Table 2.
Differential item functioning: measurement bias of ADAS-Cog items with respect to gender (men/women) and status of concomitant AChEI symptomatic therapy (yes/no)
DIF factor | ADAS-Cog item | Bias type |
---|---|---|
Gender | Naming objects & fingers: rattle | d Men < d Women*** |
Gender | Naming objects & fingers: harmonica | d Men < d Women** |
Gender | Constructional Praxis: Cube | d Men < d Women** |
Gender | Remembering test instructions | d Men < d Women*** |
AChEI | Word recall | a Yes < a No*** |
AChEI | Word recognition | a Yes < a No*** |
AChEI | Delayed word recall | a Yes < a No*** |
ADAS-Cog Alzheimer’s disease assessment scale-Cognitive subscale, AChEI acetylcholinesterase inhibitors, DIF differential item functioning, d item intercept/difficulty, a item slope
*indicates the level of significance (**for p-value <10-4 and ***for p-value <10-6)