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项目反应理论及其在健康测量中的应用
作者姓名:Wu  DR
作者单位:广州中医药大学第二附属医院广东省中医院临床流行病学应用研究室,广东广州510120
基金项目:国家重点基础研究发展计划(973计划)资助项目(No.2011CB505404);国家中医药管理局公益性行业科研专项资助项目(No.200707004);广东省财政厅资助项目(No.粤财2120061143号)
摘    要:本文简要介绍并系统回顾了以项目反应理论(item response theory,IRT)为代表的现代测验理论在健康测量领域中的应用过程及方面,包括构建项目库、量表的完善与修订、计算机适应测验及其他应用研究等,并对其应用于健康测量时可能的益处及应用中应注意的问题进行了阐述,提出将IRT应用于病人报告结局研究时在稳健性和可行性方面尚需进一步做的工作。基于IRT和计算机适应测验的健康评测研究成果将在包含中医及中西医结合在内的临床实践中得到更广泛的应用。

关 键 词:现代测验理论  项目反应理论  健康测量  综述

Modern testing theory and its application in the field of health measurement
Wu DR.Modern testing theory and its application in the field of health measurement[J].Journal of Chinese Integrative Medicine,2012,10(3):271-278.
Authors:Wu Da-rong
Institution:The Second Affiliated Hospital (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou University of Chinese Medicine, Guangdong Province, China. drdarongwu@gmail.com
Abstract:This paper briefly introduces item response theory (IRT) as a typical representation of modern testing theory (MTT), and systematically reviews the processes and contents of the application of IRT in the area of health measurement, including, for example, item bank development, scale revision and computerized adaptive testing. The author presents the potential benefits and the notable problems during health measuring by IRT. Then, the author asserts the need for thorough assessment of feasibility when using the IRT in patient-reported outcome research. Further research based on IRT and computerized adaptive testing in health measurement will be carried out in the field of medical care including traditional Chinese medicine and integrative medicine.
Keywords:modern testing theory  item response theory  health measurement  reviews
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