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題名：測量工具的效度與信度
書刊名：臺灣公共衛生雜誌
作者：李中一
作者(外文)：Li, Chung-yi
出版日期：2004
卷期：23:4
頁次：頁272-281
主題關鍵詞：測量誤差；效度；信度；流行病學；偏差；Reliability；Validity；Epidemiology；Bias；Measurement error
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(7) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:7
  • 共同引用共同引用:33
  • 點閱點閱:170
　　　　　目標：介紹測量工具的信度與效度概念與評估的方法，討論使用缺乏信度與效度的工具對研究結果的影響，並針對某些測量實務上的議題提出建議。方法：透過文獻探討，摘要其內容，列舉實例或假想之數據，說明測量工具的信度與效度概念及其評估方法。結果：測量工具效度的高低取決於測量所牽涉系統誤差大小，而信度大小則與隨機誤差有關；評估測量工具信效度的方法依測量資料的屬性而定，而流行病學研究將會因為所使用測量工具的信效度不完善而產生訊息偏差，此偏差的程度與方向則與測量誤差的本質有關。結論：研究者在使用測量工具前有必要選擇適當的方法評估其相關之效度與信度，以了解使用該測量工具對研究結果的可能影響，如此方能對研究結果作正確的闡釋。
　　　　　Objectives: This paper illustrates the concept of validity and reliability associated with an instrument and how the validity and reliability are assessed. We also included a discussion on how an instrument with unsatisfactory validity and reliability may affect study results, and provide suggestions for certain practical problems encountered by investigators. Methods: We reviewed the literature and provided real-world or hypothetical examples. Results: The level of validity of an instrument is related to the magnitude of systematic errors associated with that instrument, while the level of magnitude of reliability is determined solely by the degree of random errors involved in the measurement. The choices of methods used for the assessment of validity and reliability depend on the attribute of research data. Results from epidemiological studies that used an instrument with non-perfect validity and reliability might entail certain degrees of bias, for which the direction and magnitude are associated with the nature of measurement errors. Conclusions: Researchers should assess, using appropriate methods, the validity and reliability of an instrument before it can be used. This would help to appreciate the potential effects on the study results caused by measurement errors, and lead to correct interpretations of the study results.
期刊論文
1.Correa-Villasenor, A.、Stewart, W. F.、Franco-Marina, F.、Seacat, H.(1995)。Bias from non-differential misclassification in case-control studies with three exposure levels。Epidemiology，6，276-281。  new window
2.Bland, J. M.、Altman, D. G.(1986)。Statistical methods for assessing agreement between two methods of clinical measurement。The Lancet，8(1)，307-310。  new window
3.全中妤、杜宗禮、葉文裕、李中一(20020400)。臺灣旅館業餐飲人員工作動作特性與肌肉骨骼傷病之橫斷式研究。臺灣公共衛生雜誌，21(2)，140-149。new window  延伸查詢new window
4.Cohen, Jacob(1968)。Weighted kappa: Nominal scale agreement with provision for scaled disagreement or partial credit。Psychological Bulletin，70(4)，213-220。  new window
5.Cohen, Jacob(1960)。A Coefficient of Agreement for Nominal Scales。Educational and Psychological Measurement，20(1)，37-46。  new window
6.臺灣版世界衛生組織生活品質問卷發展小組(20000800)。臺灣版世界衛生組織生活品質問卷之發展簡介。中華公共衛生雜誌，19(4)，315-324。new window  延伸查詢new window
7.Rookus, M. A.、Van Leeuwen, F. E.(1996)。Induced abortion and risk for breast cancer: Reporting (recall) bias in a Duch case-control study。Journal of the National Cancer Institute，88，1759-1764。  new window
8.Li, C. Y.、Theriault, G.、Lin, R. S.(1997)。A validity analysis of residential magnetic fields estimated from high-voltage transmission lines。J Expo Anal Environ Epidemiol，7，493-504。  new window
9.Theriault, G.、Li, C. Y.(1997)。Risks of leukemia among residents close to high voltage transmission electric lines。Occup Environ Med，54，625-628。  new window
10.Coughlin, M. T.、LaPorte, R. E.、O'Leary, L. A.、Lee, P. A.(1998)。How accurate is male recall of reproductive information?。American Journal of Epidemiology，148，806-809。  new window
11.Lin, L.(1989)。A concordance correlation coefficient to evaluate reproducibility。Biometrics，45，255-268。  new window
12.Lin, L.、Hedayat, A. S.、Sinha, B.、Yang, M.(2002)。Statistical methods in assessing agreement: Models, issues, and tools。J Am Stat Assoc，97，257-270。  new window
13.Wu, S. C.、Li, C. Y.、Ke, D. S.(2000)。The agreement between self-reporting and clinical diagnosis for selected medical conditions among the elderly in Taiwan。Public Health，114，137-142。  new window
14.Maclure, M.、Willett, W.(1987)。Misinterpretation and misuse of the kappa statistic。American Journal of Epidemiology，126，161-169。  new window
15.Fleiss, J. L.(1975)。Measuring agreement between two judges on the presence or absence of a trait。Biometrics，31，651-659。  new window
16.Newell, D. J.(1962)。Errors in the interpretation of errors in epidemiology。American Journal of Public Health，52，1925-1928。  new window
17.李中一、張恭賀、馮兆康、吳淑瓊(1999)。職業別譯碼之一致性分析。中華公共衛生雜誌，18，255-261。new window  延伸查詢new window
18.Li, C. Y.、Chen, K. R.、Wu, C. H.、Sung, F. C.(2001)。Job stress and dissatisfaction in relation to the development of nonfatal injuries on the job among a cross-sectional sample of petrochemical workers。Occup Med，51，50-55。  new window
19.Copeland, K. T.、Checkoway, H.、McMichael, A. J.、Holbrook, R. H.(1977)。Bias due to misclassification in the estimation of relative risk。American Journal of Epidemiology，105，488-495。  new window
20.Gullen, W. H.、Bearman, J. E.、Johnson, E. A.(1968)。Effects of misclassification in epidemiologic studies。Public Health Rep，83，914-918。  new window
21.Li, C. Y.、Sung, F. C.、Wu, S. C.(2002)。Risk of cognitive impairment in relation to elevated exposure to electromagnetic fields。Journal of Occupational and Environmental Medicine，44，66-72。  new window
22.Newble, D. I.、Hoare, J.、Sheldrake, P. F.(1980)。The selection and training of examiners for clinical examinations。Med Edu，4，345-349。  new window
圖書
1.王榮德(1990)。流行病學方法論－猜測與否證的研究。臺北市：國立臺灣大學醫學院出版委員會。  延伸查詢new window
2.姚開屏、世界衛生組織生活品質問卷臺灣版問卷發展小組(2001)。臺灣版世界衛生組織生活品質問卷之發展及使用手冊。臺北：臺灣版世界衛生組織生活品質問卷發展小組。  延伸查詢new window
3.Anastasi, Anne、Urbina, Susana、危芷芬(1999)。心理測驗。臺北市：雙葉書廊。  延伸查詢new window
4.Rothman, K. J.(1986)。Modern Epidemiology。Boston：Little, Brown and Company。  new window
5.林清山(1999)。心理與教育統計學。台北：東華書局。  延伸查詢new window
6.Kelsey, Jennifer L.、Thompson, W. Douglas、Evans, Alfred S.(1986)。Methods in Observational Epidemiology。New York, NY：Oxford University Press。  new window
7.Streiner, D. L.、Norman, G. R.(1989)。Health Measurement Scales - A Practical Guide to Their Development and Use。New York, NY：Oxford University Press。  new window
8.Kaplan, Robert M.、Saccuzzo, P.(1989)。Psychological Testing: Principles, Applications, and Issues。Pacific Grove, CA。  new window
 
 
 
 
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