Publications by authors named "Marjorie Kleinman"

Article Synopsis
  • - The text discusses various methods for examining differential item functioning (DIF) in PROMIS measures, focusing on the impact of multidimensional modeling and the challenges like anchor item selection that can arise during analysis.
  • - It compares the unidimensional and multidimensional item response theory (MIRT) models in detecting DIF, using gender as a grouping variable with the IRT-LRT method on real data.
  • - Findings indicate that the MIRT approach flags more items as having DIF compared to unidimensional models, suggesting that while both approaches have similar error rates, MIRT has a greater power for detection.
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Objective: To assess differential item functioning (DIF) in an item pool measuring the mobility of hospitalized patients across educational, age, and sex groups.

Design: Measurement evaluation cohort study. Content experts generated DIF hypotheses to guide the interpretation.

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Article Synopsis
  • - The study assessed the challenges in evaluating applied cognition in hospitalized patients and utilized differential item functioning (DIF) analyses to enhance a computerized adaptive test (CAT) for this population.
  • - Researchers analyzed 107 cognitive assessment items across various demographics (age, sex, education) with a sample of 2,216 patients, finding high reliability yet identifying significant DIF in many items, especially related to age.
  • - The results indicated a mix of usable and problematic items for the CAT, leading to recommendations for adjustments or removals of the most biased items, ultimately aiming to support effective patient rehabilitation strategies.
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Objectives: The Perceived Stress Scale (PSS) is the most widely used measure of perceived stress; however, minimal psychometric evaluation has been performed among Hispanic respondents, and even less among Hispanic caregivers to persons with Alzheimer's disease and related disorders (ADRDs).

Design: Secondary data analysis.

Setting: New York City, NY, USA.

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Objective: Although the psychometric properties of the Family Satisfaction with End-of-Life Care measure have been examined in diverse settings internationally; little evidence exists regarding measurement equivalence in Hispanic caregivers. The aim was to examine the psychometric properties of a short-form of the FAMCARE in Hispanics using latent variable models and place information on differential item functioning (DIF) in an existing family satisfaction item bank.

Method: The graded form of the item response theory model was used for the analyses of DIF; sensitivity analyses were performed using a latent variable logistic regression approach.

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Quality of life assessment includes measurement of positive affect. Methods artifacts associated with positively and negatively worded items can manifest as negative items loading on a second factor, despite the conceptual view that the items are measuring one underlying latent construct. Negatively worded items may elicit biased responses.

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Unlabelled: Reducing the response burden of standardized pain measures is desirable, particularly for individuals who are frail or live with chronic illness, e.g., those suffering from cancer and those in palliative care.

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Measures of magnitude and impact of differential item functioning (DIF) at the item and scale level, respectively are presented and reviewed in this paper. Most measures are based on item response theory models. Magnitude refers to item level effect sizes, whereas impact refers to differences between groups at the scale score level.

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Unlabelled: This is the first study of the measurement equivalence of the Patient Reported Outcomes Measurement Information System (PROMIS) Anxiety short forms in a large ethnically diverse sample. The psychometric properties and differential item functioning (DIF) were examined across different racial/ethnic, educational, age, gender and language groups.

Methods: These data are from individuals selected from cancer registries in the United States.

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Unlabelled: Short form measures from the Patient Reported Outcomes Measurement Information System (PROMIS) are used widely. The present study was among the first to examine differential item functioning (DIF) in the PROMIS Depression short form scales in a sample of over 5000 racially/ethnically diverse patients with cancer. DIF analyses were conducted across different racial/ethnic, educational, age, gender and language groups.

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Aims: The goals of these analyses were to examine the psychometric properties and measurement equivalence of a self-reported cognition measure, the Patient Reported Outcome Measurement Information System (PROMIS) Applied Cognition - General Concerns short form. These items are also found in the PROMIS Cognitive Function (version 2) item bank. This scale consists of eight items related to subjective cognitive concerns.

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Background: The Family Satisfaction with End-of-Life Care is an internationally used measure of satisfaction with cancer care. However, the Family Satisfaction with End-of-Life Care has not been studied for equivalence of item endorsement across different socio-demographic groups using differential item functioning.

Aims: The aims of this secondary data analysis were (1) to examine potential differential item functioning in the family satisfaction item set with respect to type of caregiver, race, and patient age, gender, and education and (2) to provide parameters and documentation of differential item functioning for an item bank.

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