Results

Ordinal Reliability

Ordinal Alpha
raw_alphastd.alphaG6(smc)average_rSNmedian_r
0.7940.7940.8730.0993.8490.109

 

Ordinal Omega
omega_homega.limalphaomega.totG6
0.6000.6380.9210.9390.942

 

^ Berikut ini adalah analisis reliabilitas MHI dengan mengasumsikan bahwa aitem-aitem dalam MHI merupakan data ordinal. Ada dua analisis yang dilakukan, yakni Cronbach's α dan McDonald's ω. Yang terakhir lebih cocok digunakan karena alat ukur melanggar asumsi τ equivalence, yaitu masing-masing aitem berkontribusi tidak setara dalam menjelaskan konstruk.
Cara melaporkan reliabilitas:
Dengan menggunakan teknik analisis reliabilitas McDonald's ω, reliabilitas Mental Health Inventory secara umum, diketahui cukup memuaskan (ωh=0,60).

TestROC

Procedure Notes

The TestROC optimal cutpoint analysis has been completed using the following specifications:

 

Measure Variable(s): MentalHealthIndex

Class Variable: srq_diagnostik

Positive Class: 1

 

Method: maximize_metric

All Observed Cutpoints: FALSE

Metric: sum_sens_spec

Direction (relative to cutpoint): >=

Tie Breakers: c

Metric Tolerance: 0.05

 

For more information on how calculations are performed and interpretting results, please see the documentation

Results Table

Scale: MentalHealthIndex
CutpointSensitivity (%)Specificity (%)PPV (%)NPV (%)Youden's indexAUCMetric Score
12172.96%51.18%34.3%84.42%0.2410.6911.241
12270.35%55.42%35.53%84.26%0.2580.6911.258
12368.2%58.48%36.45%84.04%0.2670.6911.267
12464.67%61.91%37.22%83.38%0.2660.6911.266
12562.06%65.13%38.33%83.09%0.2720.6911.272
12658.83%68.24%39.28%82.6%0.2710.6911.271
12757.14%71.62%41.29%82.71%0.2880.6911.288
12853.3%73.87%41.61%81.92%0.2720.6911.272
12950.08%76.56%42.73%81.45%0.2660.6911.266
13046.85%79.56%44.46%81.08%0.2640.6911.264
13143.47%81.71%45.35%80.54%0.2520.6911.252

 

[3] [4]

^ Dari tabel di atas, cut-off score dengan Youden's index yang paling optimal (0.288) adalah 127. Artinya, responden yang skornya di bawah 127 dapat didiagnosis menderita gangguan mental-emosional, sedangkan >= 128 dianggap memiliki kondisi mental yang optimal.
Dengan nilai cut-off tersebut diatas, sensitivity diketahui sebesar 57.14%, sehingga 6 dari 10 pasien dengan gangguan mental emosional akan mendapatkan diagnosis yang tepat atas kondisinya. Selain itu, specificity diketahui sebesar 71.62%, yaitu 7 dari 10 pasien tanpa gangguan mental emosional akan mendapati diagnosis negatif dari MHI. Dapat disimpulkan bahwa MHI dapat merule out pasien tanpa gangguan mental emosional secara lebih baik daripada menemukan kasus positif.
Dari indikator positive predictive value (PPV), diketahui bahwa 4 dari 10 (41.29%) pasien yang menerima diagnosis positif (menderita gangguan emosional), benar-benar memiliki gangguan tersebut. Sedangkan 8 dari 10 pasien yang didiagnosis negatif, memang benar-benar tidak memiliki gangguan mental emosional.
Diketahui pula Area under Curve (AUC) sebesar 0,691, artinya MHI dapat mengklasifikasikan pasien dengan akurasi 69.1 persen.

ROC Curves

ROC Curve: MentalHealthIndex

^ Berikut di atas adalah visualisasi dari kurva ROC.

Sensitivity & Specificity

Scale: MentalHealthIndex | Score: 131
DECISION BASED ON MEASURE
CRITERION Negative Positive
Negative 1523 (TN) 341 (FP)
Positive 368 (FN) 283 (TP)

 

Scale: MentalHealthIndex | Score: 130
DECISION BASED ON MEASURE
CRITERION Negative Positive
Negative 1483 (TN) 381 (FP)
Positive 346 (FN) 305 (TP)

 

Scale: MentalHealthIndex | Score: 129
DECISION BASED ON MEASURE
CRITERION Negative Positive
Negative 1427 (TN) 437 (FP)
Positive 325 (FN) 326 (TP)

 

Scale: MentalHealthIndex | Score: 128
DECISION BASED ON MEASURE
CRITERION Negative Positive
Negative 1377 (TN) 487 (FP)
Positive 304 (FN) 347 (TP)

 

Scale: MentalHealthIndex | Score: 127
DECISION BASED ON MEASURE
CRITERION Negative Positive
Negative 1335 (TN) 529 (FP)
Positive 279 (FN) 372 (TP)

 

Scale: MentalHealthIndex | Score: 126
DECISION BASED ON MEASURE
CRITERION Negative Positive
Negative 1272 (TN) 592 (FP)
Positive 268 (FN) 383 (TP)

 

Scale: MentalHealthIndex | Score: 125
DECISION BASED ON MEASURE
CRITERION Negative Positive
Negative 1214 (TN) 650 (FP)
Positive 247 (FN) 404 (TP)

 

Scale: MentalHealthIndex | Score: 124
DECISION BASED ON MEASURE
CRITERION Negative Positive
Negative 1154 (TN) 710 (FP)
Positive 230 (FN) 421 (TP)

 

Scale: MentalHealthIndex | Score: 123
DECISION BASED ON MEASURE
CRITERION Negative Positive
Negative 1090 (TN) 774 (FP)
Positive 207 (FN) 444 (TP)

 

Scale: MentalHealthIndex | Score: 122
DECISION BASED ON MEASURE
CRITERION Negative Positive
Negative 1033 (TN) 831 (FP)
Positive 193 (FN) 458 (TP)

 

Scale: MentalHealthIndex | Score: 121
DECISION BASED ON MEASURE
CRITERION Negative Positive
Negative 954 (TN) 910 (FP)
Positive 176 (FN) 475 (TP)

 

^ Dari tabel di atas dapat diketahui bahwa dengan menerapkan cut off point pada 127, maka klasifikasi TN, TP, FN, dan FP mencapai jumlah yang paling optimal.

Ordinal Reliability

Ordinal Alpha
raw_alphastd.alphaG6(smc)average_rSNmedian_r
0.7940.7940.8730.0993.8490.109

 

Ordinal Omega
omega_homega.limalphaomega.totG6
0.6000.6380.9210.9390.942

 

References

[1] The jamovi project (2020). jamovi. (Version 1.6) [Computer Software]. Retrieved from https://www.jamovi.org.

[2] R Core Team (2020). R: A Language and environment for statistical computing. (Version 4.0) [Computer software]. Retrieved from https://cran.r-project.org. (R packages retrieved from MRAN snapshot 2020-08-24).

[3] Thiele, C. (2019). cutpointr: Determine and Evaluate Optimal Cutpoints in Binary Classification Tasks. [R package]. Retrieved from https://cran.r-project.org/package=cutpointr.

[4] Friesen, L., Kroc, E., Zumbo, B. D. (2019). Psychometrics & Post-Data Analysis: Test ROC. [jamovi module]. Retrieved from https://github.com/lucasjfriesen/jamoviPsychoPDA.