Psychometric evaluation of an item bank for computerized adaptive testing of the EORTC QLQ-C30 cognitive functioning dimension in cancer patients.

Background: The European Organisation of Research and Treatment of Cancer (EORTC) Quality of Life Group is developing computerized adaptive testing (CAT) versions of all EORTC Quality of Life Questionnaire (QLQ-C30) scales with the aim to enhance measurement precision. Here we present the results on...

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Publicado en:Quality of Life Research Vol. 26; no. 11; pp. 2919 - 2930
Autores principales: Dirven, Linda, Groenvold, Mogens, Taphoorn, Martin, Conroy, Thierry, Tomaszewski, Krzysztof, Young, Teresa, Petersen, Morten, Taphoorn, Martin J B, Tomaszewski, Krzysztof A, Petersen, Morten Aa
Formato: research Journal Article
Publicado: Springer Nature Nov2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s11136-017-1648-8
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        atl: Psychometric evaluation of an item bank for computerized adaptive testing of the EORTC QLQ-C30 cognitive functioning dimension in cancer patients.
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          Dirven, Linda
          Groenvold, Mogens
          Taphoorn, Martin
          Conroy, Thierry
          Tomaszewski, Krzysztof
          Young, Teresa
          Petersen, Morten
          Taphoorn, Martin J B
          Tomaszewski, Krzysztof A
          Petersen, Morten Aa
        affil: Medical Oncology Department , Institut de Cancérologie de Lorraine 6 , Vandoeuvre-Lès-Nancy Cedex France
      sug:
        subj:
          Neoplasms Psychosocial Factors
          Computers and Computerization Utilization
          Psychometrics Methods
          Quality of Life Psychosocial Factors
          Female
          Adult
          Aged
          Aged, 80 and Over
          Male
          Middle Age
          Questionnaires
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: The European Organisation of Research and Treatment of Cancer (EORTC) Quality of Life Group is developing computerized adaptive testing (CAT) versions of all EORTC Quality of Life Questionnaire (QLQ-C30) scales with the aim to enhance measurement precision. Here we present the results on the field-testing and psychometric evaluation of the item bank for cognitive functioning (CF).Methods: In previous phases (I-III), 44 candidate items were developed measuring CF in cancer patients. In phase IV, these items were psychometrically evaluated in a large sample of international cancer patients. This evaluation included an assessment of dimensionality, fit to the item response theory (IRT) model, differential item functioning (DIF), and measurement properties.Results: A total of 1030 cancer patients completed the 44 candidate items on CF. Of these, 34 items could be included in a unidimensional IRT model, showing an acceptable fit. Although several items showed DIF, these had a negligible impact on CF estimation. Measurement precision of the item bank was much higher than the two original QLQ-C30 CF items alone, across the whole continuum. Moreover, CAT measurement may on average reduce study sample sizes with about 35-40% compared to the original QLQ-C30 CF scale, without loss of power.Conclusion: A CF item bank for CAT measurement consisting of 34 items was established, applicable to various cancer patients across countries. This CAT measurement system will facilitate precise and efficient assessment of HRQOL of cancer patients, without loss of comparability of results.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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