scholarly journals A Mokken scale analysis of the Kessler-6 screening measure among Chinese older population: findings from a national survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Lisong Zhang ◽  
Zhongquan Li
Keyword(s):  
Psychological Distress ◽  
Psychometric Properties ◽  
Differential Item Functioning ◽  
Scale Analysis ◽  
Older Population ◽  
Old Chinese ◽  
Mokken Scale Analysis ◽  
Screening Measure ◽  
Item Functioning ◽  
Public Data

Abstract Background The aging population increases rapidly across the world. Timely and effective screening of their mental-health problems is important to individuals, families, and the whole society. The Kessler-6 screening measure (K6) is a very popular instrument for non-specific psychological distress. However, few studies have focused on the psychometric properties of this instrument in the older population. Methods The present study employed Mokken scale analysis to evaluate its dimensionality and structure. This study also used differential item functioning (DIF) to examine whether the same structure existed across sex in a national representative sample of old Chinese people. Data were drawn from a public data set, the 2010 China Family Panel Studies (CFPS2010), and responses from a total of 6450 participants aged 60 years old and above (3136 males and 3314 females) were included in the final analysis. Results Mokken scale analysis supported the unidimensional structure of the K6. Differential item functioning (DIF) analysis revealed that two of the six items (“Hopeless” and “Everything was an effort”) were marked for DIF based on the Chi-square. However, their impacts were negligible in terms of McFadden’s pseudo R2. Conclusions The K6 demonstrates adequate psychometric properties in the old Chinese population. The sum of all six items can be used as an indicator of non-specific psychological distress. Differences in the indicator across sex should be considered as a real difference in psychological distress between the female and the male.

scholarly journals A Mokken Scale Analysis of the Kessler-6 Screening Measure among Chinese Older Population: Findings from a national survey

2020 ◽  
Author(s):  
Lisong Zhang ◽  
Zhongquan Li
Keyword(s):  
Psychological Distress ◽  
Psychometric Properties ◽  
Differential Item Functioning ◽  
Scale Analysis ◽  
Older Population ◽  
Old Chinese ◽  
Mokken Scale Analysis ◽  
Screening Measure ◽  
Item Functioning ◽  
Public Data

Abstract Background The aging population increases rapidly across the world. Timely and effective screening of their mental-health problems is important to individuals, families, and the whole society. The Kessler-6 screening measure (K6) is a very popular instrument for non-specific psychological distress. However, few studies have focused on the psychometric properties of this instrument in the older population. Methods The present study employed Mokken scale analysis to evaluate its dimensionality and structure. This study also used differential item functioning (DIF) to examine whether the same structure existed across sex in a national representative sample of old Chinese people. Data were drawn from a public data set, the 2010 China Family Panel Studies (CFPS2010), and responses from a total of 6450 participants aged 60 years old and above (3136 males and 3314 females) were included in the final analysis.Results Mokken scale analysis supported the unidimensional structure of the K6. Differential item functioning (DIF) analysis revealed that two of the six items ("Hopeless" and "Everything was an effort") were marked for DIF based on the Chi-square. However, their impacts were negligible in terms of McFadden's pseudo R2.Conclusions The K6 demonstrates adequate psychometric properties in the old Chinese population. The sum of all six items can be used as an indicator of non-specific psychological distress. Differences in the indicator across sex should be considered as a real difference in psychological distress between the female and the male.

scholarly journals A Mokken Scale Analysis of the Kessler-6 Screening Measure among Chinese Older Population: Findings from a national survey

2020 ◽  
Author(s):  
Lisong Zhang ◽  
Zhongquan Li
Keyword(s):  
Psychological Distress ◽  
Psychometric Properties ◽  
Differential Item Functioning ◽  
Scale Analysis ◽  
Data Set ◽  
Old Chinese ◽  
Mokken Scale Analysis ◽  
Screening Measure ◽  
Item Functioning ◽  
Public Data

Abstract BackgroundThe aging population increases rapidly across the world. Timely and effective screening of their mental health problems is important to individuals, families, and the whole society. The Kessler-6 screening measure (K6) is a very popular instrument for non-specific psychological distress. However, few studies have focused on the psychometric properties of this instrument in the older population.MethodsThe present study employed Mokken scale analysis to evaluate its dimensionality and structure, and used differential item functioning (DIF) to examine whether the same structure existed across sex in a national representative sample of old Chinese people. Data were drawn from a public data set, the 2010 China Family Panel Studies (CFPS2010), and responses from a total of 6450 participants aged 60 years old and above (3136 males and 3314 females) were included in the final analysis.ResultsMokken scale analysis supported the unidimensional structure of the K6. Differential item functioning (DIF) analysis revealed that two of the six items ("Hopeless" and "Everything was an effort") were marked for DIF based on the Chi-square. However, their impacts were negligible in terms of McFadden's pseudo R 2.ConclusionsThe K6 demonstrates adequate psychometric properties in the old Chinese population. The sum of all six items can be used as an indicator of non-specific psychological distress. Differences in the indicator across sex should be considered as a real difference in psychological distress between the female and the male.

scholarly journals A Mokken Scale Analysis of the Kessler-6 Screening Measure among Chinese Elderly Population: Findings from a national survey

2020 ◽  
Author(s):  
Lisong Zhang ◽  
Zhongquan Li
Keyword(s):  
Psychological Distress ◽  
Psychometric Properties ◽  
Differential Item Functioning ◽  
Elderly Population ◽  
Ageing Population ◽  
Scale Analysis ◽  
Old Chinese ◽  
Mokken Scale Analysis ◽  
Screening Measure ◽  
Item Functioning

Abstract Background The ageing population increases rapidly across the world. Timely and effective screening of their mental health problems is important to individuals, families and the whole society. The Kessler-6 screening measure (K6) is a very popular instrument for non-specific psychological distress. However, few studies have focused on the psychometric properties of this instrument in the elderly population. Methods The present study employed Mokken scale analysis to evaluate its dimensionality and structure, and employed differential item functioning (DIF) to examine whether the same structure existed across sex in a national representative sample of old Chinese people. Data were drawn from a public data set, the 2010 China Family Panel Studies (CFPS2010), and responses from a total of 6450 participants aged 60 years old and above (3136 males and 3314 females) were included in the final analysis. Results Mokken scale analysis supported the unidimensional structure of the K6. Differential item functioning (DIF) analysis revealed that two of the six items ("Hopeless" and "Everything was an effort") were marked for DIF based on the Chi-square. However, their impacts were negligible in term of McFadden's pseudo R2. Conclusions The K6 demonstrates adequate psychometric properties in the old Chinese population. The sum of all six items can be used as an indicator of non-specific psychological distress. Differences in the indicator across gender should be considered as a real difference in psychological distress between the female and the male.

scholarly journals Item response analysis of the Geriatric Anxiety Inventory among the elderly in China: dimensionality and differential item functioning test

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Zhongquan Li ◽  
Xia Zhao ◽  
Ang Sheng ◽  
Li Wang
Keyword(s):  
Differential Item Functioning ◽  
Measurement Invariance ◽  
The Elderly ◽  
Anxiety Symptoms ◽  
Response Analysis ◽  
Scale Analysis ◽  
Mokken Scale Analysis ◽  
Item Functioning ◽  
Bifactor Modeling ◽  
Somatic Diseases

Abstract Background Anxiety symptoms are pervasive among elderly populations around the world. The Geriatric Anxiety Inventory (the GAI) has been developed and widely used in screening those suffering from severe symptoms. Although debates about its dimensionality have been mostly resolved by Molde et al. (2019) with bifactor modeling, evidence regarding its measurement invariance across sex and somatic diseases is still missing. Methods This study attempted to provide complemental evidence to the dimensionality debates of the GAI with Mokken scale analysis and to examine its measurement invariance across sex and somatic diseases by conducting differential item functioning (DIF) analysis among a sample of older Chinese adults. The data was from responses of a large representative sample (N = 1314) in the Chinese National Survey Data Archive, focusing on the mental health of elderly adults. Results The results of Mokken scale analysis confirmed the unidimensionality of the GAI, and DIF analysis indicated measurement invariance of this inventory across individuals with different sex and somatic diseases, with just a few items exhibiting item bias but all of them negligible. Conclusions All these findings supported the use of this inventory among Chinese elders to screen anxiety symptoms and to make comparisons across sex and somatic diseases.

scholarly journals The psychometric properties of a short version of the General Self-Efficacy Scale: A Rasch analysis

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A M S Steigen ◽  
H S F Finbråten ◽  
A L K Kleppang
Keyword(s):  
Secondary Schools ◽  
Psychometric Properties ◽  
Differential Item Functioning ◽  
Self Efficacy ◽  
Measurement Theory ◽  
School Level ◽  
Short Version ◽  
Cross Sectional ◽  
Item Functioning ◽  
General Self Efficacy

Abstract Background Self-efficacy is important in adolescence and is found to affect adolescents’ physical activity, risk-taking behaviour and health decisions. Self-efficacy describes a person’s belief in own coping abilities. Having good measures of self-efficacy may contribute to more valid knowledge about the potential role of self-efficacy as a health promoting factor in adolescents lives. Several scales measuring self-efficacy exists. One of these is the General Self-Efficacy Scale comprising 10-items. However, there exists several short versions of the scale. In a large cross-sectional study among adolescents in secondary schools in Norway, five of the items from the General Self-Efficacy Scale are used. The aim of this study is to examine the psychometric properties of this short version of the General Self-Efficacy Scale applying Rasch measurement theory. Methods This study is based on cross-sectional data from the Youth Data Survey. The data collection was carried out in lower and upper secondary schools in Norway during 2018. In total, 6646 adolescents responded to a web-based questionnaire. The data were analysed using the partial credit parameterization of the unidimensional Rasch model. Results Preliminary results indicated that the short version had acceptable reliability (person separation index: 0.78). However, the targeting could have been better (mean person location: 1.441). All items had ordered thresholds. One under-discriminating item and three over-discriminating items were identified. Three items displayed differential item functioning with regard to gender and one item displayed differential item functioning for school level. Conclusions Based on our preliminary findings this short version of the General Self-Efficacy Scale has the potential to measure self-efficacy among adolescents, but there are room for improvements. The scale has some shortcomings related to targeting and differential item functioning that needs to be further explored. Key messages The short version of the General Self-Efficacy Scale has the potential to measure self-efficacy in adolescents. The scale has some shortcomings that needs to be further judged.

Geriatric Anxiety Scale: item response theory analysis, differential item functioning, and creation of a ten-item short form (GAS-10)

2014 ◽  
Vol 27 (7) ◽  
pp. 1099-1111 ◽  
Author(s):  
Anne E. Mueller ◽  
Daniel L. Segal ◽  
Brandon Gavett ◽  
Meghan A. Marty ◽  
Brian Yochim ◽  
...  
Keyword(s):  
Older Adults ◽  
Item Response Theory ◽  
Psychometric Properties ◽  
Differential Item Functioning ◽  
Item Response ◽  
Short Form ◽  
Anxiety Scale ◽  
Response Theory ◽  
Item Functioning ◽  
The Impact

ABSTRACTBackground:The Geriatric Anxiety Scale (GAS; Segal et al. (Segal, D. L., June, A., Payne, M., Coolidge, F. L. and Yochim, B. (2010). Journal of Anxiety Disorders, 24, 709–714. doi:10.1016/j.janxdis.2010.05.002) is a self-report measure of anxiety that was designed to address unique issues associated with anxiety assessment in older adults. This study is the first to use item response theory (IRT) to examine the psychometric properties of a measure of anxiety in older adults.Method:A large sample of older adults (n = 581; mean age = 72.32 years, SD = 7.64 years, range = 60 to 96 years; 64% women; 88% European American) completed the GAS. IRT properties were examined. The presence of differential item functioning (DIF) or measurement bias by age and sex was assessed, and a ten-item short form of the GAS (called the GAS-10) was created.Results:All GAS items had discrimination parameters of 1.07 or greater. Items from the somatic subscale tended to have lower discrimination parameters than items on the cognitive or affective subscales. Two items were flagged for DIF, but the impact of the DIF was negligible. Women scored significantly higher than men on the GAS and its subscales. Participants in the young-old group (60 to 79 years old) scored significantly higher on the cognitive subscale than participants in the old-old group (80 years old and older).Conclusions:Results from the IRT analyses indicated that the GAS and GAS-10 have strong psychometric properties among older adults. We conclude by discussing implications and future research directions.

scholarly journals Construct validity and differential item functioning of the PHQ-9 among health care workers: Rasch Analysis approach

2020 ◽  
Author(s):  
Surin Jiraniramai ◽  
Tinakon Wongpakaran ◽  
Chaisiri Angkurawaranon ◽  
Wichuda Jiraporncharoen ◽  
Nahathai Wongpakaran
Keyword(s):  
Health Care ◽  
Psychometric Properties ◽  
Differential Item Functioning ◽  
Health Care Workers ◽  
Rating Scale ◽  
Psychometric Property ◽  
Rasch Measurement ◽  
Self Report ◽  
Item Functioning ◽  
Care Workers

Abstract Background The Patient Health Questionnaire (PHQ-9) is a widely used self-report questionnaire to screen depression. Its psychometric property has been tested in many populations including health care workers. We used Rasch measurement theory to examine the psychometric properties of PHQ-9 regarding item difficulty, item fit and the differences between subgroups of respondents classified by sex, age, education and alcohol user status, based on the same overall location of participants.Methods In total, 3,204 health care workers of Maharaj Nakorn Chiang Mai Hospital participated and were administered the PHQ-9. Rating scale Rasch measurement modeling was used to examine the psychometric properties of the PHQ-9.Results The data fitted well to the Rasch model and no violations of the assumption of unidimensionality were observed. All 9 items could form a unidimensional construct of overall depressive severity. Suicidal ideation was the least endorsed while sleep problem was the most. No disordered category and threshold of the rating response were observed. No locally dependent items were observed. No items were found to show differential item functioning across age, sex, education and alcohol consumption. The item-person Wright map showed that the PHQ-9 did not target well with the sample, and a wide gap suggesting few or no items exist to differentiate participants at a certain ability level among the PHQ-9 items.Conclusion The PHQ-9 can be used as a screening questionnaire for major depressive disorder as its psychometric property was verified based on Rasch measurement model. The findings are generally consistent with related studies in other populations. However, the PHQ-9 may be unsuitable for assessing depressive symptoms among health care workers who have low levels of depression.

scholarly journals Cross-cultural adaptation and validation of the Amsterdam Instrumental Activities of Daily Living questionnaire short version German for Switzerland

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Marina Bruderer-Hofstetter ◽  
Mark A. Dubbelman ◽  
André Meichtry ◽  
Florian Koehn ◽  
Thomas Münzer ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Differential Item Functioning ◽  
Daily Living ◽  
Short Version ◽  
Memory Clinic ◽  
Scale Level ◽  
Mild Dementia ◽  
Item Functioning ◽  
Test Retest Reliability ◽  
Normal Cognition

Abstract Background Instrumental Activities of Daily Living (IADL) limitations are associated with reduced health-related quality of life for people with mild cognitive impairment (MCI). For these people, the assessment of IADL is crucial to the diagnostic process, as well as for the evaluation of new interventions addressing MCI. The Amsterdam IADL Questionnaire Short Version (A-IADL-Q-SV) is an established assessment tool with good psychometric properties that has been shown to be robust to cultural differences in Western countries. The aims of this study were to: (1) cross-culturally adapt and validate the A-IADL-Q-SV for the German-speaking population of Switzerland; (2) investigate its cultural comparability; and (3) evaluate further psychometric properties. Methods The A-IADL-Q-SV German was pretested on clinicians and participants in a memory clinic setting. The psychometric properties and cultural comparability of the questionnaire were investigated in memory clinic settings including participants with MCI or mild dementia, as well as participants with normal cognition recruited from the community. Item response theory (IRT) was applied to investigate measurement invariance by means of differential item functioning to assess item bias. Additionally, the test–retest reliability on scale level, the construct validity through hypothesis testing and the discriminant validity of the A-IADL-Q-SV German were evaluated. Results Ninety-six informants of participants with normal cognition, MCI or mild dementia completed the A-IADL-Q-SV German. The basic assumptions for IRT scoring were met. No meaningful differential item functioning for culture was detected between the Swiss and Dutch reference samples. High test–retest reliability on scale level (ICC 0.93; 95% CI 0.9–0.96) was found. More than 75% of the observed correlations between the A-IADL-Q-SV German and clinical measures of cognition and functional status were found to be in the direction and of the magnitude hypothesized. The A-IADL-Q-SV German was shown to be able to discriminate between participants with normal cognition and MCI, as well as MCI and mild dementia. Conclusions The A-IADL-Q-SV German is a psychometrically robust measurement tool for a Swiss population with normal cognition, MCI and mild dementia. Thus, it provides a valuable tool to assess IADL functioning in clinical practices and research settings in Switzerland. Trial registration This study was registered retrospectively in July 2019 on ClinicalTrials.gov (NCT04012398).

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