affected shoulder, surgical history, gender, or race. We present a technique for determining whether observed differences in function between groups are due to biased test items or real differences in function. STUDY DESIGN AND SETTING Four hundred patients who were receiving rehabilitation for a variety of shoulder impairment...

Multiple-choice (MC) items are widely used in educational tests. Distractor analysis, an important procedure for checking the utility of response options within MC item, can be readily implemented framework item theory (IRT). Although random guessing is a popular behavior test-takers when answering items, none existing IRT models distractor analysis have considered influence this process. In ar...

Information Systems (IS) research frequently uses survey data to measure the interplay between technological systems and human beings. Researchers have developed sophisticated procedures to build and validate multi-item scales that measure latent constructs. Most studies use classical test theory (CTT), which suffers from several theoretical shortcomings. We discuss these problems and present i...

Item response theory (IRT) models are commonly used in the realm of educational and psychological testing. The three commonly used IRT models for responses that are graded as either correct or incorrect are the One-parameter, Two-parameter, and Three parameter IRT models. These models are used to calibrate standardized tests and to assess human latent traits such as student’s overall intelligen...

Missing responses resulting from omitted or not-reached items are beyond researchers’ control and potentially threaten the validity of test results. Empirical evidence concerning the relationship between missingness and test takers’ performance on the test have suggested that the missing data mechanism is nonignorable and needs to be taken into account. Various IRT-based models for nonignorable...

Item response theory (IRT) is a modern test theory that has been used in various aspects of educational and psychological measurement. The fully Bayesian approach shows promise for estimating IRT models. Given that it is computationally expensive, the procedure is limited in real applications. It is hence important to seek ways to reduce the execution time, and therefore, a suitable solution is...

OBJECTIVE To provide comparisons and a worked example of item- and scale-level evaluations based on three psychometric methods used in patient-reported outcome development-classical test theory (CTT), item response theory (IRT), and Rasch measurement theory (RMT)-in an analysis of the National Eye Institute Visual Functioning Questionnaire (VFQ-25). METHODS Baseline VFQ-25 data from 240 parti...

Despite theoretical differences between item response theory (IRT) and classical test theory (CTT), there is a lack of empirical knowledge about how, and to what extent, the IRTand CTT-based item and person statistics behave differently. This study empirically examined the behaviors of the item and person statistics derived from these two measurement frameworks. The study focused on two issues:...

BACKGROUND The SF-36 physical functioning scale (PF-10) and the Health Assessment Questionnaire disability index (HAQ-DI) are the most frequently used instruments for measuring self-reported physical function in rheumatoid arthritis (RA). The objective of this study was to develop a crosswalk between scores on the PF-10 and HAQ-DI in RA. METHODS Item response theory (IRT) methods were used to...