Measurement Validity of the Low Vision Independence Measure (LVIM).

OBJECTIVE. This study's objective was to test the psychometrics of Smith's (2013) Low Vision Independence Measure (LVIM) using the Rasch model. METHOD. A cohort design was used with 93 participants receiving occupational therapy for low vision. Confirmatory factor analysis (CFA) with a parceling app...

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Publicado en:American Journal of Occupational Therapy Vol. 73; no. 3; pp. 1 - 12
Autores principales: Smith, Theresa M., Krishnan, Shilpa, Hong, Ickpyo, Reistetter, Timothy A.
Formato: research tables/charts Journal Article
Publicado: American Occupational Therapy Association May/Jun2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2019
      vid: 73
      iid: 3
      pid: 6680
      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        136608675
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        10.5014/ajot.2019.031070
        136608675
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        atl: Measurement Validity of the Low Vision Independence Measure (LVIM).
      aug:
        au:
          Smith, Theresa M.
          Krishnan, Shilpa
          Hong, Ickpyo
          Reistetter, Timothy A.
        affil: Theresa M. Smith, PhD, OTR, CLVT, is Associate Professor, School of Occupational Therapy, Texas Woman's University, Houston
      sug:
        subj:
          Vision, Subnormal
          Psychometrics
          Instrument Validation
          Human
          Scales
          Rasch Analysis
          Prospective Studies
          Factor Analysis
          Male
          Female
          Aged
          Aged, 80 and Over
          Macular Degeneration
          Descriptive Statistics
          Internal Consistency
          Data Analysis Software
          Reliability
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: OBJECTIVE. This study's objective was to test the psychometrics of Smith's (2013) Low Vision Independence Measure (LVIM) using the Rasch model. METHOD. A cohort design was used with 93 participants receiving occupational therapy for low vision. Confirmatory factor analysis (CFA) with a parceling approach was used to test the LVIM factors and Rasch analysis to examine item-level psychometrics. RESULTS. Participants' average age was 78.9 yr (standard deviation = 12.1), and the majority were female (72.8%) with macular degeneration (62.3%). The CFA revealed two measurement factors: visual field or scotoma (n = 28) and visual acuity (n = 24). We removed six misfitting items, and the two factors of the revised LVIM demonstrated good rating scale function, good internal consistency (person reliability: visual field, .87; visual acuity, .90), good precision (person strata: visual field, 3.91; visual acuity, 4.40), no ceiling or floor effects, and no differential item functioning. CONCLUSION. The revised LVIMdemonstrates good psychometrics on the Rasch model and can be used as a valid outcome measure in low vision rehabilitation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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