基于项目反应理论的汉语版西方失语症成套测试初探

高婧; 林枫

doi:10.3969/j.issn.1672-4933.2025.03.013

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基于项目反应理论的汉语版西方失语症成套测试初探

临床研究 | 更新时间：2025-05-12

- 基于项目反应理论的汉语版西方失语症成套测试初探
- Preliminary Investigation to Western Aphasia Battery-Chinese: Based on Item Response Theory
- 中国听力语言康复科学杂志 2025年23卷第3期页码：281-286
- 作者机构：
  
  南京医科大学附属逸夫医院南京 211100
- 作者简介：
  
  高婧硕士主管技师；研究方向：失语症评估与治疗
  林枫，E-mail：peterduus@njmu.edu.cn
- 基金信息：
  
  国家自然科学基金资助项目(81672255);南京医科大学科技发展基金(NMUB20210350)
- DOI：10.3969/j.issn.1672-4933.2025.03.013
  中图分类号： G766
- 收稿日期：2024-03-13，
  
  纸质出版日期：2025-05-15
- 稿件说明：
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高婧,林枫.基于项目反应理论的汉语版西方失语症成套测试初探[J].中国听力语言康复科学杂志,2025,23(03):281-286.

GAO Jing,LIN Feng.Preliminary Investigation to Western Aphasia Battery-Chinese: Based on Item Response Theory[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(03):281-286.
高婧,林枫.基于项目反应理论的汉语版西方失语症成套测试初探[J].中国听力语言康复科学杂志,2025,23(03):281-286. DOI： 10.3969/j.issn.1672-4933.2025.03.013.

GAO Jing,LIN Feng.Preliminary Investigation to Western Aphasia Battery-Chinese: Based on Item Response Theory[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(03):281-286. DOI： 10.3969/j.issn.1672-4933.2025.03.013.

摘要

目的

开发基于项目反应理论的汉语失语症简版评估工具，验证其心理测量学特性。

方法

纳入116例受试者，从汉语版西方失语症成套测试精选100项测试任务，运用摩肯（Mokken）量表分析构建非参数型模型，筛选符合参数型项目反应理论建模的题目，并建立四参数（区分度、难度、猜测度和谨慎度）模型。通过模型拟合比较选出最优模型，得到语言能力评分转换表。

结果

最终由66项题目构建四参数逻辑斯蒂模型和简版言听测试。该模型具有良好的内部一致性信度（Cronbach’s α=0.971）和高潜在类别信度（LCRC=0.981）。模型估算的语言功能水平（θ值）与原始分数显著相关（

=0.85，

0.001），且与失语商呈显著相关（

=0.39，

0.001）。人项图实现了治疗靶点可视化定位，为制订个体化干预方案提供依据。

结论

简版言听测试具有良好的心理测量学特征，可用于失语症临床评估。四参数项目反应模型实现了评估治疗衔接的精准对接。

Abstract

Objective

To develop a shortened WAB-C version (PNAT) using IRT for efficient aphasia assessment.

Methods

We selected 100 items from WAB-C (yes/no question

word recognition

and object naming) and then applied Mokken scale analysis to building a Monotone homogeneity model (MHM). Optimized 4-parametric IRT model was selected through model-data fitting and model-model comparison.

Results

The sample contained 116 individuals. The optimum pIRM was a 4-parametric logistic model (4PLM) composed of 66 items. The dichotomous 66-item form had good reliability with Cronbach'sα=0.9707 and latent class reliability coefficient (LCRC)=0.9817. The values of person ability (θ) were estimated. Clinical insights from the item-person mapping were discussed with a specific case.

Conclusion

The 66-item shortened WAB-C offers a new option for the efficient application in clinical scenarios. The IRT-driven 4PLM bridges evaluation to personalize therapy planning.

关键词

Keywords

references

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