关于脊髓独立性测量法第四版的多中心国际研究:Rasch 心理测量验证。

IF 1.8 4区 医学 Q3 CLINICAL NEUROLOGY
Journal of Spinal Cord Medicine Pub Date : 2024-09-01 Epub Date: 2023-03-31 DOI:10.1080/10790268.2023.2183334
Amiram Catz, Malka Itzkovich, Rotem Rozenblum, Keren Elkayam, Adi Kfir, Luigi Tesio, Harvinder Singh Chhabra, Dianne Michaeli, Gabi Zeilig, Einat Engel-Haber, Emiliana Bizzarini, Claudio Pilati, Salvatore Stigliano, Marcella Merafina, Giulio Del Popolo, Gabriele Righi, Jacopo Bonavita, Ilaria Baroncini, Nan Liu, Huayi Xing, Paulo Margalho, Ines Campos, Marcelo Riberto, Thabata Pasquini Soeira, Bobeena Chandy, George Tharion, Mrinal Joshi, Jean-François Lemay, Marie-Thérèse Laramée, Dorothyann Curran, Annelie Schedin Leiulfsrud, Linda Sørensen, Fin Biering-Sorensen, Henrik Hagen Poder, Nur Kesiktas, Lisa Burgess-Collins, Jayne Edwards, Aheed Osman, Vadim Bluvshtein
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引用次数: 0

摘要

背景:脊髓独立性量表是针对脊髓损伤(SCL)患者的综合功能评分量表:研究设计:多中心队列研究:多中心队列研究:地点:11个国家的19个SCL单位:SCIM开发人员根据专家意见创建了SCIM IV,在SCIM IV表格中纳入了更准确的评分标准定义,并对其进行了调整,以评估第三版SCIM III未涉及的特定条件或情况。专业人员使用 SCIM IV 和 SCIM III 对 648 名 SCL 住院患者在入院康复和出院时进行了评估。作者使用 Rasch 分析方法检验了 SCIM IV 子量表得分的有效性和可靠性:研究对象包括 16-87 岁的住院患者。SCIM IV 分量表得分符合 Rasch 模型。所有项目的均方差指数和大多数项目的均方差指数均低于1.4;能力的统计分层为2.6-6;大多数类别排序正确;在大多数临床亚组和国家中,项目层次结构保持稳定。然而,我们在少数项目中发现了不匹配或类别阈值失调。我们发现 SCIM III 和 SCIM IV 的 Rasch 特性相当:Rasch分析表明,SCIM IV每个分量表的得分都是可靠有效的。这加强了在临床实践和研究中使用 SCIM IV 的合理性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A multi-center international study on the spinal cord independence measure, version IV: Rasch psychometric validation.

Context: The Spinal Cord Independence Measure is a comprehensive functional rating scale for individuals with spinal cord lesion (SCL).

Objective: To validate the scores of the three subscales of SCIM IV, the fourth version of SCIM, using advanced statistical methods.

Study design: Multi-center cohort study.

Setting: Nineteen SCL units in 11 countries.

Methods: SCIM developers created SCIM IV following comments by experts, included more accurate definitions of scoring criteria in the SCIM IV form, and adjusted it to assess specific conditions or situations that the third version, SCIM III, does not address. Professional staff members assessed 648 SCL inpatients, using SCIM IV and SCIM III, at admission to rehabilitation, and at discharge. The authors examined the validity and reliability of SCIM IV subscale scores using Rasch analysis.

Results: The study included inpatients aged 16-87 years old. SCIM IV subscale scores fit the Rasch model. All item infit and most item outfit mean-square indices were below 1.4; statistically distinct strata of abilities were 2.6-6; most categories were properly ordered; item hierarchy was stable across most clinical subgroups and countries. In a few items, however, we found misfit or category threshold disordering. We found SCIM III and SCIM IV Rasch properties to be comparable.

Conclusions: Rasch analysis suggests that the scores of each SCIM IV subscale are reliable and valid. This reinforces the justification for using SCIM IV in clinical practice and research.

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来源期刊
Journal of Spinal Cord Medicine
Journal of Spinal Cord Medicine 医学-临床神经学
CiteScore
4.20
自引率
5.90%
发文量
101
审稿时长
6-12 weeks
期刊介绍: For more than three decades, The Journal of Spinal Cord Medicine has reflected the evolution of the field of spinal cord medicine. From its inception as a newsletter for physicians striving to provide the best of care, JSCM has matured into an international journal that serves professionals from all disciplines—medicine, nursing, therapy, engineering, psychology and social work.
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