'Less is more': validation with Rasch analysis of five short-forms for the Brain Injury Rehabilitation Trust Personality Questionnaires (BIRT-PQs).

Brain injuries behavioral symptoms health care outcome assessment personality assessment psychometrics rehabilitation

Journal

Brain injury
ISSN: 1362-301X
Titre abrégé: Brain Inj
Pays: England
ID NLM: 8710358

Informations de publication

Date de publication:
05 12 2020
Historique:
pubmed: 13 11 2020
medline: 29 7 2021
entrez: 12 11 2020
Statut: ppublish

Résumé

Previous analyses demonstrated a lack of unidimensionality, item redundancy, and substantial administrative burden for the Brain Injury Rehabilitation Trust Personality Questionnaires (BIRT-PQs). To use Rasch Analysis to calibrate five short-forms of the BIRT-PQs, satisfying the Rasch model requirements. BIRT-PQs data from 154 patients with severe Acquired Brain Injury (s-ABI) and their caregivers (total sample = 308) underwent Rasch analysis to examine their internal construct validity and reliability according to the Rasch model. The base Rasch analyses did not show sufficient internal construct validity according to the Rasch model for all five BIRT-PQs. After rescoring 18 items, and deleting 75 of 150 items, adequate internal construct validity was achieved for all five BIRT-PQs short forms (model chi-square After extensive modifications, including a 48% reduction of the item load, we obtained five short forms of the BIRT-PQs satisfying the strict measurement requirements of the Rasch model. The ordinal-to-interval measurement conversion tables allow measuring on the same metric the perception of the neurobehavioral disability for both patients with s-ABI and their caregivers.

Sections du résumé

BACKGROUND
Previous analyses demonstrated a lack of unidimensionality, item redundancy, and substantial administrative burden for the Brain Injury Rehabilitation Trust Personality Questionnaires (BIRT-PQs).
OBJECTIVE
To use Rasch Analysis to calibrate five short-forms of the BIRT-PQs, satisfying the Rasch model requirements.
METHODS
BIRT-PQs data from 154 patients with severe Acquired Brain Injury (s-ABI) and their caregivers (total sample = 308) underwent Rasch analysis to examine their internal construct validity and reliability according to the Rasch model.
RESULTS
The base Rasch analyses did not show sufficient internal construct validity according to the Rasch model for all five BIRT-PQs. After rescoring 18 items, and deleting 75 of 150 items, adequate internal construct validity was achieved for all five BIRT-PQs short forms (model chi-square
CONCLUSIONS
After extensive modifications, including a 48% reduction of the item load, we obtained five short forms of the BIRT-PQs satisfying the strict measurement requirements of the Rasch model. The ordinal-to-interval measurement conversion tables allow measuring on the same metric the perception of the neurobehavioral disability for both patients with s-ABI and their caregivers.

Identifiants

pubmed: 33180650
doi: 10.1080/02699052.2020.1836402
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1741-1755

Auteurs

Leonardo Pellicciari (L)

Neurorehabilitation Research Laboratory, IRCCS San Raffaele Pisana , Rome, Italy.

Daniele Piscitelli (D)

School of Physical and Occupational Therapy, McGill University , Montreal, Canada.
School of Medicine and Surgery, University of Milano Bicocca , Milan, Italy.
School of Physical Therapy and Athletic Training, Pacific University , Hillsboro, OR, USA.

Benedetta Basagni (B)

Cardinal Ferrari Centre, S. Stefano Rehabilitation , Fontanellato (PR), Italy.

Antonio De Tanti (A)

Cardinal Ferrari Centre, S. Stefano Rehabilitation , Fontanellato (PR), Italy.

Lorella Algeri (L)

UOC Psicologia, ASST Papa Giovanni XXIII , Bergamo, Italy.

Serena Caselli (S)

Unità Operativa di Medicina Riabilitativa, Dipartimento di Neuroscienze, Azienda Ospedaliero-Universitaria di Modena , Modena, Italy.
Scuola di Dottorato in Sanità Pubblica, Università degli Studi di Milano-Bicocca , Milano, Italy.

Maria Paola Ciurli (MP)

Unità Post-Coma, IRCCS Fondazione Santa Lucia , Rome, Italy.

Jessica Conforti (J)

Cardinal Ferrari Centre, S. Stefano Rehabilitation , Fontanellato (PR), Italy.

Anna Estraneo (A)

Severe Brain Injury Department, IRCCS Don Gnocchi Institute , Florence, Italy.
Neurology Unit, Santa Maria della Pietà General Hospital , Nola, Italy.

Pasquale Moretta (P)

Maugeri Scientific and Clinical Institutes, IRCCS, Department of Neurorehabilitation, Institute of Telese Terme , Telese Terme, Italy.

Maria Grazia Gambini (MG)

Dipartimento di Riabilitazione, Ospedale Sacro Cuore- Don Calabria , Verona, Italy.

Maria Grazia Inzaghi (MG)

Laboratorio di Neuropsicologia, Istituto Clinico Quarenghi , Bergamo, Italy.

Gianfranco Lamberti (G)

Department of Rehabilitative Medicine, AUSL Piacenza , Piacenza, Italy.

Mauro Mancuso (M)

Department of Rehabilitation, National Health Service South-Est Tuscany , Grosseto, Italy.
Research Centre, Tuscany Rehabilitation Clinic , Montevarchi, Italy.

Maria Luisa Rinaldesi (ML)

Santo Stefano Riabilitazione, Istituto di Riabilitazione Santo Stefano , Porto Potenza Picena, Italy.

Matteo Sozzi (M)

Neurology Unit, "A. Manzoni" Hospital , Lecco, Italy.

Laura Abbruzzese (L)

Research Centre, Tuscany Rehabilitation Clinic , Montevarchi, Italy.

Marina Zettin (M)

Centro Puzzle , Turin, Italy.
Dipartimento di Psicologia, Università di Torino , Turin, Italy.

Fabio La Porta (F)

IRCCS Istituto delle Scienze Neurologiche di Bologna, Neurorehabilitation Unit , Bologna, Italy.

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Classifications MeSH