This study explored the utility of logistic mixed models for the analysis of differential item functioning when item response data were testlet-based. Decomposition of differential item functioning (DIF) into item level and testlet level for the testlet-based data was introduced to separate possible sources of DIF: (1) an item, (2) a testlet, and (3) both the item and the testlet. Simulation study was conducted to investigate the performance of several logistic mixed models as well as the Mantel-Haenszel method under the conditions, in which the item-related DIF and testlet-related DIF were present simultaneously. The results revealed that a new DIF model based on a logistic mixed model with random item effects and item covariates could capture the item-related DIF and testlet-related DIF well under certain conditions.
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Int J Public Health
January 2025
Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Objectives: Research questions about how and why health trends differ between populations require decisions about data analytic procedure. The objective was to document and compare the information returned from stratified, fixed effect and random effect approaches to data modelling for two prototypical descriptive research questions about comparative trends in toothbrushing.
Methods: Data included five cycles of the Health Behaviour in School-aged Children 2006 to 2022, which provided a sample of 980192 11- to 15- year olds from 35 countries.
J Geriatr Emerg Med
December 2024
Geriatric Research Education and Clinic Center, James J. Peters VA Medical Center, 130 W Kingsbridge Rd, Bronx, NY 10468 & Department of Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY 10029.
Background: Older adults treated in emergency departments (EDs) are at higher risk for adverse outcomes. Using multiple facilities can worsen this issue through service duplication and poor care transitions. Veterans with dual insurance coverage can access both Veterans Health Administration (VHA) and non-VHA EDs.
View Article and Find Full Text PDFPan Afr Med J
October 2024
Institut de Recherche Clinique du Bénin (IRCB), Abomey-Calavi, Benin.
Introduction: despite the considerable progress made to date, access to health care in public health facilities remains a challenging public health problem in Benin. This study aimed to assess trends in access to care over five years and to identify factors associated with low access to care.
Methods: a cross-sectional community-based study was conducted in the Bopa district, a rural area of southern Benin between January and February 2020.
Proc ACM Interact Mob Wearable Ubiquitous Technol
March 2022
Northeastern University, Boston, MA.
Ecological momentary assessment (EMA) is used to gather self-report on behaviors using mobile devices. Microinteraction EMA (μEMA), is a type of EMA where each survey is that can be answered with a glanceable microinteraction on a smartwatch. Prior work shows that even when μEMA interrupts far more frequently than smartphone-EMA, μEMA yields higher response rates with lower burden.
View Article and Find Full Text PDFCan Pharm J (Ott)
January 2025
Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, AB.
Purpose: As the scope of practice continues to evolve for pharmacists, professional abstinence is being observed by students in workplaces and practicums. Professional abstinence is defined as "consciously choosing not to provide the full scope of patient care activities". Exposure of students to professional abstinence may cause cognitive dissonance, as they are challenged by practices that do not match what they are taught in school.
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