ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2022
The Crit coefficient in Mokken scale analysis: a simulation study and an application in quality-of-life research.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 10 citations in OpenAlex.
- Do complex psychometric analyses really matter? Comparing multiple approaches using individual participant data from antidepressant trials.Psychological medicine · 2025Article
- Dysphagia-Specific Instrument Based on Item Response Theory and International Classification of Functioning, Disability and Health.Dysphagia · 2025Article
- Psychometric validation of ICF Rehabilitation Set-17 through item response theory and network analysis: implications for standardized functioning assessment in Chinese inpatient rehabilitation.European journal of physical and rehabilitation medicine · 2025Article
- Advances in nonparametric item response theory for scale construction in quality-of-life research.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Review
- Non-parametric measurement for patient-reported outcomes.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
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3 authors at 1 institution in 2 countries.
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Abstract
purposeIn Mokken scaling, the Crit index was proposed and is sometimes used as evidence (or lack thereof) of violations of some common model assumptions. The main goal of our study was twofold: To make the formulation of the Crit index explicit and accessible, and to investigate its distribution under various measurement conditions.
methodsWe conducted two simulation studies in the context of dichotomously scored item responses. We manipulated the type of assumption violation, the proportion of violating items, sample size, and quality. False positive rates and power to detect assumption violations were our main outcome variables. Furthermore, we used the Crit coefficient in a Mokken scale analysis to a set of responses to the General Health Questionnaire (GHQ-12), a self-administered questionnaire for assessing current mental health.
resultsWe found that the false positive rates of Crit were close to the nominal rate in most conditions, and that power to detect misfit depended on the sample size, type of violation, and number of assumption-violating items. Overall, in small samples Crit lacked the power to detect misfit, and in larger samples power differed considerably depending on the type of violation and proportion of misfitting items. Furthermore, we also found in our empirical example that even in large samples the Crit index may fail to detect assumption violations. DISCUSSION: Even in large samples, the Crit coefficient showed limited usefulness for detecting moderate and severe violations of monotonicity. Our findings are relevant to researchers and practitioners who use Mokken scaling for scale and questionnaire construction and revision.
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