Exploring rating scale responsiveness: does the total score reflect the sum of its parts?

Abstract:

: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.

journal_name

Neurology

journal_title

Neurology

authors

O'Connor RJ,Cano SJ,Thompson AJ,Hobart JC

doi

10.1212/01.wnl.0000116136.22922.d6

subject

Has Abstract

pub_date

2004-05-25 00:00:00

pages

1842-4

issue

10

eissn

0028-3878

issn

1526-632X

journal_volume

62

pub_type

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