Structural validity of the foot and ankle outcome score for orthopaedic pathologies with Rasch Measurement Theory.


Journal

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
ISSN: 1460-9584
Titre abrégé: Foot Ankle Surg
Pays: France
ID NLM: 9609647

Informations de publication

Date de publication:
Feb 2022
Historique:
received: 24 12 2020
revised: 06 03 2021
accepted: 09 03 2021
pubmed: 25 3 2021
medline: 22 2 2022
entrez: 24 3 2021
Statut: ppublish

Résumé

The Foot and Ankle Outcome Score (FAOS) is one of the most frequently used patient-reported outcome measures for foot and ankle conditions. The aim is to test the structural validity of the Finnish version of the FAOS using Rasch Measurement Theory. FAOS scores were obtained from 218 consecutive patients who received operative treatment for foot and ankle conditions. The FAOS data were fitted into the Rasch model and person separation index (PSI) calculated. All the five subscales provided good coverage and targeting. Three subscales presented unidimensional structure. Thirty-eight of the 42 items had ordered response category thresholds. Three of the 42 items had differential item functioning towards gender. All subscales showed sufficient fit to the Rasch model. PSI ranged from 0.73 to 0.94 for the subscales. The Finnish version of the FAOS shows acceptable structural validity for assessing complaints in orthopaedic foot and ankle patients.

Sections du résumé

BACKGROUND BACKGROUND
The Foot and Ankle Outcome Score (FAOS) is one of the most frequently used patient-reported outcome measures for foot and ankle conditions. The aim is to test the structural validity of the Finnish version of the FAOS using Rasch Measurement Theory.
METHODS METHODS
FAOS scores were obtained from 218 consecutive patients who received operative treatment for foot and ankle conditions. The FAOS data were fitted into the Rasch model and person separation index (PSI) calculated.
RESULTS RESULTS
All the five subscales provided good coverage and targeting. Three subscales presented unidimensional structure. Thirty-eight of the 42 items had ordered response category thresholds. Three of the 42 items had differential item functioning towards gender. All subscales showed sufficient fit to the Rasch model. PSI ranged from 0.73 to 0.94 for the subscales.
CONCLUSIONS CONCLUSIONS
The Finnish version of the FAOS shows acceptable structural validity for assessing complaints in orthopaedic foot and ankle patients.

Identifiants

pubmed: 33757731
pii: S1268-7731(21)00042-4
doi: 10.1016/j.fas.2021.03.005
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

193-199

Informations de copyright

Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors report no declarations of interest.

Auteurs

Krista Tapaninaho (K)

Department of Surgery, Central Finland Hospital District, Jyväskylä, Finland.

Antti J Saarinen (AJ)

Department of Surgery, Central Finland Hospital District, Jyväskylä, Finland.

Outi Ilves (O)

Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.

Mikko M Uimonen (MM)

Department of Surgery, Central Finland Hospital District, Jyväskylä, Finland.

Arja H Häkkinen (AH)

Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland; Department of Physical Medicine, Central Finland Healthcare District, Jyväskylä, Finland.

Henrik Sandelin (H)

Department of Orthopaedics and Traumatology, Vaasa Central Hospital, Vaasa and University of Helsinki, Helsinki, Finland; Mehiläinen Sports Hospital, Vaasa, Finland; Department of Orthopaedics and Traumatology, Helsinki University Hospital, Helsinki, Finland.

Jussi P Repo (JP)

Department of Orthopaedics and Traumatology, Tampere University Hospital, Tampere, Finland. Electronic address: mrjussirepo@gmail.com.

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