构建康复评估EUROHIS-QOL的效度

IF 0.7 Q3 Medicine
Harsha N. Perera, J. Athanasou
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引用次数: 1

摘要

在应用环境中,使用EUROHIS作为生活质量(QOL)的简短衡量标准越来越普遍,包括在康复评估环境中。然而,有人担心该措施产生的数据的有效性,其中主要是潜在的结构基础分数。本文报道了一项研究,旨在调查从EUROHIS中获得的分数的维度。此外,我们还检验了保留模型在性别上的因子不变性,以及生活质量在年龄、就业状况和精神严重程度上的潜在平均差异。基于可补偿事故受害者对EUROHIS的251个回应,发现支持复杂的单因素模型,该模型在性别上部分可复制。一些证据表明,不同的性别,年龄和就业状况的差异项目功能被发现。最后,年龄对生活质量的影响呈u型,以中年最低点为特征,精神严重程度对生活质量的影响显著,就业状况对生活质量的影响显著。总的来说,尽管目前的研究结果为EUROHIS提供了验证数据,但它们也引起了对该措施的担忧。我们为研究人员和实践者提供了一些初步的指导方针。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Construct validity of the EUROHIS-QOL for rehabilitation assessment
The use of the EUROHIS as a brief measure of quality of life (QOL) in applied settings is increasingly commonplace, including in rehabilitation assessment contexts. However, there are concerns about the validity of data produced by the measure, chief amongst which is the latent structure underlying scores. This article reports on research conducted to investigate the dimensionality of scores derived from the EUROHIS. In addition, the factorial invariance of the retained model across gender as well as latent mean differences in QOL over age, employment status, and psychiatric severity were examined. Based on 251 responses to the EUROHIS by compensable accident victims, support was found for a complex one-factor model, which was found to be partially replicable across gender. Some evidence for differential item functioning across gender, age, and employment status was found. Finally, a U-shaped effect of age on QOL, characterized by a mid-life nadir, as well as effects of psychiatric severity on QOL, and a marginally significant effect of employment status were evident. Collectively, though the results of the present study yield validation data for the EUROHIS, they also raise concerns about the measure. We offer some tentative guidelines for working with the measure for both researchers and practitioners.
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