Self-Scoring Key for Galveston Orientation and Amnesia Text


0    10    20    30    40    50 |  60    70    80    90   100   HARDER ITEMS

|-----+-----+-----+-----+-----+-----+-----+-----+-----+-----|

|                               |       [0]     :           1 16. when admitted here

|                               |   [0]     :      1        | 15. details on first memory

|                               | [0]     :      1          | 14. detail on last memory

|                             [0]     :      1              | 13. got here how

|                            [0]|    :      1               | 12. first memory after injury

|                             0 |    :     [1]              | 11. last memory before injury

|                          0    | :     [1]                 | 10. day of month-now

|                     0      :  |  [1]                      | 9. time-now

|                [0]     :      |1                          | 8. day of week-now

|                 0     :      [1]                          | 7. where now-hospital

|                0     :       [1]                          | 5. month-now

|             0     :      [1]  |                           | 4. where now-city

|           0     :      [1]    |                           | 3. year-now

|                               |                           |

|                [0]    :      1|                           | 6. when born

|       0      :      [1]       |                           | 2. where live

0    :      [1]                 |                           | 1. name

|-----+-----+-----+-----+-----+-----+-----+-----+-----+-----|

0    10    20    30    40    50 |  60    70    80    90   100   EASIER ITEMS

<-- More Impaired               |           Less Impaired -->

                          Person Measure
Score on GOAT Patient
Measure		 Guttman Item Location Item
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16		 0 (Extreme)
7
18
25
31
36
40
45
49
53
58
62
67
72
79
89
97 (Extreme)		 0 (Extreme)
12
22
28
33
38
42
47
51
55
60
64
69
75
84
97 (Extreme)		 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Table 1. Measures and Locations

Guttman and the KeyGoat Self-scoring Form

Constructing a self-scoring form for dichotomous items is a challenge. For rating scales, category expectations provide useful locations for the rating points, e.g., KeyFIM (RMT 9:3, p. 454). To generate these, I use WINSTEPS, Table 2:2. With dichotomous items, however, the category expectations are infinite. Finite approximations, used in Figure 1 (the KeyGOAT), do not lead to a practical self scoring form. There is no simple way to see an estimate measures from circled item responses.

Guttman to the rescue! A Guttman-style item location map (RMT 10:2 p. 492) uses response-level information in different way. To construct such a map, produce a score-to-measure conversion table for the complete test. Order the test items by measure. Then advance through the person measure table placing the items, in order, at about halfway between the patient measures. This constructs the linear equivalent of a scalogram. The median position along the line that minimizes reversals estimates the person measure. For short tests, impute missing responses based on your clinical knowledge of the patients.

Table 1 is the score-to-measure conversion table for the KeyGoat. The Guttman locations of the 16 items are also shown. The extreme items are located at the extreme person measures; other items are located midway between the person measures. The corresponding KeyGoat is shown in Figure 2. In each response box, when correct, and when incorrect. The median (not average) location which balances the number of successes and failures corresponds to the person measure. As with other self-scoring forms unexpected responses and aberrant patterns are immediately obvious.

Rita Bode
Rehabilitation Institute of Chicago

Self-Scoring Guttman-style KeyGOAT

0    10    20    30    40    50 |  60    70    80    90   100   HARDER ITEMS

|-----+-----+-----+-----+-----+-----+-----+-----+-----+-----|

|                               |                         0 | 16. when admitted here

|                               |                 0         | 15. details on first memory

|                               |            0              | 14. detail on last memory

|                               |         0                 | 13. got here how

|                               |      0                    | 12. first memory after injury

|                               |   1                       | 11. last memory before injury

|                               |1                          | 10. day of month-now

|                             1 |                           | 9. time-now

|                           0   |                           | 8. day of week-now

|                         1     |                           | 7. where now-hospital

|                   1           |                           | 5. month-now

|                1              |                           | 4. where now-city

|            1                  |                           | 3. year-now

|                               |                           |

|                      0        |                           | 6. when born

|      1                        |                           | 2. where live

1                               |                           | 1. name

|-----+-----+-----+-----+-----+-----+-----+-----+-----+-----|

0    10    20    30    40    50 |  60    70    80    90   100   EASIER ITEMS

<-- More Impaired               |           Less Impaired -->

                         Patient Measure

Self-Scoring Key for Galveston Orientation and Amnesia Text Bode, R. … Rasch Measurement Transactions, 1999, 13:1 p. 680



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