Identifying an appropriate measurement modeling approach for the Mini-Mental State Examination.

The Mini-Mental State Examination (MMSE) is a 30-item, dichotomously scored test of general cognition. A number of benefits could be gained by modeling the MMSE in an item response theory (IRT) framework, as opposed to the currently used classical additive approach. However, the test, which is built...

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Publicado en:Psychological Assessment Vol. 28; no. 2; pp. 125 - 134
Autores principales: Rubright, Jonathan D., Nandakumar, Ratna, Karlawish, Jason
Formato: journal article
Publicado: American Psychological Association Feb2016
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Acceso en línea:Ver este registro en EBSCOhost
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      pub: American Psychological Association
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        10.1037/pas0000146
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        atl: Identifying an appropriate measurement modeling approach for the Mini-Mental State Examination.
      aug:
        au:
          Rubright, Jonathan D.
          Nandakumar, Ratna
          Karlawish, Jason
        affil:
          University of Delaware
          University of Pennsylvania
      su:
        Cognition
        Item response theory
        Psychological tests
        Psychometrics
        Mini-Mental State Examination
        Measurement
        Hypothesis
        Mathematical models
        Cognition disorders diagnosis
        Factor analysis
        Neuropsychological tests
        Theory
        Statistical models
      sug:
        subj:
          Cognition
          Item response theory
          Psychological tests
          Psychometrics
          Mini-Mental State Examination
          Measurement
          Hypothesis
          Mathematical models
          Cognition disorders diagnosis
          Factor analysis
          Neuropsychological tests
          Theory
          Statistical models
      keyword:
        dimensionality
        item response theory
        dimensionality
        item response theory
      ab: The Mini-Mental State Examination (MMSE) is a 30-item, dichotomously scored test of general cognition. A number of benefits could be gained by modeling the MMSE in an item response theory (IRT) framework, as opposed to the currently used classical additive approach. However, the test, which is built from groups of items related to separate cognitive subdomains, may violate a key assumption of IRT: local item independence. This study aimed to identify the most appropriate measurement model for the MMSE: a unidimensional IRT model, a testlet response theory model, or a bifactor model. Local dependence analysis using nationally representative data showed a meaningful violation of the local item independence assumption, indicating multidimensionality. In addition, the testlet and bifactor models displayed superior fit indices over a unidimensional IRT model. Statistical comparisons showed that the bifactor model fit MMSE respondent data significantly better than the other models considered. These results suggest that application of a traditional unidimensional IRT model is inappropriate in this context. Instead, a bifactor model is suggested for future modeling of MMSE data as it more accurately represents the multidimensional nature of the scale. (PsycINFO Database Record
      pubtype: Academic Journal
      doctype: journal article
      src: R
    language: English
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