Psychometric validation of PROM instruments.

Rasch analyses classical test theory confirmatory factor analyses construct validity differential item functioning modern test theory patient-reported outcome measures psychometric validation

Journal

Scandinavian journal of medicine & science in sports
ISSN: 1600-0838
Titre abrégé: Scand J Med Sci Sports
Pays: Denmark
ID NLM: 9111504

Informations de publication

Date de publication:
Jun 2021
Historique:
revised: 19 11 2020
received: 25 05 2020
accepted: 14 12 2020
pubmed: 21 12 2020
medline: 8 6 2021
entrez: 20 12 2020
Statut: ppublish

Résumé

The aim was to provide an overview of the different statistical methods for validation of patient-reported outcome measures, ranging from simple statistical methods available in all software packages to advanced statistical models that require specialized software. A non-technical summary of classical test theory (CTT) and modern test theory (MTT) is provided. Specifically, confirmatory factor analysis, item response theory, and Rasch analysis is outlined. One CTT and three MTT methods were used to validate the two subscales (Symptoms and Quality of Life) from the Knee Injury and Osteoarthritis Outcome Score (KOOS). For each methodology, two analyses were considered: (i) a unidimensional analysis ignoring the pre-specified dimensionality, and (ii) a two-dimensional analysis using the pre-specified dimensionality. While CTT did not adequately address central issues regarding the validity of the KOOS subscales, the three MTT methods yielded very similar results. In conclusion, MTT methods offer analysis of all relevant properties related to the validity of patient-reported outcome measures, while this is not the case for CTT. Claims about sufficient validity based on CTT methods are inadequate and should not be trusted.

Identifiants

pubmed: 33341986
doi: 10.1111/sms.13908
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1225-1238

Informations de copyright

© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

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Auteurs

Karl B Christensen (KB)

Section of Biostatistics, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Jonathan D Comins (JD)

Section for Sports Traumatology M51, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
The Research Unit for General Practice and Section for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Michael R Krogsgaard (MR)

Section for Sports Traumatology M51, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.

John Brodersen (J)

The Research Unit for General Practice and Section for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Primary Health Care Research Unit, Region Zealand, Denmark.

Jonas Jensen (J)

Section for Sports Traumatology M51, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.

Christian Fugl Hansen (CF)

Section for Sports Traumatology M51, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.

Svend Kreiner (S)

Section of Biostatistics, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

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