Rasch analysis supported the construct validity of self-report measures of activity and participation derived from patient ratings of the ICF low back pain core set

被引：12
|
作者：
Bagraith, Karl S. [1 ,2 ,3 ,4 ]
Strong, Jenny [4 ]
Meredith, Pamela J. [4 ]
McPhail, Steven M. [5 ,6 ,7 ]
机构：
[1] Gold Coast Hosp & Hlth Serv, Interdisciplinary Persistent Pain Ctr, 2 Investigator Dr, Robina, Qld 4226, Australia
[2] Royal Brisbane & Womens Hosp, Occupat Therapy Dept, Butterfield St, Herston, Qld 4029, Australia
[3] Royal Brisbane & Womens Hosp, Orthopaed Physiotherapy Screening Clin, Butterfield St, Herston, Qld 4029, Australia
[4] Univ Queensland, Sch Hlth & Rehabil Sci, Occupat Therapy, Chancellors Pl, Brisbane, Qld 4072, Australia
[5] Metro South Hosp & Hlth Serv, Ctr Functioning & Hlth Res, Cnr Ipswich Rd & Cornwall St, Buranda, Qld 4102, Australia
[6] Queensland Univ Technol, Inst Hlth & Biomed Innovat, Victoria Pk Rd, Kelvin Grove, Qld 4059, Australia
[7] Queensland Univ Technol, Sch Publ Hlth & Social Work, Victoria Pk Rd, Kelvin Grove, Qld 4059, Australia
来源：
JOURNAL OF CLINICAL EPIDEMIOLOGY | 2017年 / 84卷
基金：
英国医学研究理事会;
关键词：
International Classification of Functioning; Disability and Health; Low back pain; Rasch analysis; Validity; Activity; Participation; COMPREHENSIVE INTERNATIONAL CLASSIFICATION; HEALTH ICF; PSYCHOMETRIC PROPERTIES; CLINICAL-PRACTICE; MEASUREMENT MODEL; DISABILITY; PERSPECTIVE; SCALE; QUESTIONNAIRES; RELIABILITY;
D O I：
10.1016/j.jclinepi.2016.12.016
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Objective: To investigate whether measures of activity limitations and participation restrictions with sound internal construct validity could be derived from patient ratings of the International Classification of Functioning, Disability and Health Low Back Pain Core Set (LBP-CS). Study Design and Setting: The LBP-CS Self-Report Checklist (LBP-CS-SRC) was developed to permit patients to self-rate their functioning according to an extended set of activity and participation categories from the LBP-CS. Rasch analysis was used to examine the validity of the LBP-CS-SRC with a sample of 308 adults with chronic low back pain attending two tertiary-referral outpatient services in Brisbane, Australia. Results: The activity limitations and participation restrictions qualifier scales functioned satisfactorily, and the LBP-CS-SRC person response validity was good. After deletion of six misfitting items, the dimensionality results supported using the instrument as distinct measures of activity limitations (17 items) and participation restrictions (10 items). The activity and participation measures both had good person separation reliability, and no component items exhibited meaningful differential item functioning. Conclusion: The results demonstrate that measures of activity and participation with sound internal construct validity can be derived from patient ratings of LBP-CS categories. The LBP-CS-SRC can be used in clinical practice and epidemiologic research to support understanding of patients' perspectives on functioning. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码：161 / 172
页数：12
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