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Table 3 IRT difficulty parameters for the QLQ-C30 items

From: Ethnic differential item functioning in the assessment of quality of life in cancer patients

Standardized Difficulty

Item

Content

Caucasian

Japanese

Filipino

Hawaiian

χ2(3)

p

01

Physical

1.09

1.64

1.11

0.74

27.7

*

02

Physical

0.72

0.83

0.19

1.11

15.2

*

03

Physical

-1.51

-1.29

-2.35

-0.61

11.1

.01

04

Physical

-1.12

-0.78

-1.24

-0.88

2.3

.51

05

Physical

-2.15

-2.39

-2.97

-2.29

2.5

.47

06

Role

0.81

0.51

0.51

0.61

7.3

.06

07

Role

-1.79

-0.80

-0.73

-0.38

22.2

*

08

Dyspnea

-0.15

-0.01

-0.06

0.17

4.2

.24

09

Pain

0.90

0.89

0.67

0.68

5.3

.15

10

Fatigue

1.50

0.94

1.25

1.02

28.8

*

11

Insomnia

1.05

0.68

0.93

1.02

11.0

.01

12

Fatigue

0.23

0.35

0.51

0.43

5.2

.15

13

Appetite Loss

-0.11

-0.39

0.00

-0.34

5.2

.16

14

Nausea

-0.96

-1.25

-0.30

-0.61

19.4

*

15

Nausea

-2.23

-2.89

-1.35

-3.43

19.5

*

16

Constipation

-0.34

0.01

0.16

0.16

27.2

*

17

Diarrhea

-0.44

-0.55

-0.73

-1.04

12.1

.01

18

Fatigue

1.26

1.20

1.08

1.41

1.3

.72

19

Pain

-0.35

-0.14

-0.13

0.11

9.0

.03

20

Cognitive

-0.42

-0.35

-0.42

-0.24

1.0

.80

21

Emotional

0.44

0.18

0.42

0.01

11.1

.01

22

Emotional

1.18

0.91

1.27

0.56

21.7

*

23

Emotional

0.49

0.51

0.58

0.72

2.5

.47

24

Emotional

0.47

0.30

0.54

-0.03

11.0

.01

25

Cognitive

0.54

0.89

0.13

0.92

30.2

*

26

Social

0.07

0.23

0.21

-0.24

4.7

.19

27

Social

0.71

0.57

0.28

0.23

15.2

*

28

Financial

0.26

0.30

1.12

0.49

47.0

*

29

Physical

0.08

0.14

-0.33

-0.01

15.1

*

30

Overall

-0.22

-0.22

-0.37

-0.31

2.0

.56

  1. Notes. Standardized difficulty parameters are given for each ethnic group. For a given item, values shown in bold are significantly greater than values shown in italics. Values shown in plain type do not differ significantly from other values. The χ2(3) column provides the chi-square value (with 3 degrees of freedom) for the omnibus test for differences in difficulty across all four ethnic groups. The p column is the p-value for the chi-square test. An asterisk (*) indicates that the p-value is less the alpha-value, which was set to 0.0017 (0.05 / 30). Because Rasch modeling was used, all items have equal slope parameters, set to 1.0.