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Flexible regression-based norming of psychological tests

Voncken, Lieke

DOI:

10.33612/diss.124765653

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

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Publication date: 2020

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Voncken, L. (2020). Flexible regression-based norming of psychological tests. University of Groningen. https://doi.org/10.33612/diss.124765653

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Discussion

The aim of this thesis was to investigate the challenges related to model selection and sampling variability for test norming using distributional regression. In Chapter 2, we developed an automated model selection procedure to select the maximum polynomial de-gree of a predictor for each of the four distributional parameters of the BCPE distribution. We showed that this procedure in general performed better than an existing automated model selection procedure, especially in combination with one of the GAIC as selection criterion. In Chapter 3, we investigated the costs of using a too strict model (i.e., bias) versus the costs of using a too flexible model (i.e., variance). In our simulation study, increasing flexibility resulted in a larger decrease in (squared) bias than the increase in variance, but using a too flexible model resulted in very poor normed score estimations in the presence of normality of the test score distribution conditional on age. We expect that these problems are specific to the skew Student t distribution, but this has to be investi-gated in future research. In Chapter 4, we investiinvesti-gated a procedure to estimate confidence intervals that express the uncertainty in normed scores due to sampling variability. The results showed that this procedure performed well, especially in combination with the per-centile CI method. In Chapter 5, we investigated whether norm estimation can be made more efficient by using prior information via Bayesian Gaussian distributional regression. This proof of concept showed that normed scores could be estimated more efficiently, as long as the possible prior misspecification was not age-dependent. Based on the results in this thesis, we provide practical recommendations to test publishers and directions for future research.

We modelled nonlinear relationships between the distributional parameters and the predictors with orthogonal polynomials or P-splines (Eilers & Marx, 1996). Based on the results in this thesis and our practical norming experience (e.g., Rommelse et al., 2018; Voncken et al., 2018), we conclude that both polynomials and P-splines can result in good fit. For polynomials, the maximum polynomial degree of the predictor(s) has to be se-lected for each distributional parameter. The automated model selection procedure for

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this, which we developed in Chapter 2, can be used to select the maximum polynomial degree in the presence of one predictor. More research is needed to investigate an auto-mated selection procedure of the maximum polynomial degree in the presence of multiple predictors. Until then, default automated model selection procedures within GAMLSS can be used, or – even though this can be very time-consuming – all possible models with a prespecified maximum polynomial degree can be compared. A possible problem with polynomial regression is that values of observed scores conditional on a certain predictor value might have a large and undesirable influence on the predicted score at a very differ-ent value of the predictor (Magee, 1998). P-splines do not have this problem, because they model the relationship between the distributional parameters and the predictors more lo-cally. For P-splines, the most critical issue in model selection is the degree of the smoothing variance for each distributional parameter. We selected the degree of smoothing using the BIC in combination with visual diagnostics, but more research is needed to investigate the optimal selection of the smoothing variance for P-splines in test norming. An advan-tage of using P-splines rather than polynomials in test norming is that a monotonically increasing or decreasing relationship between a distributional parameter and predictor(s) can be forced. When the mean or median test score is theoretically expected to increase with age, the relationship between the location parameter and the predictor can be forced to be monotonically increasing – for raw test scores that increase with performance, e.g., for the number of items correct – or decreasing – for raw test scores that decrease with performance, e.g., for the number of items incorrect or for the response time. In this way, theoretical expectations can be incorporated and the number of estimated parameters can be restricted, which results in smaller sampling variability.

In the simulation studies in this thesis, the distributional regression models could not always be estimated. This problem was largest for complex models in combination with small sample sizes (in these studies, for N equal to 100 or 500). We believe that these estimation problems are an indication of poor model fit and/or a too small sample size. This means that good model selection is very important and that small sample sizes should be avoided. In practice, one typically wants to estimate a model for only one normative data set, which allows for tailoring the model to the data. The large availability of distributions and function types within distributional regression makes it likely that a

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good fitting model can be found for every normative data set. In a simulation study, on the other hand, models are estimated for many generated data sets, and it is impossible to adjust the model to every data set.

We dealt with missingness in the empirical normative data by removing cases if their predictor values and/or test scores were missing. The percentage of missing data was typically really small. For instance, in the Dutch normative data of the IDS-2 (N = 1, 663) (Grob et al., 2018), the age value was unknown for only two test takers and – for the 14 intelligence subtests – the number of missing raw test scores was relatively high for only one subtest (95 scores = 5.7%) and relatively low (ranging from 0 to 18 scores) for the other subtests. We expect that the data are missing at random because the data are collected in a controlled test setting, in which the tests are typically administered individually, and the items are not sensitive. That is why we do not expect bias by removing cases in the case of the missing data.

An important practical question is how large the normative sample minimally needs to be to obtain a minimum level of norm precision. Oosterhuis et al. (2016) provided sample size recommendations for regression-based norming with the standard linear re-gression model, assuming homoscedasticity. There are no clear sample size guidelines yet for models with nonlinearity, heteroscedasticity, and/or non-normality. In this thesis, we concluded in Chapter 2 that the normed scores were estimated sufficiently precise when the sample size was 500 or 1,000, and in Chapter 4 that a sample size of about 1,000 was enough. Unfortunately, it is difficult to generalize these results to other norm situations. Factors that influence the required sample size are the chosen distribution, the number of predictors, the nature of the predictors, and the complexity of the chosen relationship be-tween the distributional parameters and the predictor(s). The more complex the required model is, the larger the required sample size is. To obtain general sample size recommen-dations for test norming using distributional regression, the minimally required sample size has to be investigated for an extensive range of norming conditions. In the meantime, the sample size requirements by Oosterhuis et al. (2016) can be used as the lower bounds. We have concluded in Chapter 3 that the costs of using a too restricted model are typically larger than the costs of using a too flexible model, as long as the skew Student t distribution was not used to model normal data. Besides investigating this bias-variance

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trade-off for GAMLSS models, it is also interesting to compare models across continuous norming approaches. Lenhard et al. (2019) already compared some models within the GAMLSS approach (i.e., the normal distribution family, Box-Cox family, and Sinh-arcsinh

family) to a model within their non-parametric approach†. Lenhard et al. (2019) found

that – in the presence of skewness – the non-parametric model in general had a better model fit (i.e., lower RMSE for T scores) than the considered GAMLSS models, and – in symmetric distributions – at small sample sizes (up to 250 per group) performance seems similar, and as of 250 per group GAMLSS outperforms the non-parametric approach. They conclude that the non-parametric approach outperformed the semi-parametric approach under most conditions. This is a surprising result, because based on theoretical reasons we would expect the statistical efficiency of the semi-parametric approach to be equal or larger than the non-parametric approach. We believe that it is important to stress that this does not mean that the non-parametric approach outperforms GAMLSS models in general, because GAMLSS allows for many other models. Only a couple of distributions were considered in the model selection, and the default P-splines were used to model all distributional parameters as a function of age. In practice, one could select a different distribution and different functions.

To examine this issue a bit further, we considered a replication in the negative

skew-ness condition with Ngroup = 50 of Lenhard et al. (2019). For this simulated data set,

the non-parametric model (RMSE = 1.442) clearly outperformed the best of the chosen GAMLSS models (RMSE = 1.689). Visual inspection of the fit of the chosen GAMLSS model, which is based on the Box-Cox Cole Green (BCCGo) distribution, via centile curves indicated severe misfit and theoretically odd curves in the age range 0.5 to 2 years old (see Figure 28(a)). To remedy this severe misfit, we selected the beta-binomial (BB) distribu-tion, which respects the discrete nature of the raw test scores and – unlike the Binomial distribution – allows for variation in the item difficulty across items and/or ability level

Note that Lenhard et al. (2019) refer to the GAMLSS and their non-parametric approach as parametric and semi-parametric, respectively, while we refer to these approaches as semi-parametric and non-parametric. The developers of GAMLSS refer to the GAMLSS models as semi-parametric regression type models because they require a parametric distribution assumption for the response variable, but allow for non-parametric smoothing functions to model the distributional parameters as a function of explanatory variables (Stasinopoulos & Rigby, 2007, p. 1).

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across the test takers. The centile curves of the chosen BB model, with a monotonically

increasing P-spline forµ and linear effect of age for s, indicated better fit than the BCCGo

model (see Figure 28(b)). This BB model (RMSE‡= 1.221) clearly outperformed both the

non-parametric (RMSE = 1.442) and BCCGo model (RMSE = 1.689).

A continuity correction is used to transform the percentiles under the discrete BB distribution to the continuous T score scale.

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1 2 3 4 5 6 7 Age Test score ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●●● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ●● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ● ● ●●● ● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● 5 10 15 20

(a) Centile curves of BCCGo model as selected by Lenhard et al. (2019)

1 2 3 4 5 6 7 Age Test score ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●●● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● 5 10 15 20 Percentiles 25−50th & 50−75th 10−25th & 75−90th 2−10th & 90−98th 0.4−2th & 98−99.6th

(b) Centile curves of BB model as selected here

Figure 28. Estimated centile curves for the Box-Cox Cole Green model (BCCGo; panel a)

and the beta-binomial model (BB; panel b) for simulated data of one replication with

Ngroup= 50 and negative skewness of the simulation study of Lenhard et al. (2019). The

dots indicate the observations in the simulated sample, and the gray bands indicate percentile ranges.

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An alternative flexible norming approach is quantile regression-based norming, in which specific percentiles can be modelled as a linear combination of predictor(s), with-out assuming a distributional form. This can be useful when one wants to estimate a specific percentile (e.g., for a cut-off) rather than all percentiles. Rigby, Stasinopoulos, and Voudouris (2013) recommended to combine quantile regression with GAMLSS when concentrating on the tail of the distribution only. Crompvoets, Keuning, and Emons (2020) compared quantile based norming to traditional norming and mean regression-based norming in a simulation study. They concluded that quantile regression-regression-based norm-ing generally resulted in the most precise estimates, but were biased for skewed distribu-tions. More research is needed to investigate which specific continuous norming approach works best in which situation.

We have shown in Chapter 5 that using prior information can make norm estimation more efficient. This was a proof of concept for the Gaussian model. Because we believe this model is too restricted for norming practice, future research is needed to investigate whether this works for other, more flexible, models as well. An important issue in using prior information is the extent to which we should trust our prior. Especially for small sample sizes, the weight of the prior is large. Even if we have theoretical reasons to assume that the population model underlying the normative data is similar for two countries, we need to make sure that the data are in line with this expectation.

Finally, we have recommendations for test publishers on how to report on test norm-ing. In general, we noticed that test manuals provide only little information about the norming approach. That is why we recommend test publishers to provide more informa-tion in the test manual on the used norming method, including the model selecinforma-tion and the chosen norming model. This thesis has shown that the uncertainty in normed scores due to sampling variability it is too large to ignore and gives test users a false sense of precision. The fact that this is still ignored in practice, is especially problematic when the normed scores are used for important decisions. That is why we strongly recommend test developers to report confidence intervals for both the uncertainty in normed scores due to test unreliability and the uncertainty in normed scores due to sampling variability. In the simulation studies of Chapters 2 and 4, we looked at the precision in norm estimates for specific age values and percentiles. In Chapter 2, we directly looked at the variance in

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the percentile estimates conditional on age, and in Chapter 4, we calculated the median interval length of the confidence intervals for combinations of percentiles and age values.

The variance of sample proportions is equal to n 1p(1 p) (e.g., see Fleiss, Levin, & Paik,

2003, p. 141), which is in line with our observation that – given the sample size – the variance was higher for the median than for the 5th and 95th percentiles. In addition, we observed that the variance was larger for extreme predictor values than for less ex-treme predictor values. Because of the larger variance for exex-treme age values compared to less extreme age values, we recommend to make the age range in the normative sample somewhat larger than the age range in the target population. In this way, the extreme age values of the target population are supported by more observations. Naturally, this is only possible when the test is suitable for testees outside the target age range.

Even though continuous test norming results in more accurate and more efficient normed score estimations than traditional test norming, a practical disadvantage of con-tinuous test norming is that it is more difficult to arrive at normed scores and more difficult for test users to understand (Van Breukelen & Vlaeyen, 2005). For a detailed tutorial on

how to use GAMLSS to arrive at normed test scores, includingR code and example data,

see Timmerman, Voncken, and Albers (2019). We recommend test publishers to provide visualizations like the centile curves in Figure 28 for each normed subtest. Even though the norming model itself can be complex, the resulting centile curves are easy to under-stand. The centile curves can be created for each predictor, and allow test users to inspect how the normed scores change as a function of the predictor and raw test score. They show the test developer which ranges of the normed scores are best supported by the normative data, and whether starting and stopping rules might need to be adjusted. An alternative might be to visualize the percentiles as a function of a predictor, with different lines indicating raw test scores. Figure 29 shows an example of this visualization for the same model as in Figure 28(b), after using a continuity correction. This visualization can show test developers whether more test items might be required for certain ranges of the predictor(s). Figure 29 clearly shows that more difficult items are needed for 6–7 year olds because for those age values, an increase in raw test score of only one at the upper end of the raw score range results in a large increase in the corresponding estimated percentile. Because continuous test norming allows the user to determine normed scores for each raw

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test score conditional on each exact predictor value, the resulting fine-grained norm tables can become very large. That is why we recommend test developers to use a digital scoring form with fine-grained norm tables incorporated in them. In combination with the cen-tile curves, this allows test users to compute normed scores for raw scores conditional on precise predictor values without losing track of the general relationship between – on the one hand – the normed scores and – on the other hand – the raw test scores and predictor values. 1 2 3 4 5 6 7 0 20 40 60 80 100

Age

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Figure 29. Percentiles – after continuity correction – as a function of age, with different

lines indicating raw test scores, for the beta-binomial model as estimated on simulated data of Lenhard et al. (2019). The dots indicate the observations in the simulated sample.

In conclusion, continuous test norming with distributional regression offers great flexibility, which allows for accurate norm estimation. This flexibility comes with chal-lenges, like complicated model selection and possibly complex models that are difficult to understand, and increased sampling variability. Fortunately – as we have shown in this thesis – we can overcome those challenges with proper model selection, visualization of the normed scores, and efficient norm estimation.

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