Validation of Persian Version of Patient-Rated Wrist and Hand Evaluation: Confirmatory Factor Analysis and Rasch Analysis

Objectives: To determine the factor structure and test the clinometric properties of wrist and hand version of the Patient-Rated Wrist Evaluation. Design: Cross-sectional study using Rasch analysis and factor analysis. Confirmatory factor analysis was conducted to assess the factor structure. Higher...

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Main Authors: Maryam Farzad, MSc, PhD, Joy C. MacDermid, PT, PhD, Ze Lu, PT, Erfan Shafiee, MSc
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Archives of Rehabilitation Research and Clinical Translation
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590109520300434
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author Maryam Farzad, MSc, PhD
Joy C. MacDermid, PT, PhD
Ze Lu, PT
Erfan Shafiee, MSc
author_facet Maryam Farzad, MSc, PhD
Joy C. MacDermid, PT, PhD
Ze Lu, PT
Erfan Shafiee, MSc
author_sort Maryam Farzad, MSc, PhD
collection DOAJ
description Objectives: To determine the factor structure and test the clinometric properties of wrist and hand version of the Patient-Rated Wrist Evaluation. Design: Cross-sectional study using Rasch analysis and factor analysis. Confirmatory factor analysis was conducted to assess the factor structure. Higher-order factor analysis was used to explore the hierarchical structure of the items. The Rasch model was used to assess the overall fit, reliability, validity, and construct unidimensionality. Rasch analysis and factor analysis were conducted using RUMM2030 and LISREL software, respectively. Setting: Outpatient hand rehabilitation clinic. Participants: A convenience sample of patients (N=206) with various hand injuries who completed the Persian version of the Patient-Rated Wrist and Hand Evaluation (PRWHE-P) at 2 months postinjury. The study included 66 men and 139 women, with a mean age of 40 years. Intervention: Not applicable. Main Outcome Measures: The PRWHE-P was used as a patient-reported measure of pain and disability in wrist and hand conditions. Results: Factor analysis confirmed 3-factor models of the PRWHE-P. Items fit well to the Rasch model in 3 subscales. The PRWHE-P had a good item reliability (0.82) and good internal consistency (0.8). No differential item functioning was detected for age, sex, dominant hand, or injured hand. Conclusions: The results of this study indicated that the PRWHE-P with 3 sub scales is a reliable and valid measurement tool and could be used in patients with different wrist and hand disabilities.
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spelling doaj.art-017ea5ea44d14577854b9a61c70c712e2022-12-21T22:09:57ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952020-12-0124100076Validation of Persian Version of Patient-Rated Wrist and Hand Evaluation: Confirmatory Factor Analysis and Rasch AnalysisMaryam Farzad, MSc, PhD0Joy C. MacDermid, PT, PhD1Ze Lu, PT2Erfan Shafiee, MSc3School of Physical Therapy, Western University, Roth McFarlane Hand and Upper Limb Centre, St. Joseph’s Hospital, London, ON, Canada; Department of Occupational Therapy, The University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Corresponding author Maryam Farzad, MSc, PhD, School of Physical Therapy, Western University, Roth McFarlane Hand and Upper Limb Centre, St. Joseph’s Hospital, 1201 Western Rd, Elborn College, London, ON Canada.Physical Therapy and Surgery, Western University, London, ON, Canada; Clinical Research Lab, Hand and Upper Limb Centre, St. Joseph’s Health Centre, London, ON, CanadaSchool of Physical Therapy, Western University, Roth McFarlane Hand and Upper Limb Centre, St. Joseph’s Hospital, London, ON, Canada; School of Rehabilitation Science, McMaster University, Hamilton, ON, CanadaSchool of Physical Therapy, Western University, Roth McFarlane Hand and Upper Limb Centre, St. Joseph’s Hospital, London, ON, Canada; Department of Occupational Therapy, The University of Social Welfare and Rehabilitation Sciences, Tehran, IranObjectives: To determine the factor structure and test the clinometric properties of wrist and hand version of the Patient-Rated Wrist Evaluation. Design: Cross-sectional study using Rasch analysis and factor analysis. Confirmatory factor analysis was conducted to assess the factor structure. Higher-order factor analysis was used to explore the hierarchical structure of the items. The Rasch model was used to assess the overall fit, reliability, validity, and construct unidimensionality. Rasch analysis and factor analysis were conducted using RUMM2030 and LISREL software, respectively. Setting: Outpatient hand rehabilitation clinic. Participants: A convenience sample of patients (N=206) with various hand injuries who completed the Persian version of the Patient-Rated Wrist and Hand Evaluation (PRWHE-P) at 2 months postinjury. The study included 66 men and 139 women, with a mean age of 40 years. Intervention: Not applicable. Main Outcome Measures: The PRWHE-P was used as a patient-reported measure of pain and disability in wrist and hand conditions. Results: Factor analysis confirmed 3-factor models of the PRWHE-P. Items fit well to the Rasch model in 3 subscales. The PRWHE-P had a good item reliability (0.82) and good internal consistency (0.8). No differential item functioning was detected for age, sex, dominant hand, or injured hand. Conclusions: The results of this study indicated that the PRWHE-P with 3 sub scales is a reliable and valid measurement tool and could be used in patients with different wrist and hand disabilities.http://www.sciencedirect.com/science/article/pii/S2590109520300434Factor analysisRehabilitation
spellingShingle Maryam Farzad, MSc, PhD
Joy C. MacDermid, PT, PhD
Ze Lu, PT
Erfan Shafiee, MSc
Validation of Persian Version of Patient-Rated Wrist and Hand Evaluation: Confirmatory Factor Analysis and Rasch Analysis
Archives of Rehabilitation Research and Clinical Translation
Factor analysis
Rehabilitation
title Validation of Persian Version of Patient-Rated Wrist and Hand Evaluation: Confirmatory Factor Analysis and Rasch Analysis
title_full Validation of Persian Version of Patient-Rated Wrist and Hand Evaluation: Confirmatory Factor Analysis and Rasch Analysis
title_fullStr Validation of Persian Version of Patient-Rated Wrist and Hand Evaluation: Confirmatory Factor Analysis and Rasch Analysis
title_full_unstemmed Validation of Persian Version of Patient-Rated Wrist and Hand Evaluation: Confirmatory Factor Analysis and Rasch Analysis
title_short Validation of Persian Version of Patient-Rated Wrist and Hand Evaluation: Confirmatory Factor Analysis and Rasch Analysis
title_sort validation of persian version of patient rated wrist and hand evaluation confirmatory factor analysis and rasch analysis
topic Factor analysis
Rehabilitation
url http://www.sciencedirect.com/science/article/pii/S2590109520300434
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