Development of Rasch-Based Item Banks for the Assessment of Work Performance in Patients with Musculoskeletal Diseases.

Purpose This study aimed to develop a self-description assessment instrument to measure work performance in patients with musculoskeletal diseases. In terms of the International Classification of Functioning, Disability and Health (ICF), work performance is defined as the degree of meeting the work...

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Publicado en:Journal of Occupational Rehabilitation Vol. 23; no. 4; pp. 527 - 536
Autores principales: Mueller, Evelyn, Bengel, Juergen, Wirtz, Markus
Formato: research tables/charts Journal Article
Publicado: Springer Nature Dec2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2013
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      pub: Springer Nature
      place: New York, New York
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        atl: Development of Rasch-Based Item Banks for the Assessment of Work Performance in Patients with Musculoskeletal Diseases.
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        au:
          Mueller, Evelyn
          Bengel, Juergen
          Wirtz, Markus
        affil: Department Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, 79085 Freiburg Germany
      sug:
        subj:
          Work Capacity Evaluation Methods
          Musculoskeletal Diseases Physiopathology
          Instrument Construction
          Clinical Assessment Tools Evaluation
          Instrument Validation
          International Classification of Functioning, Disability, and Health
          Psychometrics
          Germany
          Validation Studies
          Construct Validity
          Rasch Analysis
          Item Analysis
          Factor Analysis
          Questionnaires
          Summated Rating Scaling
          Two-Way Analysis of Variance
          Confidence Intervals
          Pearson's Correlation Coefficient
          Middle Age
          Female
          Male
          Human
          Funding Source
          Middle Aged: 45-64 years
          Female
          Male
      ab: Purpose This study aimed to develop a self-description assessment instrument to measure work performance in patients with musculoskeletal diseases. In terms of the International Classification of Functioning, Disability and Health (ICF), work performance is defined as the degree of meeting the work demands (activities) at the actual workplace (environment). To account for the fact that work performance depends on the work demands of the job, we strived to develop item banks that allow a flexible use of item subgroups depending on the specific work demands of the patients' jobs. Methods Item development included the collection of work tasks from literature and content validation through expert surveys and patient interviews. The resulting 122 items were answered by 621 patients with musculoskeletal diseases. Exploratory factor analysis to ascertain dimensionality and Rasch analysis (partial credit model) for each of the resulting dimensions were performed. Results Exploratory factor analysis resulted in four dimensions, and subsequent Rasch analysis led to the following item banks: 'impaired productivity' (15 items), 'impaired cognitive performance' (18), 'impaired coping with stress' (13) and 'impaired physical performance' (low physical workload 20 items, high physical workload 10 items). The item banks exhibited person separation indices (reliability) between 0.89 and 0.96. Conclusions The assessment of work performance adds the activities component to the more commonly employed participation component of the ICF-model. The four item banks can be adapted to specific jobs where necessary without losing comparability of person measures, as the item banks are based on Rasch analysis.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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