Cross-diagnostic scale-banking using rasch analysis: Developing a common reference metric for generic and health condition-specific scales in people with rheumatoid arthritis and stroke

Objectives: To develop a common reference metric of functioning, incorporating generic and health condition-specific disability instruments, and to test whether this reference metric is invariant across 2 health conditions. Design: Psychometric study using secondary data analysis. Firstly, the Inte...

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Main Authors: Birgit Prodinger, Ayşe A. Küçükdeveci, Sehim Kutlay, Atilla H. Elhan, Svend Kreiner, Alan Tennant
Format: Article
Language:English
Published: Medical Journals Sweden 2020-10-01
Series:Journal of Rehabilitation Medicine
Subjects:
Online Access: https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2736
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author Birgit Prodinger
Ayşe A. Küçükdeveci
Sehim Kutlay
Atilla H. Elhan
Svend Kreiner
Alan Tennant
author_facet Birgit Prodinger
Ayşe A. Küçükdeveci
Sehim Kutlay
Atilla H. Elhan
Svend Kreiner
Alan Tennant
author_sort Birgit Prodinger
collection DOAJ
description Objectives: To develop a common reference metric of functioning, incorporating generic and health condition-specific disability instruments, and to test whether this reference metric is invariant across 2 health conditions. Design: Psychometric study using secondary data analysis. Firstly, the International Classification of Functioning, Disability and Health (ICF) Linking Rules were used to examine the concept equivalence between the World Health Organization Disability Assessment Schedule (WHODAS 2.0), Health Assessment Questionnaire (HAQ) and Functional Independence Measure (FIMTM). Secondly, a scale-bank was developed using a reference metric approach to test-equating, based on the Rasch measurement model. Participants: Secondary analysis was performed on data from 487 people; 61.4% with rheumatoid arthritis and 38.6% with stroke. Results: Three sub-domains of the WHODAS 2.0 and all items of the HAQ and FIMTM motor mapped on to the ICF chapters d4 Mobility, d5 Self-care and d6 Domestic life. Test-equating of these scales resulted in good model fit, indicating that a scale bank and associated reference metric across these 3 instruments could be created. Conclusion: This study provides a transformation table to enable direct comparisons among instruments measuring physical functioning commonly used in rheumatoid arthritis (HAQ) and stroke (FIMTM motor scale), as well as in people with disability in general (WHODAS 2.0).
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spelling doaj.art-2724ecc254a9455084beb5d1e306b94a2022-12-21T19:49:20ZengMedical Journals SwedenJournal of Rehabilitation Medicine1650-19771651-20812020-10-015210jrm0010710.2340/16501977-27362700Cross-diagnostic scale-banking using rasch analysis: Developing a common reference metric for generic and health condition-specific scales in people with rheumatoid arthritis and strokeBirgit Prodinger0Ayşe A. KüçükdeveciSehim KutlayAtilla H. ElhanSvend KreinerAlan Tennant Objectives: To develop a common reference metric of functioning, incorporating generic and health condition-specific disability instruments, and to test whether this reference metric is invariant across 2 health conditions. Design: Psychometric study using secondary data analysis. Firstly, the International Classification of Functioning, Disability and Health (ICF) Linking Rules were used to examine the concept equivalence between the World Health Organization Disability Assessment Schedule (WHODAS 2.0), Health Assessment Questionnaire (HAQ) and Functional Independence Measure (FIMTM). Secondly, a scale-bank was developed using a reference metric approach to test-equating, based on the Rasch measurement model. Participants: Secondary analysis was performed on data from 487 people; 61.4% with rheumatoid arthritis and 38.6% with stroke. Results: Three sub-domains of the WHODAS 2.0 and all items of the HAQ and FIMTM motor mapped on to the ICF chapters d4 Mobility, d5 Self-care and d6 Domestic life. Test-equating of these scales resulted in good model fit, indicating that a scale bank and associated reference metric across these 3 instruments could be created. Conclusion: This study provides a transformation table to enable direct comparisons among instruments measuring physical functioning commonly used in rheumatoid arthritis (HAQ) and stroke (FIMTM motor scale), as well as in people with disability in general (WHODAS 2.0). https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2736 psychometrics outcome assessment stroke rheumatoid arthritis world health organization disability assessment schedule whodas 2.0 functional independence measure fim health assessment questionnaire haq.
spellingShingle Birgit Prodinger
Ayşe A. Küçükdeveci
Sehim Kutlay
Atilla H. Elhan
Svend Kreiner
Alan Tennant
Cross-diagnostic scale-banking using rasch analysis: Developing a common reference metric for generic and health condition-specific scales in people with rheumatoid arthritis and stroke
Journal of Rehabilitation Medicine
psychometrics
outcome assessment
stroke
rheumatoid arthritis
world health organization disability assessment schedule
whodas 2.0
functional independence measure
fim
health assessment questionnaire
haq.
title Cross-diagnostic scale-banking using rasch analysis: Developing a common reference metric for generic and health condition-specific scales in people with rheumatoid arthritis and stroke
title_full Cross-diagnostic scale-banking using rasch analysis: Developing a common reference metric for generic and health condition-specific scales in people with rheumatoid arthritis and stroke
title_fullStr Cross-diagnostic scale-banking using rasch analysis: Developing a common reference metric for generic and health condition-specific scales in people with rheumatoid arthritis and stroke
title_full_unstemmed Cross-diagnostic scale-banking using rasch analysis: Developing a common reference metric for generic and health condition-specific scales in people with rheumatoid arthritis and stroke
title_short Cross-diagnostic scale-banking using rasch analysis: Developing a common reference metric for generic and health condition-specific scales in people with rheumatoid arthritis and stroke
title_sort cross diagnostic scale banking using rasch analysis developing a common reference metric for generic and health condition specific scales in people with rheumatoid arthritis and stroke
topic psychometrics
outcome assessment
stroke
rheumatoid arthritis
world health organization disability assessment schedule
whodas 2.0
functional independence measure
fim
health assessment questionnaire
haq.
url https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2736
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