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. 2015 Jul 11;15:637. doi: 10.1186/s12889-015-1958-0

Table 3.

Evaluation of items based on item response theory and confirmatory factor analysis

Correct (%) Item correlation to dimension score Factor loading IRT parameters
Discrimination Difficulty
Dimension 1: Knowledge and attitudes
A01 Prevention of influenza 66.2 0.44 0.37 0.60 −0.82
A02 Hypertension 85.3 0.40 0.35 0.75 −1.78
A03 Health food 88.3 0.28 0.24 0.51 −2.67a
A04 Transfusion 64.4 0.51 0.47 0.80 −0.63
A05 AIDS detection and consultation 92.1 0.32 0.28 0.74 −2.43a
A06 Pregnancy and hazardous job 91.2 0.31 0.25 0.65 −2.54a
A08 Range of body temperature 76.5 0.27 0.20 0.33 −2.25a
A11 Food label 96.7 0.23 0.19 0.74 −3.21a
A15 Health examination 72.8 0.44 0.39 0.68 −1.11
B01 Definition of health 71.5 0.59 0.55 1.18 −0.79
B02 Improve resident’s health 78.4 0.56 0.50 1.19 −1.06
B03 Blood donation 80.4 0.50 0.46 0.99 −1.24
B04 Transmission of hepatitis B 70.7 0.51 0.48 0.83 −0.89
B05 Self-measured blood pressure 51.7 0.50 0.48 0.74 −0.11
B07 Early signals of cancer 60.4 0.59 0.57 1.06 −0.41
B08 Chronic diseases 56.7 0.50 0.49 0.76 −0.32
B09 Management of gas poisoning 80.4 0.49 0.43 0.93 −1.29
B10 Treatment of tuberculosis 80.9 0.40 0.36 0.66 −1.62
B11 Folic acid supplementation 56.5 0.53 0.53 0.85 −0.30
B12 Occupational protection 69.6 0.53 0.48 0.87 −0.81
B13 Iodine deficiency 71.9 0.53 0.51 0.95 −0.87
B14 Pesticide residues 41.0 0.31 0.31 0.40 0.56a
B18 Children immunization 85.4 0.47 0.42 0.99 −1.53
B23 Health knowledge 71.2 0.44 0.41 0.66 −1.04
B26 Warning icons 71.0 0.57 0.55 1.08 −0.80
B31 Adult pulse 72.7 0.49 0.46 0.81 −0.99
B34 Dog bite 90.4 0.29 0.21 0.57 −2.72a
B38 Expired food 87.0 0.46 0.42 1.01 −1.62
C02 Liver function 27.9 0.48 0.52 0.88 0.85
C03 Transmission of tuberculosis 30.4 0.43 0.47 0.72 0.83
C04 Child fever and rash 51.9 0.58 0.59 1.01 −0.12
C05 Osteoporosis 10.8 0.42 0.48 1.41 1.53
C06 Prevention of chronic diseases 43.4 0.55 0.55 0.91 0.20
C07 Health food selection 54.5 0.60 0.62 1.09 −0.21
C08 Dead livestock 70.5 0.52 0.50 0.86 −0.87
C17 Pesticide custody 61.7 0.34 0.29 0.32 −0.90a
D06 Weight control 70.9 0.50 0.47 0.73 −0.38
D07 Obesity-related disease 75.2 0.53 0.53 0.90 −0.86
Dimension 2: Behavior and lifestyle
A07 Fruit and vegetable 75.2 0.40 0.36 0.53 −1.44
A09 Internet addiction 90.4 0.20 0.16 0.29 −4.74a
A10 Child and adolescent depression 87.6 0.37 0.32 0.68 −2.07a
A12 Lack of sleep 92.4 0.30 0.25 0.68 −2.60a
A13 Obtain health knowledge 93.3 0.30 0.26 0.72 −2.61a
A14 Attitude toward chronic diseases 57.0 0.38 0.32 0.41 −0.45a
B06 Smoking 54.9 0.55 0.63 0.83 −0.21
B15 Sport and electrolytes 70.0 0.48 0.44 0.71 −0.90
B16 Mental health 86.0 0.51 0.50 1.34 −1.34
B17 Public health service 46.3 0.56 0.52 0.88 0.12
B19 Fever symptom 79.3 0.42 0.33 0.64 −1.51
B20 Adverse drug reaction 79.0 0.39 0.31 0.57 −1.62a
B21 Health care card for pregnant women 52.6 0.45 0.40 0.57 −0.14
B27 Medical care procedure 71.8 0.57 0.54 1.14 −0.78
B29 House ventilation 65.7 0.50 0.45 0.79 −0.66
B39 Drug addiction 61.1 0.52 0.52 0.76 −0.48
C01 Mental health promotion 50.8 0.58 0.55 0.99 −0.05
C10 Bean products 23.4 0.52 0.49 1.03 1.00
C11 Sport and health 41.5 0.60 0.58 1.10 0.26
C13 Cough and sneeze 32.4 0.51 0.45 0.81 0.70
C14 Length of hospital stay 59.8 0.56 0.54 0.90 −0.39
C15 Management of type 2 diabetes 26.8 0.55 0.50 1.03 0.84
Dimension 3: Skills
B22 Medical institutions 77.4 0.55 0.52 1.12 −0.88
B24 Infectious diseases 78.2 0.58 0.55 1.35 −0.82
B25 Food poisoning 78.6 0.57 0.54 1.36 −0.85
B28 OTC drugs 37.3 0.54 0.51 0.59 1.05
B30 Reading a thermometer 51.2 0.59 0.56 0.80 0.18
B32 Prenatal examination 41.2 0.44 0.39 0.38 1.05
B33 Condoms and STDs 84.2 0.52 0.51 1.19 −1.13
B35 Slight burns and scalds 70.9 0.49 0.44 0.69 −0.80
B36 Fire escape 77.8 0.46 0.41 0.66 −1.24
B37 Bleeding wound management 22.7 −0.04 −0.16 0.03 0.00a
B40 Electrical injury 70.6 0.43 0.40 0.42 −1.04
C09 Cardiopulmonary resuscitation 53.7 0.65 0.65 1.06 0.09
C12 Diabetes 43.8 0.51 0.46 0.53 0.60
C16 Brest feeding 42.3 0.51 0.50 0.56 0.70
C18 Lightning storms 76.9 0.44 0.40 0.58 −1.23
D01 Indications of amoxicillin 25.0 0.55 0.54 0.86 1.42
D02 Use of amoxicillin 64.4 0.50 0.43 0.55 −0.38
D03 Adverse reaction of amoxicillin 54.2 0.65 0.62 1.07 0.05
D04 Calculation of BMI 41.8 0.62 0.58 0.94 0.60
D05 Classification of BMI 45.7 0.59 0.53 0.77 0.46

aItems that met two or more criteria for deletion were removed