2013年3月3日 星期日

2013-02-25 與謝老師meeting後之重點


Data

1.      Complete data: initial and d/c各有測一次

2.      One rater

 

Literature review

1.      Spatial span

2.      (魏氏記憶量表manual) ?

 

驗證方向:

I.        Validity

A.      Concurrent validity <- construct驗證

1.      Definition: demonstrated where a test correlates well with a measure that has previously been validated. The two measures may be for the same construct, or for different, but presumably related, constructs.

2.      In a study of concurrent validity the test is administered at the same time as the criterion is collected.

B.      Divergent validity <-排除不相關

1.      the divergent validity of a survey instrument, like an IQ-test, indicates that the results obtained by this instrument do not correlate too strongly with measurements of a similar but distinct trait.  For example, if a test is supposed to measure suitability of applicants to a particular job, then it should not exhibit too strong correlation with, say, IQ-scores. Otherwise, the instrument is just another IQ-test.

convergentdivergent validity來逼近驗證此工具(spatial span)construct

 

C.      Ecological validity

1.      Definition:

a.      Ecological validity of a study means that the methods, materials and setting of the study must approximate the real-world that is being examined

2.      ADL: BI相關程度 <- BI視為是在真實情境中的表現

a.      資料庫中有BI分數

1.      See BI as ADL as a whole aspect

2.      See individual ADL function

a.      Ex. If spatial working memory impairment influence dressing function?

D.     Predictive validity

1.      definition: a score on a scale or test predicts scores on some criterion measure

2.      In a strict study of predictive validity, the test scores are collected first; then at some later time the criterion measure is collected.

3.      與出院一年後的data相比較,尋找相關程度?

 


II.      Reliability

A.      Test-retest reliability

1.      Check with 恩琦是否做過

 

III.    Responsiveness/sensitivity to change

A.      Definition:

1.      Internal responsiveness

a.      is used to detect meaningful change over time, classically described as responsiveness (sensitivity to change)

1.      Effect size:

a.      It is often determined by comparing scores before and after an intervention expected to alter the quantity being measured, and calculating an effect size (standardized change score) (Scientific Advisory Committee of the Medical Outcomes Trust, 1995). There are many effect size calculations, for example, the mean change score (admission minus discharge EDSS scores) divided by the standard deviation of the admission scores (Kazis et al., 1989)

b.      larger effect sizes indicate greater responsiveness.

c.       However, effect sizes provide limited information about the responsiveness of measures as they reflect the magnitude of the change induced by the intervention, as well as the ability of the instrument to detect change (Norman et al., 1997).

b.      It must remain stable when no change has occurred (stability).

 

2.      External responsiveness

a.      Definition: reflects the extent to which changes in a measure relate to changes in other measures of health status.

 

 

 

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