The Academic Medical Center Linear Disability Score (ALDS) item bank: item response theory analysis in a mixed patient population

<p>Abstract</p> <p>Background</p> <p>Currently, there is a lot of interest in the flexible framework offered by item banks for measuring patient relevant outcomes. However, there are few item banks, which have been developed to quantify functional status, as expressed b...

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Main Authors: Vermeulen Marinus, Dijkgraaf Marcel GW, Glas Cees AW, Weisscher Nadine, Holman Rebecca, de Haan Rob J, Lindeboom Robert
Format: Article
Language:English
Published: BMC 2005-12-01
Series:Health and Quality of Life Outcomes
Online Access:http://www.hqlo.com/content/3/1/83
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author Vermeulen Marinus
Dijkgraaf Marcel GW
Glas Cees AW
Weisscher Nadine
Holman Rebecca
de Haan Rob J
Lindeboom Robert
author_facet Vermeulen Marinus
Dijkgraaf Marcel GW
Glas Cees AW
Weisscher Nadine
Holman Rebecca
de Haan Rob J
Lindeboom Robert
author_sort Vermeulen Marinus
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Currently, there is a lot of interest in the flexible framework offered by item banks for measuring patient relevant outcomes. However, there are few item banks, which have been developed to quantify functional status, as expressed by the ability to perform activities of daily life. This paper examines the measurement properties of the Academic Medical Center linear disability score item bank in a mixed population.</p> <p>Methods</p> <p>This paper uses item response theory to analyse data on 115 of 170 items from a total of 1002 respondents. These were: 551 (55%) residents of supported housing, residential care or nursing homes; 235 (23%) patients with chronic pain; 127 (13%) inpatients on a neurology ward following a stroke; and 89 (9%) patients suffering from Parkinson's disease.</p> <p>Results</p> <p>Of the 170 items, 115 were judged to be clinically relevant. Of these 115 items, 77 were retained in the item bank following the item response theory analysis. Of the 38 items that were excluded from the item bank, 24 had either been presented to fewer than 200 respondents or had fewer than 10% or more than 90% of responses in the category 'can carry out'. A further 11 items had different measurement properties for younger and older or for male and female respondents. Finally, 3 items were excluded because the item response theory model did not fit the data.</p> <p>Conclusion</p> <p>The Academic Medical Center linear disability score item bank has promising measurement characteristics for the mixed patient population described in this paper. Further studies will be needed to examine the measurement properties of the item bank in other populations.</p>
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spelling doaj.art-f170e4a3fa90461a8a858ec372eb24b82022-12-22T00:35:44ZengBMCHealth and Quality of Life Outcomes1477-75252005-12-01318310.1186/1477-7525-3-83The Academic Medical Center Linear Disability Score (ALDS) item bank: item response theory analysis in a mixed patient populationVermeulen MarinusDijkgraaf Marcel GWGlas Cees AWWeisscher NadineHolman Rebeccade Haan Rob JLindeboom Robert<p>Abstract</p> <p>Background</p> <p>Currently, there is a lot of interest in the flexible framework offered by item banks for measuring patient relevant outcomes. However, there are few item banks, which have been developed to quantify functional status, as expressed by the ability to perform activities of daily life. This paper examines the measurement properties of the Academic Medical Center linear disability score item bank in a mixed population.</p> <p>Methods</p> <p>This paper uses item response theory to analyse data on 115 of 170 items from a total of 1002 respondents. These were: 551 (55%) residents of supported housing, residential care or nursing homes; 235 (23%) patients with chronic pain; 127 (13%) inpatients on a neurology ward following a stroke; and 89 (9%) patients suffering from Parkinson's disease.</p> <p>Results</p> <p>Of the 170 items, 115 were judged to be clinically relevant. Of these 115 items, 77 were retained in the item bank following the item response theory analysis. Of the 38 items that were excluded from the item bank, 24 had either been presented to fewer than 200 respondents or had fewer than 10% or more than 90% of responses in the category 'can carry out'. A further 11 items had different measurement properties for younger and older or for male and female respondents. Finally, 3 items were excluded because the item response theory model did not fit the data.</p> <p>Conclusion</p> <p>The Academic Medical Center linear disability score item bank has promising measurement characteristics for the mixed patient population described in this paper. Further studies will be needed to examine the measurement properties of the item bank in other populations.</p>http://www.hqlo.com/content/3/1/83
spellingShingle Vermeulen Marinus
Dijkgraaf Marcel GW
Glas Cees AW
Weisscher Nadine
Holman Rebecca
de Haan Rob J
Lindeboom Robert
The Academic Medical Center Linear Disability Score (ALDS) item bank: item response theory analysis in a mixed patient population
Health and Quality of Life Outcomes
title The Academic Medical Center Linear Disability Score (ALDS) item bank: item response theory analysis in a mixed patient population
title_full The Academic Medical Center Linear Disability Score (ALDS) item bank: item response theory analysis in a mixed patient population
title_fullStr The Academic Medical Center Linear Disability Score (ALDS) item bank: item response theory analysis in a mixed patient population
title_full_unstemmed The Academic Medical Center Linear Disability Score (ALDS) item bank: item response theory analysis in a mixed patient population
title_short The Academic Medical Center Linear Disability Score (ALDS) item bank: item response theory analysis in a mixed patient population
title_sort academic medical center linear disability score alds item bank item response theory analysis in a mixed patient population
url http://www.hqlo.com/content/3/1/83
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