Rasch development and validation of the “Medellín Dry Eye Inventory” (ME·Dry), an instrument to measure multidimensional quality of life compromise in patients with dry eye disease

Purpose: Dry eye disease (DED) is a common condition that affects the quality of life. There is a great need for better-developed scales that comply with Rasch model requirements. Methods: Prospective study including patients with DED. A series of focus groups were performed to determine the best it...

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Main Authors: Kepa Balparda, Tatiana Herrera-Chalarca, Ximena Cardozo-Dávila, Maria A Pacheco, Fernando Godin, María A Nicholls-Molina
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=4;spage=1432;epage=1440;aulast=Balparda
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author Kepa Balparda
Tatiana Herrera-Chalarca
Ximena Cardozo-Dávila
Maria A Pacheco
Fernando Godin
María A Nicholls-Molina
author_facet Kepa Balparda
Tatiana Herrera-Chalarca
Ximena Cardozo-Dávila
Maria A Pacheco
Fernando Godin
María A Nicholls-Molina
author_sort Kepa Balparda
collection DOAJ
description Purpose: Dry eye disease (DED) is a common condition that affects the quality of life. There is a great need for better-developed scales that comply with Rasch model requirements. Methods: Prospective study including patients with DED. A series of focus groups were performed to determine the best items to be included. A Rasch modeling methodology was used to validate the Medellín Dry Eye Inventory (ME·Dry). After iterative analysis and scale modification, a final version of the scale was attained which complied with the Rasch analysis expectations. Correlation between the different subscales of the ME·Dry and the Ocular Surface Disease Index (OSDI) was evaluated through Spearman correlation. Results: A total of 166 patients with DED were included. Rasch modeling demonstrated an excellent behavior for the ME·Dry, including four subscales: Symptoms, Triggers, Activity Limitation, and Emotional Compromise. Infit and Outfit parameters were all between 0.50 and 1.50, with excellent category utilization. Person and item separation and reliability were excellent for all subscales. There was a need for a category collapsing for the Emotional Compromise subscale. There was a strong correlation between the different subscales of the ME·Dry except for the Emotional Compromise subscale, which seems to be independent. Conclusion: The ME·Dry is a reliable scale, complying with the Rasch model expectations, that allows for a reliable measurement of quality of life compromise in patients with DED. Emotional compromise secondary to DED does not seem to correlate with disease severity as assessed by the other quality-of-life subscales.
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spelling doaj.art-45044d1c07954d658fa6fb00326e7b9a2023-05-18T05:50:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-017141432144010.4103/IJO.IJO_2993_22Rasch development and validation of the “Medellín Dry Eye Inventory” (ME·Dry), an instrument to measure multidimensional quality of life compromise in patients with dry eye diseaseKepa BalpardaTatiana Herrera-ChalarcaXimena Cardozo-DávilaMaria A PachecoFernando GodinMaría A Nicholls-MolinaPurpose: Dry eye disease (DED) is a common condition that affects the quality of life. There is a great need for better-developed scales that comply with Rasch model requirements. Methods: Prospective study including patients with DED. A series of focus groups were performed to determine the best items to be included. A Rasch modeling methodology was used to validate the Medellín Dry Eye Inventory (ME·Dry). After iterative analysis and scale modification, a final version of the scale was attained which complied with the Rasch analysis expectations. Correlation between the different subscales of the ME·Dry and the Ocular Surface Disease Index (OSDI) was evaluated through Spearman correlation. Results: A total of 166 patients with DED were included. Rasch modeling demonstrated an excellent behavior for the ME·Dry, including four subscales: Symptoms, Triggers, Activity Limitation, and Emotional Compromise. Infit and Outfit parameters were all between 0.50 and 1.50, with excellent category utilization. Person and item separation and reliability were excellent for all subscales. There was a need for a category collapsing for the Emotional Compromise subscale. There was a strong correlation between the different subscales of the ME·Dry except for the Emotional Compromise subscale, which seems to be independent. Conclusion: The ME·Dry is a reliable scale, complying with the Rasch model expectations, that allows for a reliable measurement of quality of life compromise in patients with DED. Emotional compromise secondary to DED does not seem to correlate with disease severity as assessed by the other quality-of-life subscales.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=4;spage=1432;epage=1440;aulast=Balpardadry eye diseaseocular surface diseasequality of life
spellingShingle Kepa Balparda
Tatiana Herrera-Chalarca
Ximena Cardozo-Dávila
Maria A Pacheco
Fernando Godin
María A Nicholls-Molina
Rasch development and validation of the “Medellín Dry Eye Inventory” (ME·Dry), an instrument to measure multidimensional quality of life compromise in patients with dry eye disease
Indian Journal of Ophthalmology
dry eye disease
ocular surface disease
quality of life
title Rasch development and validation of the “Medellín Dry Eye Inventory” (ME·Dry), an instrument to measure multidimensional quality of life compromise in patients with dry eye disease
title_full Rasch development and validation of the “Medellín Dry Eye Inventory” (ME·Dry), an instrument to measure multidimensional quality of life compromise in patients with dry eye disease
title_fullStr Rasch development and validation of the “Medellín Dry Eye Inventory” (ME·Dry), an instrument to measure multidimensional quality of life compromise in patients with dry eye disease
title_full_unstemmed Rasch development and validation of the “Medellín Dry Eye Inventory” (ME·Dry), an instrument to measure multidimensional quality of life compromise in patients with dry eye disease
title_short Rasch development and validation of the “Medellín Dry Eye Inventory” (ME·Dry), an instrument to measure multidimensional quality of life compromise in patients with dry eye disease
title_sort rasch development and validation of the medellin dry eye inventory me·dry an instrument to measure multidimensional quality of life compromise in patients with dry eye disease
topic dry eye disease
ocular surface disease
quality of life
url http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=4;spage=1432;epage=1440;aulast=Balparda
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