Aruhan Mu, Zhiyong Liu
Assessing the Impact of Internet Skills on Depressive Symptoms Among Chinese Middle-Aged and Older Adults: Cross-Sectional Instrumental Variables Analysis
JMIR aging
health literacy measures rely subjective selfassessment critical thinking health test objective measure includes two multiplechoice questions mcqs nine informed health choices key concepts included educational resources secondary schools objective study determine cutoff scores passing border basic understanding ability apply nine concepts mastery border mastered mastered using combination two widely used methods angoffs nedelskys panel judged likelihood individual border passing another border mastered concepts would answer mcq correctly cutoff scores determined summing probability answering mcq correctly independent assessments summarised discussed nominal group technique used reach consensus study conducted secondary schools east africa panel included eight individuals 5 years experience following areas evaluation critical thinking interventions curriculum development teaching lower secondary school evidenceinformed decisionmaking panel agreed passing score students answer 9 18 questions mastery score 14 18 questions correctly wide variation judgements made individual panel members many questions quickly reached consensus cutoff scores discussions