Rasch Analysis of the Stroke Impact Scale–16.

Importance: Because the psychometric evidence supporting the use of the Stroke Impact Scale–16 (SIS–16) is limited, an examination of its psychometric properties is warranted. Objective: To evaluate the psychometric properties of the SIS–16 using Rasch analysis. Design: Secondary data analysis of re...

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Publicado en:American Journal of Occupational Therapy Vol. 76; no. 6; pp. 1 - 10
Autores principales: Wang, Inga, Wang, Yi-Ching, Wu, Tzu-Yi, Chou, Chia-Yeh, Hsieh, Ching-Lin
Formato: research tables/charts Journal Article
Publicado: American Occupational Therapy Association Nov/Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov/Dec2022
      vid: 76
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      pid: 6680
      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        10.5014/ajot.2022.049335
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        atl: Rasch Analysis of the Stroke Impact Scale–16.
      aug:
        au:
          Wang, Inga
          Wang, Yi-Ching
          Wu, Tzu-Yi
          Chou, Chia-Yeh
          Hsieh, Ching-Lin
        affil: Inga Wang, PhD, OTR/L, is Associate Professor, Department of Rehabilitation Sciences & Technology, University of Wisconsin–Milwaukee, Milwaukee, WI.
      sug:
        subj:
          Rasch Analysis
          Instrument Validation
          Human
          Psychometrics
          Stroke
          Reproducibility of Results
          Questionnaires
          Stroke Patients
          Descriptive Statistics
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Summated Rating Scaling
          Male
          Female
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Importance: Because the psychometric evidence supporting the use of the Stroke Impact Scale–16 (SIS–16) is limited, an examination of its psychometric properties is warranted. Objective: To evaluate the psychometric properties of the SIS–16 using Rasch analysis. Design: Secondary data analysis of responses to the SIS–16 from the published Field Administration of Stroke Therapy–Magnesium Trial database. Setting: Emergency medical system agencies and acute care receiving hospitals. Participants: A total of 1,010 people with stroke. Outcomes and Measures: We examined the item difficulty hierarchy, item fit, person–item match, separation index, person reliability coefficient, and ceiling and floor effect of the SIS–16. Results: The item "climb a flight of stairs" was the most difficult, and "sit without losing balance" was the easiest. Four items misfit the Rasch partial-credit measurement model. Overall, the average patient ability estimate of 2.1 logits (SD = 2.0) was higher than the average item difficulty estimate of 0.0 logits (SD = 1.1). With a separation index of 2.85, the SIS–16 can differentiate people into 4.1 statistically distinct strata. The person reliability coefficient was.89. Given that 24.2% (n = 244) obtained the maximum score and 0.2% (n = 2) obtained the minimum score, the SIS–16 had a ceiling effect in this patient sample. Conclusions and Relevance: Results partially support the validity and clinical use of the SIS–16 in subacute stroke clinical settings. Further research is warranted to examine the psychometric properties of the SIS–16 in patients with chronic stroke. What This Article Adds: Our results partially support the use of the SIS–16 in clinical and research settings. Study results partially support the use of the Stroke Impact Scale–16 (SIS–16) in clinical and research settings for patients with chronic stroke.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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