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Reliability & Validity 2014 Seminar (abridged PDF

20 Pages·2014·0.66 MB·English
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Preview Reliability & Validity 2014 Seminar (abridged

how good is the Instrument? Dr Dean McKenzie BA(Hons) (Psychology) PhD (Psych Epidemiology) Senior Research Fellow (Abridged Version) Full version to be presented July 2014 __ deanmckenzieconsulting.com (c)2014 1 Goals To briefly summarize the basic tools and concepts needed to answer the question ‘Is this instrument any good?’ Mainly Psych instrument examples (my but also applies to instruments background) from other health areas __ deanmck enzieconsulting.com (c)2014 2 Psycho-Statistical Inventions Cohen’s effect size / kappa / power analysis Cronbach’s alpha (internal consistency) factor analysis (1904) item response theory, Rasch modelling, partial credit Likert scale , semantic differential McNemar’s test Spearman correlation Test reliability Types of data: nominal, ordinal, interval, ratio (Stanley Smith Stephens, Science 1946, 103: 677-680) (list partly based on Cohen et al (2013) __ deanmckenzieconsulting.com (c)2014 3 numbers into Information F First female A ‘coxcomb’ or ‘polar area’ diagram member of the Royal Rehmeyer J (2008) Florence Nightingale: the passionate Statistical statistician. ScienceNews, 26 November. 2008 Society __ deanmckenzieconsulting.com (c)2014 4 A typical Instrument, the Kessler Psychological Distress Scale (K10) Developed in US , tested in Australia, by Ronald Kessler et al employed in Victorian Population Health Survey, Australian National Health Surveys etc 10 questions such as ‘in the past 4 weeks, about how often did you feel worthless’ and ‘in the past 4 weeks, about how often did you feel nervous’ Similar in scope GHQ (General Health to David Goldberg’s Questionnaire, 1972) but K10 is public domain (GHQ licensed by NFER-Nelson) Andrews G, Slade T (2001) Australian and New Zealand Journal of Public Health, 25, 6: 494-497 http://www.blackdoginstitute.org.au/docs/5.k10withinstructions.pdf __ deanmckenzieconsulting.com (c)2014 5 Determining instrument/test Quality • Is this instrument any good? Reliability: Does it give consistent results, across different raters / situations? Validity: Does it measure what it is supposed to? • Does instrument measure what it is supposed to, consistently and well, in the population(s) that it is applied to, here & now __ deanmckenzieconsulting.com (c)2014 6 Test Reliability = Repeatability or consistency • Test-retest: Should achieve same scores, each time (if testing characteristics that are stable across time, such as intelligence, personality, rather than less stable characteristics, such as mood, pain levels but even then, stability may be an unrealistic assumption, ) Cohen et al 2013 • Inter-rater: Different interviewers / raters should reach same conclusions / score levels __ deanmckenzieconsulting.com (c)2014 7 Measuring Test Reliability • Measured by intraclass* correlation, should be 0.70 and above (1.0 is maximum) • (e.g. if rater A’s scores are 1,3,5 and rater B’s scores are 2,4,6 (Karl) Pearson correlation would be 1.0 (perfect), but the raters never actually assign same score!) intraclass correlation often used for reliability & (Jacob) Cohen’s kappa* chance-corrected for binary/categorical measures (*please see Streiner & Norman 2008 for more details) __ deanmckenzieconsulting.com (c)2014 8 Reliability? Internal consistency? • Split half: correlation between first half of test/instrument and second half, or between odd numbered and even numbered items, should be 0.70 or above • (Lee) Cronbach’s alpha: equivalent to the average of all possible split halves of instrument, should be 0.70 or above • Cronbach’s alpha size is affected by number of items, and although everyone reports it, may not be sure what it actually means! __ deanmckenzieconsulting.com (c)2014 9 Internal consistency: Alpha ‘Virtually every published measure … will have adequate to good internal consistency’ (alpha) Miles J & Gilbert P (2005) A handbook of research methods for clinical & health psychology. Oxford. p. 100. Choosing a test merely on basis of Cronbach’s alpha is a bit like choosing a restaurant on basis of whether the chefs wash their hands (can only hope that they all do so!) __ deanmckenzieconsulting.com (c)2014 10

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Statistical. Society. A 'coxcomb' or 'polar area' diagram. Rehmeyer J (2008) Florence . Harris M, Taylor G (2008) Medical statistics made easy.
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