Cross-diagnostic scale-banking using rasch analysis: Developing a common reference metric for generic and health condition-specific scales in people with rheumatoid arthritis and stroke.
OBJECTIVES
To develop a common reference metric of functioning, incorporating generic and health condition-specific disability instruments, and to test whether this reference metric is invariant across 2 health conditions.


DESIGN
Psychometric study using secondary data analysis. Firstly, the International Classification of Functioning, Disability and Health (ICF) Linking Rules were used to examine the concept equivalence between the World Health Organization Disability Assessment Schedule (WHODAS 2.0), Health Assessment Questionnaire (HAQ) and Functional Independence Measure (FIMTM). Secondly, a scale-bank was developed using a reference metric approach to test-equating, based on the Rasch measurement model.


PARTICIPANTS
Secondary analysis was performed on data from 487 people; 61.4% with rheumatoid arthritis and 38.6% with stroke.


RESULTS
Three sub-domains of the WHODAS 2.0 and all items of the HAQ and FIMTM motor mapped on to the ICF chapters d4 Mobility, d5 Self-care and d6 Domestic life. Test-equating of these scales resulted in good model fit, indicating that a scale bank and associated reference metric across these 3 instruments could be created.


CONCLUSION
This study provides a transformation table to enable direct comparisons among instruments measuring physical functioning commonly used in rheumatoid arthritis (HAQ) and stroke (FIMTM motor scale), as well as in people with disability in general (WHODAS 2.0).
['Prodinger|Birgit|B|', 'Küçükdeveci|Ayşe A|AA|', 'Kutlay|Sehim|S|', 'Elhan|Atilla H|AH|', 'Kreiner|Svend|S|', 'Tennant|Alan|A|']
D001172:Arthritis, Rheumatoid D005260:Female D006801:Humans D008297:Male D011594:Psychometrics D020521:Stroke
rheumatoid arthritis stroke psychometrics World Health Organization Disability Assessment Schedule WHODAS 2.0 Health Assessment Questionnaire HAQ Functional Independence Measure FIM outcome assessment