Shortening the Leuven Perceptual Organization Screening Test With Item Response Theory and Confirmatory Factor Analysis.

The Leuven Perceptual Organization Screening Test (L-POST) is a test for midlevel visual perceptual deficits after brain injury. Previous research demonstrated reliable test scores and valid test score interpretations. However, the test's duration (20–35 min) is too long for a screening approach for...

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Publicado en:Psychological Assessment Vol. 33; no. 12; pp. 1253 - 1261
Autores principales: Vancleef, Kathleen, Demeyere, Nele, Sun, Luning
Formato: Artículo
Publicado: American Psychological Association Dec2021
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2021
      vid: 33
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      pub: American Psychological Association
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        10.1037/pas0001045
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        atl: Shortening the Leuven Perceptual Organization Screening Test With Item Response Theory and Confirmatory Factor Analysis.
      aug:
        au:
          Vancleef, Kathleen
          Demeyere, Nele
          Sun, Luning
        affil:
          Department of Experimental Psychology, University of Oxford
          Cambridge Judge Business School, The Psychometrics Centre, University of Cambridge
      su:
        Item response theory
        Confirmatory factor analysis
        Medical screening
        Edible fats & oils
        Adaptive testing
      sug:
        subj:
          Item response theory
          Confirmatory factor analysis
          Medical screening
          All Other Miscellaneous Ambulatory Health Care Services
          Soybean and Other Oilseed Processing
          Fats and Oils Refining and Blending
          Edible fats & oils
          Adaptive testing
      keyword:
        computer-adaptive testing
        confirmatory factor analysis
        item response theory
        perceptual organization
        short form
        computer-adaptive testing
        confirmatory factor analysis
        item response theory
        perceptual organization
        short form
      ab: The Leuven Perceptual Organization Screening Test (L-POST) is a test for midlevel visual perceptual deficits after brain injury. Previous research demonstrated reliable test scores and valid test score interpretations. However, the test's duration (20–35 min) is too long for a screening approach for all patients in clinical practice. Our aim was to shorten L-POST to 10–15 min based on statistical criteria of the items. Data from 3,391 participants who completed L-POST were analyzed. L-POST consists of 15 subtests with five items each. Item Response Theory (IRT) was applied to guide the selection of the items. The highest correlation with full-scale subtest scores was observed when two items were selected for each subtest following an adaptive testing procedure. A pilot validation in a subsample of participants with low abilities demonstrated adaptive testing has reasonable sensitivity (80%) but limited specificity (55%) in classifying participants with impaired and unimpaired abilities. Subsequently, we reduced the number of subtests through factor analysis. We showed that the subtests using Radial Frequency Patterns as stimuli were redundant and could be combined in one subtest. We conclude that L-POST can be shortened to 26 items (7–14 min) and an adaptive item selection procedure could prove particularly useful for screening purposes. Public Significance Statement: Tests for visual problems after brain injury are time-consuming and therefore not often used. In the current research study, we have used sophisticated statistical analyses to shorten an existing test in the best possible way. A shorter test can help remit underdiagnoses and enable access to appropriate treatment.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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