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Evaluation of psychometric properties and differential item functioning of 8-item Child Perceptions Questionnaires using item response theory

BACKGROUND: Four-factor structure of the two 8-item short forms of Child Perceptions Questionnaire CPQ(11–14) (RSF:8 and ISF:8) has been confirmed. However, the sum scores are typically reported in practice as a proxy of Oral health-related Quality of Life (OHRQoL), which implied a unidimensional st...

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Autores principales: Yau, David TW, Wong, May CM, Lam, KF, McGrath, Colman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4544788/
https://www.ncbi.nlm.nih.gov/pubmed/26286333
http://dx.doi.org/10.1186/s12889-015-2133-3
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author Yau, David TW
Wong, May CM
Lam, KF
McGrath, Colman
author_facet Yau, David TW
Wong, May CM
Lam, KF
McGrath, Colman
author_sort Yau, David TW
collection PubMed
description BACKGROUND: Four-factor structure of the two 8-item short forms of Child Perceptions Questionnaire CPQ(11–14) (RSF:8 and ISF:8) has been confirmed. However, the sum scores are typically reported in practice as a proxy of Oral health-related Quality of Life (OHRQoL), which implied a unidimensional structure. This study first assessed the unidimensionality of 8-item short forms of CPQ(11–14). Item response theory (IRT) was employed to offer an alternative and complementary approach of validation and to overcome the limitations of classical test theory assumptions. METHODS: A random sample of 649 12-year-old school children in Hong Kong was analyzed. Unidimensionality of the scale was tested by confirmatory factor analysis (CFA), principle component analysis (PCA) and local dependency (LD) statistic. Graded response model was fitted to the data. Contribution of each item to the scale was assessed by item information function (IIF). Reliability of the scale was assessed by test information function (TIF). Differential item functioning (DIF) across gender was identified by Wald test and expected score functions. RESULTS: Both CPQ(11–14) RSF:8 and ISF:8 did not deviate much from the unidimensionality assumption. Results from CFA indicated acceptable fit of the one-factor model. PCA indicated that the first principle component explained >30 % of the total variation with high factor loadings for both RSF:8 and ISF:8. Almost all LD statistic <10 indicated the absence of local dependency. Flat and low IIFs were observed in the oral symptoms items suggesting little contribution of information to the scale and item removal caused little practical impact. Comparing the TIFs, RSF:8 showed slightly better information than ISF:8. In addition to oral symptoms items, the item “Concerned with what other people think” demonstrated a uniform DIF (p < 0.001). The expected score functions were not much different between boys and girls. CONCLUSIONS: Items related to oral symptoms were not informative to OHRQoL and deletion of these items is suggested. The impact of DIF across gender on the overall score was minimal. CPQ(11–14) RSF:8 performed slightly better than ISF:8 in measurement precision. The 6-item short forms suggested by IRT validation should be further investigated to ensure their robustness, responsiveness and discriminative performance.
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spelling pubmed-45447882015-08-22 Evaluation of psychometric properties and differential item functioning of 8-item Child Perceptions Questionnaires using item response theory Yau, David TW Wong, May CM Lam, KF McGrath, Colman BMC Public Health Research Article BACKGROUND: Four-factor structure of the two 8-item short forms of Child Perceptions Questionnaire CPQ(11–14) (RSF:8 and ISF:8) has been confirmed. However, the sum scores are typically reported in practice as a proxy of Oral health-related Quality of Life (OHRQoL), which implied a unidimensional structure. This study first assessed the unidimensionality of 8-item short forms of CPQ(11–14). Item response theory (IRT) was employed to offer an alternative and complementary approach of validation and to overcome the limitations of classical test theory assumptions. METHODS: A random sample of 649 12-year-old school children in Hong Kong was analyzed. Unidimensionality of the scale was tested by confirmatory factor analysis (CFA), principle component analysis (PCA) and local dependency (LD) statistic. Graded response model was fitted to the data. Contribution of each item to the scale was assessed by item information function (IIF). Reliability of the scale was assessed by test information function (TIF). Differential item functioning (DIF) across gender was identified by Wald test and expected score functions. RESULTS: Both CPQ(11–14) RSF:8 and ISF:8 did not deviate much from the unidimensionality assumption. Results from CFA indicated acceptable fit of the one-factor model. PCA indicated that the first principle component explained >30 % of the total variation with high factor loadings for both RSF:8 and ISF:8. Almost all LD statistic <10 indicated the absence of local dependency. Flat and low IIFs were observed in the oral symptoms items suggesting little contribution of information to the scale and item removal caused little practical impact. Comparing the TIFs, RSF:8 showed slightly better information than ISF:8. In addition to oral symptoms items, the item “Concerned with what other people think” demonstrated a uniform DIF (p < 0.001). The expected score functions were not much different between boys and girls. CONCLUSIONS: Items related to oral symptoms were not informative to OHRQoL and deletion of these items is suggested. The impact of DIF across gender on the overall score was minimal. CPQ(11–14) RSF:8 performed slightly better than ISF:8 in measurement precision. The 6-item short forms suggested by IRT validation should be further investigated to ensure their robustness, responsiveness and discriminative performance. BioMed Central 2015-08-19 /pmc/articles/PMC4544788/ /pubmed/26286333 http://dx.doi.org/10.1186/s12889-015-2133-3 Text en © Yau et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Yau, David TW
Wong, May CM
Lam, KF
McGrath, Colman
Evaluation of psychometric properties and differential item functioning of 8-item Child Perceptions Questionnaires using item response theory
title Evaluation of psychometric properties and differential item functioning of 8-item Child Perceptions Questionnaires using item response theory
title_full Evaluation of psychometric properties and differential item functioning of 8-item Child Perceptions Questionnaires using item response theory
title_fullStr Evaluation of psychometric properties and differential item functioning of 8-item Child Perceptions Questionnaires using item response theory
title_full_unstemmed Evaluation of psychometric properties and differential item functioning of 8-item Child Perceptions Questionnaires using item response theory
title_short Evaluation of psychometric properties and differential item functioning of 8-item Child Perceptions Questionnaires using item response theory
title_sort evaluation of psychometric properties and differential item functioning of 8-item child perceptions questionnaires using item response theory
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4544788/
https://www.ncbi.nlm.nih.gov/pubmed/26286333
http://dx.doi.org/10.1186/s12889-015-2133-3
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