Exploring rating scale responsiveness - Does the total score reflect the sum of its parts?

被引:35
作者
O'Connor, RJ
Cano, SJ
Thompson, AJ
Hobart, JC [1 ]
机构
[1] Derriford Hosp, Peninsula Med Sch, Dept Clin Neurosci, Plymouth PL6 8DH, Devon, England
[2] Royal Free & Univ Coll Med Sch, Dept Clin Neurosci, London, England
[3] UCL, Inst Neurol, Neurol Outcome Measures Unit, London, England
关键词
D O I
10.1212/01.WNL.0000116136.22922.D6
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Evaluating rehabilitation requires rating scales that detect change. The authors examined Barthel Index ( BI) data from 1,495 patients at a neurorehabilitation unit to determine whether total scale responsiveness accurately reflects item responsiveness. Total score effect sizes were moderate to large ( 0.47 to 1.09). Item-level effect sizes (0.13 to 1.16) reveal floor (3.5 to 82.3%) and ceiling (9.7 to 95.4%) effects. Results suggest BI total score effect sizes may hide item-level weaknesses and may underestimate the impact of rehabilitation.
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收藏
页码:1842 / 1844
页数:3
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