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Biomedical subjects

Nikolaus Bezruczko

Publications and source records attributed to Nikolaus Bezruczko.

4 recordsLinked to original sources

Relative precision, efficiency and construct validity of different starting and stopping rules for a computerized adaptive test: the GAIN substance problem scale.

Substance abuse treatment programs are being pressed to measure and make clinical decisions more efficiently about an increasing array of problems. This computerized adaptive testing (CAT) simulation examined the relative efficiency, precision and construct validity of different starting and stopping rules used to shorten the Global Appraisal of Individual Needs' (GAIN) Substance Problem Scale (SPS) and facilitate diagnosis based on it. Data came from 1,048 adolescents and adults referred to substance abuse treatment centers in 5 sites. CAT performance was evaluated using: (1) average standard errors, (2) average number of items, (3) bias in person measures, (4) root mean squared error of person measures, (5) Cohen's kappa to evaluate CAT classification compared to clinical classification, (6) correlation between CAT and full-scale measures, and (7) construct validity of CAT classification vs. clinical classification using correlations with five theoretically associated instruments. Results supported both CAT efficiency and validity.

Adolescent↗

Rasch analysis of a new construct: functional caregiving for adult children with intellectual disabilities.

This research examined empirical evidence for a new construct, Functional Caregiving, which is a theory about mothers' caregiving of their adult children with intellectual disabilities. A sample of 108 biological mothers and primary caregivers rated survey items about their confidence to perform caregiving tasks. Rasch rating scale analysis found 61 items defined an empirical construct with three caregiving levels: Advocacy, Personal Caregiving, and Community. Results show item separation was 3.11 with high reliability, .91, and mother separation was 2.93 and reliability, .90. Both items and mothers showed adequate INFIT and OUTFIT values. Item invariance was confirmed between older and younger mothers, and principle components analysis of item residuals did not reveal any major dimensionality threats. Item decomposition analysis showed FC content theory to account for 58 percent of item calibration variance (R2 = .58, F = 42.3, p < .001). These results have important practical implications for health and social services, as well as family caregiving, interdisciplinary practices, and health policy development.

Adult↗

Breakthrough measuring neighborhoods.

An empirical strategy is presented for transforming ordinal counts and percentages to interval scale measures by recoding them as ordered categories and estimating Rasch model rating scale parameters. This strategy is demonstrated for a neighborhood construct socioeconomic disadvantage operationally defined by eight characteristics of Chicago neighborhoods (N = 77). Results show surprisingly sound model fit and satisfactory scale invariance between 1980 and 1990 census. A striking finding obscured by traditional methods is many Chicago neighborhoods are four times more disadvantaged than official U.S. poverty threshold. Intramodel construct validation confirms this scale structure is consistent with sociological expectations about property values, income, and race. A general benefit of this approach over conventional categorical socioeconomic indices is neighborhood measurement on a linear scale.

Chicago↗

A multi-factor Rasch scale for artistic judgment.

Measurement properties are reported for a combined scale of abstract and figurative artistic judgment aptitude items. Abstract items are synthetic, rule-based images from Visual Designs Test which implements a statistical algorithm to control design complexity and redundancy, and figurative items are canvas paintings in five styles, Fauvism, Post-Impressionism, Surrealism, Renaissance, and Baroque especially created for this research. The paintings integrate syntactic structure from VDT Abstract designs with thematic content for each style at four levels of complexity while controlling redundancy. Trained test administrators collected preference for synthetic abstract designs and authentic figurative art from 462 examinees in Johnson O'Connor Research Foundation testing offices in Boston, New York, Chicago, and Dallas. The Rasch model replicated measurement properties for VDT Abstract items and identified an item hierarchy that was statistically invariant between genders and generally stable across age for new, authentic figurative items. Further examination of the figurative item hierarchy revealed that complexity interacts with style and meaning. Sound measurement properties for a combined VDT Abstract and Figurative scale shows promise for a comprehensive artistic judgment construct.

Algorithms↗