Development of a unidimensional composite measure of neuropsychological functioning in older cardiac surgery patients with good measurement precision

被引:43
作者
Jones, Richard N. [2 ,3 ,7 ,9 ]
Rudolph, James L. [1 ,4 ,9 ]
Inouye, Sharon K. [2 ,3 ,5 ,9 ]
Yang, Frances M. [2 ,3 ,7 ,9 ]
Fong, Tamara G. [3 ,5 ,9 ]
Milberg, William P. [1 ,4 ,9 ]
Tommet, Douglas [2 ,3 ]
Metzger, Eran D. [2 ,9 ]
Cupples, L. Adrienne [8 ]
Marcantonio, Edward R. [3 ,6 ,9 ]
机构
[1] VA Boston Healthcare Syst, Ctr Geriatr Res Educ & Clin, Boston, MA 02130 USA
[2] Hebrew SeniorLife, Inst Aging Res, Boston, MA USA
[3] Hebrew SeniorLife, Aging Brain Ctr, Boston, MA USA
[4] Brigham & Womens Hosp, Div Aging, Boston, MA 02115 USA
[5] Beth Israel Deaconess Med Ctr, Dept Neurol, Boston, MA 02215 USA
[6] Beth Israel Deaconess Med Ctr, Div Gen Med & Primary Care, Boston, MA 02215 USA
[7] Beth Israel Deaconess Med Ctr, Div Gerontol, Boston, MA 02215 USA
[8] Boston Univ, Sch Publ Hlth, Dept Biostat, Boston, MA USA
[9] Harvard Univ, Sch Med, Boston, MA USA
关键词
Cognition; Cardiac surgery; Aged; Item response theory; Neuropsychology; ITEM RESPONSE THEORY; OUTCOMES; NUMBER; TESTS;
D O I
10.1080/13803391003662728
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The objective of this analysis was to develop a measure of neuropsychological performance for cardiac surgery and to assess its psychometric properties. Older patients (n = 210) underwent a neuropsychological battery using nine assessments. The number of factors was identified with variable reduction methods. Factor analysis methods based on item response theory were used to evaluate the measure. Modified parallel analysis supported a single factor, and the battery formed an internally consistent set (coefficient alpha = .82). The developed measure provided a reliable, continuous measure (reliability .90) across a broad range of performance (-1.5 SDs to +1.0 SDs) with minimal ceiling and floor effects.
引用
收藏
页码:1041 / 1049
页数:9
相关论文
共 46 条
[1]  
[Anonymous], 1976, Multilingual Aphasia Examination, Revised, 1978
[2]  
[Anonymous], 1999, Test Theory A Unified Treat
[3]  
*ARM IND TEST BATT, 1944, TRAIL MAK TESTS A B
[4]   Assessing clinical significance: Does it matter which method we use? [J].
Atkins, DC ;
Bedics, JD ;
McGlinchey, JB ;
Beauchaine, TP .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2005, 73 (05) :982-989
[5]  
Bentler P, 1988, COMMON PROBLEMS PROP
[6]  
BENTLER PM, 1990, PSYCHOL BULL, V107, P238, DOI 10.1037/0033-2909.88.3.588
[7]   MARGINAL MAXIMUM-LIKELIHOOD ESTIMATION OF ITEM PARAMETERS - APPLICATION OF AN EM ALGORITHM [J].
BOCK, RD ;
AITKIN, M .
PSYCHOMETRIKA, 1981, 46 (04) :443-459
[8]  
Brandt J., 1991, HOPKINS VERBAL LEARN
[9]  
Brown T. A., 2006, CONFIRMATORY FACTOR
[10]  
Browne M. W., 1993, TESTING STRUCTURAL E, P136, DOI DOI 10.1177/0049124192021002005