scholarly journals Validating Insomnia Severity Index (ISI) in a Bangladeshi Population: Using Classical Test Theory and Rasch Analysis

Author(s):  
Mohammed A. Mamun ◽  
Zainab Alimoradi ◽  
David Gozal ◽  
Md Dilshad Manzar ◽  
Anders Broström ◽  
...  

The COVID-19 outbreak is associated with sleep problems and mental health issues among individuals. Therefore, there is a need to assess sleep efficiency during this tough period. Unfortunately, the commonly used instrument on insomnia severity—the Insomnia Severity Index (ISI)—has never been translated and validated among Bangladeshis. Additionally, the ISI has never been validated during a major protracted disaster (such as the COVID-19 outbreak) when individuals encounter mental health problems. The present study aimed to translate the ISI into Bangla language (ISI-Bangla) and validate its psychometric properties. First, the linguistic validity of the ISI-Bangla was established. Then, 9790 Bangladeshis (mean age = 26.7 years; SD = 8.5; 5489 [56.1%] males) completed the Bangla versions of the following questionnaires: ISI, Fear of COVID-19 Scale (FCV-19S), and Patient Health Questionnaire-9 (PHQ-9). All the participants also answered an item on suicidal ideation. Classical test theory and Rasch analyses were conducted to evaluate the psychometric properties of the ISI-Bangla. Both classical test theory and Rasch analyses support a one-factor structure for the ISI-Bangla. Moreover, no substantial differential item functioning was observed across different subgroups (gender, depression status (determined using PHQ-9), and suicidal ideation). Additionally, concurrent validity of the ISI-Bangla was supported by significant and moderate correlations with FCV-19S and PHQ-9; known-group validity was established by the significant difference of the ISI-Bangla scores between participants who experienced suicidal ideation and those without. The present psychometric validation conducted during the COVID-19 outbreak suggests that the ISI-Bangla is a promising and operationally adequate instrument to assess insomnia in Bangladeshis.

2013 ◽  
Vol 20 (6) ◽  
pp. 404-411 ◽  
Author(s):  
Yun-Ling Chen ◽  
Ping-Chuan Hsiung ◽  
Lyinn Chung ◽  
Shing-Chia Chen ◽  
Ay-Woan Pan

Author(s):  
David L. Streiner ◽  
Geoffrey R. Norman ◽  
John Cairney

Over the past few decades, there has been a revolution in the approach to scale development. Called item response theory (IRT), this approach challenges the notion that scales must be long in order to be reliable, and that psychometric properties of a scale derived from one group of people cannot be applied to different groups. This chapter provides an introduction to IRT, and discusses how it can be used to develop scales and to shorten existing scales that have been developed using the more traditional approach of classical test theory. IRT also can result in scales that have interval-level properties, unlike those derived from classical test theory. Further, it allows people to be compared to one another, even though they may have completed different items, allowing for computer-adapted testing. The chapter concludes by discussing the advantages and disadvantages of IRT.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
H S Finbråten ◽  
A L Kleppang ◽  
A M Steigen

Abstract Background Questionnaires are frequently used in public health research. In order to provide valid and reliable results to generate recommendations for practice and policies, scales with sound psychometric properties are required. Classical test theory such as factor analysis is most frequently used to assess the psychometric properties of scales. However, classical test theory may have limitations in confirming the validity of scales. Only Rasch measurement theory meet the requirements of fundamental measurement, such as additivity, invariance, sufficiency and specific objectivity. The objective is to exemplify how Rasch measurement theory can be used to evaluate the psychometric properties of a scale. Validation of the Hopkins Symptom Checklist-10 is used as an example. Methods This study is based on cross-sectional data from the Youth Data Survey. In total, 6777 adolescents responded to a web-based questionnaire. Data collection was carried out in lower and upper secondary schools in Norway during 2018. The data were analysed using the partial credit parameterization of the unidimensional Rasch model. Results Preliminary results indicated that the scale had acceptable reliability (person separation index: 0.82). However, one pair of items shows response dependence. The targeting could have been better (mean person location: -1.445). All items had ordered thresholds. Three items under-discriminated. Several items displayed differential item functioning with regard to gender and school level. Conclusions Applying Rasch measurement theory measurement problems that would go undetected using classical test theory approaches were observed. Scales used in public health research should be thoroughly validated applying Rasch measurement theory before the data are used to support claims about public health and used to provide recommendations for policy and practice. Key messages Public health practice and policy should be based on information from valid and reliable scales. Rasch measurement theory should be used to evaluate psychometric properties of scales used in public health research.


2011 ◽  
Vol 16 (2) ◽  
pp. 177-182 ◽  
Author(s):  
Franco Franchignoni ◽  
Giorgio Ferriero ◽  
Andrea Giordano ◽  
Francesco Sartorio ◽  
Stefano Vercelli ◽  
...  

2020 ◽  
Vol 18 (4) ◽  
pp. 343-349
Author(s):  
Chung-Ying Lin ◽  
Andy S. K. Cheng ◽  
Vida Imani ◽  
Mohsen Saffari ◽  
Maurice M. Ohayon ◽  
...  

Abstract Purpose To examine the psychometric properties of the Sleep Condition Indicator (SCI) using different psychometric approaches [including classical test theory, Rasch models, and receiver operating characteristics (ROC) curve] among patients with advanced cancer. Methods Through convenience sampling, patients with cancer at stage III or IV (n = 859; 511 males; mean ± SD age = 67.4 ± 7.5 years) were recruited from several oncology units of university hospitals in Iran. All the participants completed the SCI, Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Hospital Anxiety and Depression Scale (HADS), General Health Questionnaire (GHQ), and Edmonton Symptom Assessment Scale (ESAS). In addition, 491 participants wore an actigraph device to capture objective sleep. Results Classical test theory [factor loadings from confirmatory factor analysis = 0.76–0.89; test–retest reliability = 0.80–0.93] and Rasch analysis [infit mean square (MnSq) = 0.63–1.31; outfit MnSq = 0.61–1.23] both support the construct validity of the SCI. The SCI had significant associations with ISI, PSQI, ESS, HADS, GHQ, and ESAS. In addition, the SCI has satisfactory area under ROC curve (0.92) when comparing a gold standard of insomnia diagnosis. Significant differences in the actigraphy measure were found between insomniacs and non-insomniacs based on the SCI score defined by ROC. Conclusion With the promising psychometric properties shown in the SCI, healthcare providers can use this simple assessment tool to target the patients with advanced cancer who are at risk of insomnia and subsequently provide personalized care efficiently.


2019 ◽  
Vol 23 (4) ◽  
pp. 275-283
Author(s):  
Ling Wang ◽  
John W. Nelson

The aim of the study is to evaluate psychometric properties of the Chinese version of Caring Factor Survey-Caring of Manager (CFS-CM), which evaluated by using with classical test theory (CTT) and item response theory (IRT). CTT analyses evaluate include internal consistence reliability, test–retest reliability and construct validity. IRT analyses were conducted to test the unidimensionality, item fit, item difficulty, the reliability, and rating scale analysis. CTT showed good psychometric properties of the CFS-CM. However, IRT revealed some problems of category level. Taking the above issue into consideration, it could be beneficial to perfect the CFS-CM in the future.


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