Towards the Development of Clinical Measures for Spinal Cord Injury Based on the International Classification of Functioning, Disability and Health With Rasch Analyses
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Towards the Development of Clinical Measures for Spinal Cord Injury Based on the International Classification of Functioning, Disability and Health With Rasch Analyses. / Ballert, Carolina S; Stucki, Gerold; Biering-Sørensen, Fin; Cieza, Alarcos.
In: Archives of Physical Medicine and Rehabilitation, Vol. 95, No. 9, 09.2014, p. 1685-1694.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Towards the Development of Clinical Measures for Spinal Cord Injury Based on the International Classification of Functioning, Disability and Health With Rasch Analyses
AU - Ballert, Carolina S
AU - Stucki, Gerold
AU - Biering-Sørensen, Fin
AU - Cieza, Alarcos
N1 - Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
PY - 2014/9
Y1 - 2014/9
N2 - OBJECTIVES: To determine whether the International Classification of Functioning, Disability and Health (ICF) categories relevant to spinal cord injury (SCI) can be integrated in clinical measures and to obtain insights to guide their future operationalization. Specific aims are to find out whether the ICF categories relevant to SCI fit a Rasch model taking into consideration the dimensionality found in previous investigations, local item dependencies, or differential item functioning.DESIGN: All second-level ICF categories collected in the Development of ICF Core Sets for SCI project in specialized centers within 15 countries from 2006 through 2008.SETTING: Secondary data analysis.PARTICIPANTS: Adults (N=1048) with SCI from the early postacute and long-term living context.INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURES: Two unidimensional Rasch analyses: one for the ICF categories from body functions and body structures components and another for the ICF categories from the activities and participation component.RESULTS: Results support good reliability and targeting of the ICF categories in both dimensions. In each dimension, few ICF categories were subject to misfit. Local item dependency was observed between ICF categories of the same chapters. Group effects for age and sex were observed only to a small extent.CONCLUSIONS: The validity of ICF categories to develop measures of functioning in SCI for clinical practice and research is to some extent supported. Model adjustments were suggested to further improve their operationalization and psychometrics.
AB - OBJECTIVES: To determine whether the International Classification of Functioning, Disability and Health (ICF) categories relevant to spinal cord injury (SCI) can be integrated in clinical measures and to obtain insights to guide their future operationalization. Specific aims are to find out whether the ICF categories relevant to SCI fit a Rasch model taking into consideration the dimensionality found in previous investigations, local item dependencies, or differential item functioning.DESIGN: All second-level ICF categories collected in the Development of ICF Core Sets for SCI project in specialized centers within 15 countries from 2006 through 2008.SETTING: Secondary data analysis.PARTICIPANTS: Adults (N=1048) with SCI from the early postacute and long-term living context.INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURES: Two unidimensional Rasch analyses: one for the ICF categories from body functions and body structures components and another for the ICF categories from the activities and participation component.RESULTS: Results support good reliability and targeting of the ICF categories in both dimensions. In each dimension, few ICF categories were subject to misfit. Local item dependency was observed between ICF categories of the same chapters. Group effects for age and sex were observed only to a small extent.CONCLUSIONS: The validity of ICF categories to develop measures of functioning in SCI for clinical practice and research is to some extent supported. Model adjustments were suggested to further improve their operationalization and psychometrics.
KW - Activities of Daily Living
KW - Adult
KW - Cross-Sectional Studies
KW - Disability Evaluation
KW - Female
KW - Humans
KW - International Classification of Functioning, Disability and Health
KW - Male
KW - Middle Aged
KW - Models, Statistical
KW - Outcome Assessment (Health Care)
KW - Psychometrics
KW - Recovery of Function
KW - Reproducibility of Results
KW - Spinal Cord Injuries
U2 - 10.1016/j.apmr.2014.05.006
DO - 10.1016/j.apmr.2014.05.006
M3 - Journal article
C2 - 24882520
VL - 95
SP - 1685
EP - 1694
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 9
ER -
ID: 138314160