Differential item functioning in the Observer Scale of the POSAS for different scar types.

Purpose: To investigate whether the Observer Scale of the Patient and Observer Scar Assessment Scale (POSAS) can serve as a generic measure for scar quality across different scar types.Methods: A collection of POSAS scores derived from several clinical trials on burn (n = 404), linear (n = 384), and...

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Publicado en:Quality of Life Research Vol. 23; no. 7; pp. 2037 - 2046
Autores principales: van der Wal, Martijn B A, Tuinebreijer, Wim E, Lundgren-Nilsson, Asa, Middelkoop, Esther, van Zuijlen, Paul P M, Lundgren-Nilsson, Åsa
Formato: research Journal Article
Publicado: Springer Nature Sep2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2014
      vid: 23
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s11136-014-0637-4
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        atl: Differential item functioning in the Observer Scale of the POSAS for different scar types.
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        au:
          van der Wal, Martijn B A
          Tuinebreijer, Wim E
          Lundgren-Nilsson, Asa
          Middelkoop, Esther
          van Zuijlen, Paul P M
          Lundgren-Nilsson, Åsa
        affil: Association of Dutch Burn Centers, Beverwijk, The Netherlands, mvanderwal@RKZ.nl.
      sug:
        subj:
          Cicatrix Pathology
          Health Status Indicators
          Physical Examination
          Questionnaires
          Differential Item Functioning
          Adolescence
          Adult
          Aged
          Aged, 80 and Over
          Child
          Child, Preschool
          Female
          Human
          Infant
          Male
          Middle Age
          Models, Statistical
          Observer Bias
          Psychometrics
          Young Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Infant: 1-23 months
          Middle Aged: 45-64 years
          Female
          Male
      ab: Purpose: To investigate whether the Observer Scale of the Patient and Observer Scar Assessment Scale (POSAS) can serve as a generic measure for scar quality across different scar types.Methods: A collection of POSAS scores derived from several clinical trials on burn (n = 404), linear (n = 384), and keloidal scars (n = 282) was analyzed using the partial credit model of the Rasch analysis package RUMM2030.Results: Differential item functioning (DIF) was observed for the Observer Scale of the POSAS between the three scar types for the items pliability, thickness, and surface area, which could be solved by item splitting. The items pigmentation and thickness showed disordered thresholds, considerable misfit, and unpredictability.Conclusion: Users of the Observer Scale of the POSAS must be aware that the raw scores obtained from burn, linear, and keloidal scars cannot be compared without the scar-specific DIF adjustment of the items pliability, thickness, and surface area.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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