Application of the Korean version of the Modified Barthel Index: Development of a keyform for use in clinical practice
Objective: To demonstrate the clinical application of the Korean version of the Modified Barthel Index (K-MBI) using Rasch analysis. Methods: A total of 276 patients with neurological disorders were assessed with the K-MBI in outpatient clinics. The Rasch partial-credit model was used to generate a...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2017-06-01
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| Series: | Hong Kong Journal of Occupational Therapy |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1569186117300256 |
| _version_ | 1818385781355446272 |
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| author | Ickpyo Hong Yoonjeong Lim HyunSuk Han Catherine Cooper Hay Hee-Soon Woo |
| author_facet | Ickpyo Hong Yoonjeong Lim HyunSuk Han Catherine Cooper Hay Hee-Soon Woo |
| author_sort | Ickpyo Hong |
| collection | DOAJ |
| description | Objective: To demonstrate the clinical application of the Korean version of the Modified Barthel Index (K-MBI) using Rasch analysis.
Methods: A total of 276 patients with neurological disorders were assessed with the K-MBI in outpatient clinics. The Rasch partial-credit model was used to generate a keyform based on investigating the psychometric properties of the K-MBI, including dimensionality, precision (person strata and reliability), and hierarchical item difficulty. The Minimal Detectable Change (MDC) in item difficulty was used to establish right-challenging treatment goals and long-term treatment plans.
Results: The findings demonstrated that the Korean version of the MBI satisfied the assumption of unidimensionality. It also showed a hierarchical structure in terms of item difficulty, good reliability (Cronbach alpha, 0.92), and approximately five distinct person strata (4.6). The MDC (raw score, 20.1) of the item difficulty of the test items demonstrated equivalent cut-off scores for targeted short-term treatment goals on the keyform, a Rasch-derived display of patient responses. Long-term treatment goals were identified based on the test items of the keyform.
Conclusions: The findings suggest that a Rasch keyform can be applied to clinical practice in Korean settings by identifying clinically and statistically meaningful test items and their step thresholds as short- and long-term goals. |
| first_indexed | 2024-12-14T03:43:36Z |
| format | Article |
| id | doaj.art-0eb648d8ffbc4b02b29306ae49500d39 |
| institution | Directory Open Access Journal |
| issn | 1569-1861 |
| language | English |
| last_indexed | 2024-12-14T03:43:36Z |
| publishDate | 2017-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Hong Kong Journal of Occupational Therapy |
| spelling | doaj.art-0eb648d8ffbc4b02b29306ae49500d392022-12-21T23:18:25ZengSAGE PublishingHong Kong Journal of Occupational Therapy1569-18612017-06-0129C394610.1016/j.hkjot.2017.06.001Application of the Korean version of the Modified Barthel Index: Development of a keyform for use in clinical practiceIckpyo Hong0Yoonjeong Lim1HyunSuk Han2Catherine Cooper Hay3Hee-Soon Woo4Division of Rehabilitation Sciences, School of Health Professions, University of Texas Medical Branch, Galveston, TX, USAUniversity of Florida, Rehabilitation Science Program, Department of Occupational Therapy, College of Public Health and Health Professions, Gainesville, FL, USAProgram in Research and Evaluation Methodology, College of Education, University of Florida, Gainesville, FL, USADivision of Rehabilitation Sciences, School of Health Professions, University of Texas Medical Branch, Galveston, TX, USADepartment of Occupational Therapy, College of Medicine, Wonkwang University, Iksan, South KoreaObjective: To demonstrate the clinical application of the Korean version of the Modified Barthel Index (K-MBI) using Rasch analysis. Methods: A total of 276 patients with neurological disorders were assessed with the K-MBI in outpatient clinics. The Rasch partial-credit model was used to generate a keyform based on investigating the psychometric properties of the K-MBI, including dimensionality, precision (person strata and reliability), and hierarchical item difficulty. The Minimal Detectable Change (MDC) in item difficulty was used to establish right-challenging treatment goals and long-term treatment plans. Results: The findings demonstrated that the Korean version of the MBI satisfied the assumption of unidimensionality. It also showed a hierarchical structure in terms of item difficulty, good reliability (Cronbach alpha, 0.92), and approximately five distinct person strata (4.6). The MDC (raw score, 20.1) of the item difficulty of the test items demonstrated equivalent cut-off scores for targeted short-term treatment goals on the keyform, a Rasch-derived display of patient responses. Long-term treatment goals were identified based on the test items of the keyform. Conclusions: The findings suggest that a Rasch keyform can be applied to clinical practice in Korean settings by identifying clinically and statistically meaningful test items and their step thresholds as short- and long-term goals.http://www.sciencedirect.com/science/article/pii/S1569186117300256Outcome measure (health care)KeyformRasch analysisPsychometricsModified Barthel IndexTranslational research |
| spellingShingle | Ickpyo Hong Yoonjeong Lim HyunSuk Han Catherine Cooper Hay Hee-Soon Woo Application of the Korean version of the Modified Barthel Index: Development of a keyform for use in clinical practice Hong Kong Journal of Occupational Therapy Outcome measure (health care) Keyform Rasch analysis Psychometrics Modified Barthel Index Translational research |
| title | Application of the Korean version of the Modified Barthel Index: Development of a keyform for use in clinical practice |
| title_full | Application of the Korean version of the Modified Barthel Index: Development of a keyform for use in clinical practice |
| title_fullStr | Application of the Korean version of the Modified Barthel Index: Development of a keyform for use in clinical practice |
| title_full_unstemmed | Application of the Korean version of the Modified Barthel Index: Development of a keyform for use in clinical practice |
| title_short | Application of the Korean version of the Modified Barthel Index: Development of a keyform for use in clinical practice |
| title_sort | application of the korean version of the modified barthel index development of a keyform for use in clinical practice |
| topic | Outcome measure (health care) Keyform Rasch analysis Psychometrics Modified Barthel Index Translational research |
| url | http://www.sciencedirect.com/science/article/pii/S1569186117300256 |
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