Lecture 4, part 6 Flashcards
Definition of internal validity
An instrument’s ability to measure what it intends on measuring
Definition of sensitivity
Ability of a test to correctly diagnose persons who have preclinical dz as test-pos
-The probability of testing positive if the dz is truly present
Formula for sensitivity
True positives/true positives + false negatives
Definition of specificity
Ability of a test to correctly categorize persons without preclinical dz as test-neg
-The probability of testing negative if the dz is truly absent
Formula for specificity
True negatives/true negatives + false positives
Definition of positive predictive value
Proportion of ppl who truly have the dz out of all those who screen positive for the dz
Formula for positive predictive value
True positives/true positives + false positives
A valid test is always ________
Reliable
When does positive predictive value increase?
With increasing prevalence, not part of testing validity
When screening for dz with low prevalence, most pos test results will be _________
False-positives
Are sensitivity and specificity dependent on prevalence?
No
On what does the prevalence of dz depend?
Incidence rate of the condition
Avg length of the pre-clinical phase
Whether screened previously
What should be done to increase positive predictive value?
Screen high risk pops