Developing an item bank to measure economic quality of life for individuals with disabilities.

Abstract:

OBJECTIVE:To develop and evaluate the psychometric properties of an item set measuring economic quality of life (QOL) for use by individuals with disabilities. DESIGN:Survey. SETTING:Community settings. PARTICIPANTS:Individuals with disabilities completed individual interviews (n=64), participated in focus groups (n=172), and completed cognitive interviews (n=15). Inclusion criteria included the following: traumatic brain injury, spinal cord injury, or stroke; age ≥18 years; and ability to read and speak English. We calibrated the items with 305 former rehabilitation inpatients. INTERVENTIONS:None. MAIN OUTCOME MEASURE:Economic QOL. RESULTS:Confirmatory factor analysis showed acceptable fit indices (comparative fit index=.939, root mean square error of approximation=.089) for the 37 items. However, 3 items demonstrated local item dependence. Dropping 9 items improved fit and obviated local dependence. Rasch analysis of the remaining 28 items yielded a person reliability of .92, suggesting that these items discriminate about 4 economic QOL levels. CONCLUSIONS:We developed a 28-item bank that measures economic aspects of QOL. Preliminary confirmatory factor analysis and Rasch analysis results support the psychometric properties of this new measure. It fills a gap in health-related QOL measurement by describing the economic barriers and facilitators of community participation. Future development will make the item bank available as a computer adaptive test.

journal_name

Arch Phys Med Rehabil

authors

Tulsky DS,Kisala PA,Lai JS,Carlozzi N,Hammel J,Heinemann AW

doi

10.1016/j.apmr.2014.02.030

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

604-13

issue

4

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(14)00265-2

journal_volume

96

pub_type

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