Examining unidimensionality and improving reliability for the eight subscales of the SF-36 in opioid-dependent patients using Rasch analysis.

Purpose: The Medical Outcome Study Short Form 36 (SF-36) is one of the most commonly used questionnaires for monitoring the Health-Related Quality of Life (HRQOL) of opioid-dependent patients. However, the unidimensionality and reliability of the SF-36 have not been verified in opioid-dependent pati...

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Published in:Quality of Life Research Vol. 24; no. 2; pp. 279 - 286
Main Authors: Hsiao, Yu-Yu, Shih, Ching-Lin, Yu, Wan-Hui, Hsieh, Cheng-Hsi, Hsieh, Ching-Lin
Format: research Journal Article
Published: Springer Nature Feb2015
Online Access:View this record in EBSCOhost
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        atl: Examining unidimensionality and improving reliability for the eight subscales of the SF-36 in opioid-dependent patients using Rasch analysis.
      aug:
        au:
          Hsiao, Yu-Yu
          Shih, Ching-Lin
          Yu, Wan-Hui
          Hsieh, Cheng-Hsi
          Hsieh, Ching-Lin
        affil: Department of Educational Psychology, Texas A&M University, 4225 TAMU, College Station, TX, 77843-4225, USA.
      sug:
        subj:
          Quality Improvement
          Quality of Life
          Questionnaires Standards
          Substance Use Disorders Drug Therapy
          Adolescence
          Adult
          Female
          Human
          Male
          Middle Age
          Prospective Studies
          Psychometrics
          Rasch Analysis
          Reproducibility of Results
          Short Form-36 Health Survey (SF-36)
          Taiwan
          Young Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Purpose: The Medical Outcome Study Short Form 36 (SF-36) is one of the most commonly used questionnaires for monitoring the Health-Related Quality of Life (HRQOL) of opioid-dependent patients. However, the unidimensionality and reliability of the SF-36 have not been verified in opioid-dependent patients. The aim of this study was to examine the unidimensionality and to improve the test reliability of the SF-36 for use in opioid-dependent patients.Methods: A total of 583 opioid-dependent patients were recruited in the study. Unidimensionality was examined by conducting unidimensional Rasch analysis. Item fit statistics and principle component analysis were used to check the item-model fit in each of the eight subscales of the SF-36. Reliability was evaluated by applying both unidimensional and multidimensional Rasch analyses.Results: After three misfitting items were excluded, the remaining items of each subscale in the SF-36 represented a single construct. The test reliabilities (0.80-0.87) yielded by the multidimensional approach were much higher than those (0.68-0.82) produced by the unidimensional approach.Conclusion: The remaining 32 items of the SF-36 are appropriate for evaluating the HRQOL in opioid-dependent patients in terms of unidimensionality. Additionally, the test scores produced by the multidimensional approach were more accurate than those obtained by the unidimensional approach.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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