Validation of Yonsei-Bilateral Activity Test (Y-BAT)-Bilateral Upper Extremity Inventory Using Rasch Analysis

2020 ◽  
Vol 40 (4) ◽  
pp. 277-286 ◽  
Author(s):  
Joo-Hyun Lee ◽  
Ickpyo Hong ◽  
Ji-Hyuk Park ◽  
Joon-Ho Shin
Keyword(s):  
Upper Extremity ◽  
Rasch Analysis ◽  
Rating Scale ◽  
Internal Validity ◽  
Specific Information ◽  
Good Precision ◽  
Cross Sectional ◽  
Fit Statistics ◽  
Activity Test ◽  
Wide Range

There is little assessment to provide specific information about quality of bilateral upper extremity movement specifically. This study examined the psychometric properties of the Yonsei-Bilateral Activity Test (Y-BAT). An observational cross-sectional design was used with 100 stroke survivors. Unidimensionality was examined using factor analyses, and Rasch analysis was used to test rating scale structure, fit statistics, and precision of the Y-BAT. The Y-BAT demonstrated a unidimensional measurement construct, and 19 of the 27 items fit the Rasch model. The instrument demonstrated good precision, including person reliability and person strata. The Y-BAT estimated person measures within a wide range of theta values with a reliability of .9 with good precision. Our results indicate that a revised, 19-item version of the Y-BAT demonstrates sound internal validity and may be a useful instrument for clinicians to measure upper extremity function with good precision following stroke.

scholarly journals Development and Validation of the Yonsei Lifestyle Profile-Satisfaction (YLP-S) Using the Rasch Measurement Model

2021 ◽  
Vol 58 ◽  
pp. 004695802110176
Author(s):  
Kang-Hyun Park ◽  
Ickpyo Hong ◽  
Ji-Hyuk Park
Keyword(s):  
Older Adults ◽  
Rasch Analysis ◽  
Age Groups ◽  
Internal Validity ◽  
Measurement Model ◽  
Limited Evidence ◽  
Fit Statistics ◽  
Item Functioning ◽  
Development And Validation ◽  
The Rasch Model

Lifestyle plays an important role in determining health and vitality among older adults. However, there is limited evidence regarding lifestyle assessment. This study examined the psychometric properties of the Yonsei Lifestyle Profile-Satisfaction (YLP-S). The participants in the study included 156 older adults. Rasch analysis was used to test unidimensionality, fit statistics, and the precision of the YLP-S. The YLP-S demonstrated a unidimensional measurement construct, and 18 items fit the Rasch model. The YLP-S illustrated reasonable precision (person strata = 5.37). Only 4 items showed differential item functioning by sex or age groups. The findings indicate that the YLP-S demonstrated sound internal validity and can be used by health professionals to measure the multifaceted lifestyle of older adults.

Prevalence of Hand Malformations in Patients With Moebius Syndrome and Their Management

Hand ◽  
2021 ◽  
pp. 155894472199426
Author(s):  
Jose E. Telich-Tarriba ◽  
David F. Navarro-Barquin ◽  
Karol Verdezoto-Gaibor ◽  
Alexander Cardenas-Mejia
Keyword(s):  
Upper Extremity ◽  
Treatment Strategies ◽  
Abducens Nerve ◽  
Poland Syndrome ◽  
Statistical Association ◽  
Moebius Syndrome ◽  
Cross Sectional ◽  
Reconstructive Procedures ◽  
Nerve Paralysis ◽  
Wide Range

Background: Moebius syndrome is a disorder characterized by facial and abducens nerve paralysis. Patients can present a wide range of upper extremity malformations. Literature focused on orthopedic manifestations of Moebius syndrome shows variability in the prevalence and clinical presentation of upper extremity anomalies. The aim of this work is to evaluate the prevalence of upper extremity malformations in patients with Moebius syndrome, clarify its various clinical presentations, and present treatment strategies for their management. Methods: This is a retrospective, cross-sectional study including patients with Moebius syndrome and upper extremity malformations between 2012 and 2019. Data include demographic characteristics, Moebius syndrome subtype, type of malformation, affected extremity, and surgical procedures underwent. Quantitative data were recorded as mean (standard deviation [SD]), and qualitative data were expressed in terms of totals and percentages. Statistical association between Moebius syndrome subtype and development of upper extremity anomalies was evaluated using binary logistic regression. Results: Twenty-five out of 153 patients (16.3%) presented upper extremity malformations (48% male). Mean age of presentation was 9.08 ± 9.43 years. Sixty-eight percent of the malformations were unilateral. The most common presentations included Poland syndrome and simple syndactyly with 8 cases each (32%), followed by 5 cases of brachysyndactyly (20%), 3 cases of amniotic band syndrome (12%), and 1 case of cleft hand (4%). No statistical association was found between Moebius syndrome subtype and odds ratio for development of upper extremity anomalies. Thirteen patients (52%) underwent reconstructive procedures. Conclusion: Poland syndrome and syndactyly are the most common anomalies in patients with Moebius syndrome. Patients may present with a wide range of hand malformations, each patient should be carefully evaluated in order to determine whether surgical treatment is needed and to optimize rehabilitation protocols.

scholarly journals Information Overload, Wellbeing and COVID-19: A Survey in China

2021 ◽  
Vol 11 (5) ◽  
pp. 62
Author(s):  
Jialin Fan ◽  
Andrew P Smith
Keyword(s):  
General Public ◽  
Online Survey ◽  
Information Overload ◽  
Age Distribution ◽  
General Information ◽  
Anxiety And Depression ◽  
Specific Information ◽  
Cross Sectional ◽  
Wide Range ◽  
Negative Coping

(1) Psychology must play an important role in the prevention and management of the COVID-19 pandemic. The aim of the present study was to examine associations between the perceptions of information overload and wellbeing in China during the initial phase of COVID-19. (2) Methods: The present research involved a cross-sectional online survey, which controlled for established predictors of wellbeing and the perception of general (not COVID-19-specific) information overload. The setting of the research was China, February 2020. A total of 1349 participants completed an online survey, and the results from 1240 members of the general public who stated that they were uninfected are reported here (55.6% female; 49.4% single; age distribution: 17–25 years: 26%; 26–30 years: 24.3%; 31–40 years: 23.9%; 41–50 years: 16.2%; 51 years+: 9.6%; the most frequent occupations were: 21.5% students; 19.5% teachers; 25.9% office workers; 10.8% managers, plus a few in a wide range of jobs). The outcomes were positive wellbeing (positive affect and life satisfaction) and negative wellbeing (stress, negative affect, anxiety and depression). (3) Results: Regressions were carried out, controlling for established predictors of wellbeing (psychological capital, general information overload, positive and negative coping). Spending time getting information about COVID-19 was associated with more positive wellbeing. In contrast, perceptions of COVID-19 information overload and feeling panic due to COVID-19 were associated with more negative wellbeing. (4) Conclusions: These results have implications for the communication of information about COVID-19 to the general public and form the basis for further research on the topic.

scholarly journals A Higher-Order Analysis Supports Use of the 11-Item Version of the Tampa Scale for Kinesiophobia in People With Neck Pain

2013 ◽  
Vol 93 (1) ◽  
pp. 60-68 ◽  
Author(s):  
David Walton ◽  
James M. Elliott
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Convergent Validity ◽  
Rasch Analysis ◽  
Rating Scale ◽  
Neck Disability Index ◽  
Measurement Properties ◽  
Symptom Duration ◽  
Cross Sectional ◽  
Tampa Scale For Kinesiophobia

Background Despite increasing clinical and research use of the 11-item version of the Tampa Scale for Kinesiophobia (TSK-11) in people with neck pain, little is known about its measurement properties in this population. Objective The purpose of this study was to rigorously evaluate the measurement properties of the TSK-11 when used in people with mechanical neck pain. Design This study was a secondary analysis of 2 independent databases (N=235) of people with mechanical neck pain of primarily traumatic origin. Methods The TSK-11 was subjected to Rasch analysis and subsequent evaluation of concurrent associations with the Neck Disability Index and a numeric rating scale for pain intensity. Results The TSK-11 conformed well to the Rasch model for interval-level measurement, but less so for acute or nontraumatic etiologies. A transformation matrix suggested that small changes at the extremes of the scale are more meaningful than in the middle. Cross-sectional convergent validity testing suggested relationships of expected magnitude and direction compared with pain intensity and neck-related disability. The use of the linearly transformed TSK-11 led to potentially important differences in distribution of data compared with use of the raw scores. Limitations The sample size was slightly smaller than desired for Rasch analysis. The 2 databases were similar in terms of symptom duration, but differed in pain intensity and age. Conclusions The TSK-11 can be considered an interval-level measure when used in people with neck pain. It provides potentially important information regarding the nature of neck-related disability. Clinically important difference may not be consistent across the range of the scale.

scholarly journals Reliability and validity of the Japanese version of the ADL-focused Occupation-based Neurobehavioural Evaluation (A-ONE J): Applying Rasch analysis methods

2019 ◽  
Vol 32 (1) ◽  
pp. 32-40 ◽  
Author(s):  
Yasuhiro Higashi ◽  
Shinichi Takabatake ◽  
Asako Matsubara ◽  
Koji Nishikawa ◽  
Hiroto Shigeta ◽  
...  
Keyword(s):  
Rasch Analysis ◽  
Rating Scale ◽  
Item Difficulty ◽  
Reliability And Validity ◽  
Internal Validity ◽  
Principal Component ◽  
Japanese Version ◽  
Functional Independence ◽  
Scale Structure ◽  
Validity And Reliability

Background/objective The ADL-focused Occupation-based Neurobehavioral Evaluation (A-ONE) can be used to evaluate both performances of activities of daily living (ADL) tasks and neurobehavioural problems that interfere with ADL task performance among clients with neurological disorders. Research studies have demonstrated acceptable psychometric properties of the original version of the A-ONE as well as the Rasch analysed version. The aim of this study was to examine the reliability and validity of the Japanese version of the A-ONE (A-ONE J). Methods Rasch analysis was performed on data obtained from eight different hospitals in Japan on performances of 150 individuals diagnosed with a stroke based on the functional independence (FI) scale items. The rating scale structure was investigated and internal validity and reliability were examined. Unidimensionality of the items was examined by mean square infit values and principal component analysis of residuals. The targeting between person ability and item difficulty was explored, as well as the separation reliability. Finally, psychometric values and item difficulty hierarchies obtained in this study were compared to the original Rasch analysis of the A-ONE. Results The rating scale structure might be improved by collapsing two categories twice (from five categories to three categories). Unidimensionality of the items was obtained for 20 items. Targeting was acceptable, and separation reliability for item calibrations was high and acceptable for people. Conclusion/limitations: This study provides important information regarding the possibilities for revising the ordinal A-ONE J FI Scale, converting it into a unidimensional scale. Further study with increased and more diverse sample is needed.

Clinically relevant and simple immune system measure is related to symptom burden in bipolar disorder

2017 ◽  
Vol 30 (5) ◽  
pp. 297-305 ◽  
Author(s):  
Ole Köhler-Forsberg ◽  
Louisa Sylvia ◽  
Thilo Deckersbach ◽  
Michael Joshua Ostacher ◽  
Melvin McInnis ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Clinical Trials ◽  
Immune System ◽  
Rating Scale ◽  
Lithium Treatment ◽  
Symptom Burden ◽  
Multinomial Regression ◽  
Cross Sectional ◽  
Wide Range ◽  
Specific Symptoms

ObjectiveImmunological theories, particularly the sickness syndrome theory, may explain psychopathology in mood disorders. However, no clinical trials have investigated the association between overall immune system markers with a wide range of specific symptoms including potential gender differences.MethodsWe included two similar clinical trials, the lithium treatment moderate-dose use study and clinical and health outcomes initiatives in comparative effectiveness for bipolar disorder study, enrolling 765 participants with bipolar disorder. At study entry, white blood cell (WBC) count was measured and psychopathology assessed with the Montgomery and Aasberg depression rating scale (MADRS). We performed analysis of variance and linear regression analyses to investigate the relationship between the deviation from the median WBC, and multinomial regression analysis between different WBC levels. All analyses were performed gender-specific and adjusted for age, body mass index, smoking, race, and somatic diseases.ResultsThe overall MADRS score increased significantly for each 1.0×109/l deviation from the median WBC among 322 men (coefficient=1.10; 95% CI=0.32–1.89; p=0.006), but not among 443 women (coefficient=0.56; 95% CI=−0.19–1.31; p=0.14). Among men, WBC deviations were associated with increased severity of sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, inability to feel, and suicidal thoughts. Among women, WBC deviations were associated with increased severity of reduced appetite, concentration difficulties, lassitude, inability to feel, and pessimistic thoughts. Both higher and lower WBC levels were associated with increased severity of several specific symptoms.ConclusionImmune system alterations were associated with increased severity of specific mood symptoms, particularly among men. Our results support the sickness syndrome theory, but furthermore emphasise the relevance to study immune suppression in bipolar disorder. Due to the explorative nature and cross-sectional design, future studies need to confirm these findings.

scholarly journals Rationale for a Parsimonious Measure of Subjective Knee Function after ACL Reconstruction: A Rasch Analysis

2021 ◽  
Author(s):  
T. Ryan Duckett ◽  
Christine Fox ◽  
Joseph M. Hart ◽  
Grant E. Norte
Keyword(s):  
Psychometric Properties ◽  
Acl Reconstruction ◽  
Rasch Analysis ◽  
Rating Scale ◽  
Knee Function ◽  
Objective Measures ◽  
Cross Sectional ◽  
Post Surgery ◽  
Significant Difference ◽  
Patient Reported

Abstract Context: The International Knee Documentation Committee (IKDC) Subjective Knee Evaluation is the most frequently used patient-reported measure of subjective knee function among individuals with ACL reconstruction (ACLR). Yet, limitations with traditional validation approaches leave it unclear whether the IKDC measures knee function as intended. Rasch analysis offers a robust validation approach, which may enhance clinical interpretation of the IKDC. Objective: 1) To assess the psychometric properties, 2) ability to classify health status, and 3) relationships between the IKDC and objective measures of strength and functional performance relative to a newly proposed reduced-item instrument. Design: Cross-sectional. Setting: Laboratory. Patients or other Participants: Seventy-seven individuals with primary, unilateral ACLR (21.9±7.8 years, 6.2±1.0 months post-surgery), and seventy-six age-matched controls. Main Outcome Measure(s): Rasch analysis was used to assess the psychometric properties of the IKDC. Receiver-operator-characteristic curves and logistic regression were used to assess the accuracy of classifying ACLR versus control participants. Correlations (Pearson and Spearman) were used to assess relationships between subjective knee function, quadriceps torque, and single-limb hop performance. Results: Rasch analysis aided the development of a reduced 8-item instrument (IKDC-8), which yielded improved psychometric properties in misfit analysis, percent of variance accounted for by one dimension (IKDC-8=71.5%; IKDC=56.7%), and item reliability. The IKDC was an outstanding diagnostic tool and the IKDC-8 was excellent, correctly classifying 87.2% and 82.7% of cases, respectively. The Hanley-McNeil formula found that there was no significant difference in the areas under the respective ROC curves. Equivalent associations between subjective and objective knee function were observed regardless of instrument used. Conclusions: We observed evidence of enhanced reliability and validity for a parsimonious measure of subjective knee function. The proposed instrument reduces the number of items, increases score interpretability as measuring a single construct, and improves the rating scale functioning, while not significantly diminishing its ability to classify ACLR versus control participants or changing existing relationships with objective measures of recovery. We suggest the IKDC-8 may enhance clinical use by reducing administration time, improving the interpretation of the subjective knee function score, and clarifying functional ability.

Developing and Piloting a Computerized Adaptive Test for a Culturally Appropriate Measure of Adaptive Behavior

2021 ◽  
pp. 073428292110470
Author(s):  
Mo Chen ◽  
Yong-Hwee Nah ◽  
Nicolette Waschl ◽  
Kenneth Poon ◽  
Ping Chen
Keyword(s):  
Adaptive Behavior ◽  
Rasch Analysis ◽  
Rating Scale ◽  
Adaptive Skills ◽  
Future Research ◽  
Culturally Appropriate ◽  
Computerized Adaptive Test ◽  
Adaptive Test ◽  
Fit Statistics ◽  
Item Fit

Culturally bounded in nature, adaptive behavior is the degree to which a person meets the requirements of personal independence and social responsibilities. This study aimed to develop a computerized adaptive test (CAT) of a culturally appropriate adaptive behavior measure (i.e., the Activities and Participation Rating Scale [APRS]) in the Singapore context for children aged 7 to 12 years, that is, the CAT-APRS-Primary. In Study 1, an item bank consisting of 310 adaptive skills was developed and piloted among 56 caregivers. In Study 2, the refined 310 items were calibrated using Rasch analysis among 352 caregivers. After the removal of five poor items based on the Rasch analysis, the finalized 305 items were used for the CAT development, with these items showing good Rasch person and item fit statistics. Preliminary utility of the CAT-APRS-Primary was established, with participants completing 24 items on average. Limitations and implications for future research were discussed.

Patient Activation Measures in a Government Homeopathic Hospital in India

2014 ◽  
Vol 19 (4) ◽  
pp. 253-259 ◽  
Author(s):  
Subhranil Saha ◽  
Munmun Koley ◽  
ER Mahoney ◽  
Judith Hibbard ◽  
Shubhamoy Ghosh ◽  
...  
Keyword(s):  
Rating Scale ◽  
Patient Activation ◽  
Principal Component ◽  
Chronically Ill ◽  
Cross Sectional Study ◽  
Scale Model ◽  
Cross Sectional ◽  
Fit Statistics ◽  
American Patient ◽  
Care Models

The American Patient Activation Measure–22 questionnaire (PAM-22) quantifies the knowledge, skills, and confidence essential to manage own health and health care. It is a central concept in chronic illness care models, but studied sparsely in homeopathic hospitals. PAM-22 was translated into Bengali and a cross-sectional study was undertaken in chronically ill 417 patients visiting the outpatient clinic of Mahesh Bhattacharyya Homeopathic Medical College and Hospital, India. Response rate was 90.41%. Data were analyzed using Rasch rating scale model with Winsteps. Activation score was 54.7 ± 8.04 or 62.13% of maximum score. PAM scores differed significantly by age, education, income, and health status ( P < .05). The items had good data quality fit statistics and good range of difficulty. The construct unidimensionality was confirmed by good model fits for Rasch model and principal component analysis of residuals found no meaning structure. The questionnaire showed acceptable psychometrics. Patient activation was moderate and needs to be improved.

scholarly journals Functional outcomes of ACL reconstruction using hamstring auto graft.

2019 ◽  
Vol 26 (11) ◽  
pp. 1965-1970
Author(s):  
Zeeshan Ali Khan ◽  
Benash Altaf ◽  
Samia Javed ◽  
Sadaf Altaf Sadaf Altaf ◽  
Shireen Jawed
Keyword(s):  
Acl Reconstruction ◽  
Rating Scale ◽  
Cruciate Ligament ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Wide Range ◽  
Effect Of Age

Objectives: The knee joint is made of two cruciate ligaments. One is anterior cruciate ligament (ACL) which is weaker when it comes to comparison with the other cruciate ligament known as posterior cruciate ligament (PCL). ACL tears are most common and frequently neglected. ACL tear is affecting 70% of the population and this high incidence reflects the significance of the problem. Reason of restoration of a torn ACL is to provide knee stability, knee motion in a safe wide range and to prevent osetoarthritis OA. The gold standard for ACL auto-graft reconstruction is bone patella-tendon bone (BTB) which is still questioned by many researchers as this technique followed subjects suffered from knee pain. So aim is to use and to access outcomes of hamstring auto-graft for reconstruction ACL by using Tegner’s score. Study Design: Cross sectional study. Setting: Private based hospital, Faisalabad. Period: January 2017 to January 2019. Material and Methods: It was comprised of in comprised of 97 subjects recruited on the base of positive Tegners score. Demographic data including age was presented as mean and standard deviation. Data was stratified for the variables i.e. age, gender, duration of disease and pre-operative Tegner activity rating scale to address the effect modifiers. Post-stratification Chi-square test is applied to check the significance with P-value less than 0.05 as significant. Regression was applied to check the effect of age on Tegner’s scor. Results: This study comprised of 97 subjects (81 male, 16  females83.5.5% and 16.5% respectively from private setup based hospital with mean age of 31±11.1.Our study showed 96.9% subjects with improved Tegner’s scale after ACL reconstruction following hamstring autograph technique. Regression was also applied to check the effect of age on Tegner’s score which was found to be significant (p value0.00*). Conclusion: Hamstring technique showed good outcomes which can be used to reconstruct ACL for better quality lifestyle.

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