A Systematic Literature Review on the Application of Rasch Analysis in Musculoskeletal Disease — A Special Interest Group Report of OMERACT 11

May Ee Png · Philip G. Conaghan · Alan Tennant

75 citations0/0 files storedThe Journal of Rheumatology

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Psychometric Methodologies and Testing Musculoskeletal pain and rehabilitation Health Education and Validation

Abstract

OBJECTIVE: The Rasch measurement model provides robust analysis of the internal construct validity of outcome measures. We reviewed the application of Rasch analysis in musculoskeletal medicine as part of the work leading to discussion in a Special Interest Group in Rasch Analysis at Outcome Measures in Rheumatology 11. METHODS: A systematic literature review of SCOPUS and MEDLINE was performed (January 1, 1985, to February 29, 2012. Original research reports in English using "Rasch" or "Item Response Theory" in musculoskeletal diseases were assessed by 2 independent reviewers. The topics of focus and analysis methodology details were recorded. RESULTS: Of 212 articles reviewed, 114 were included. The number of publications rose from 1 in 1991-1992 to 23 in 2011-February 2012. Disease areas included rheumatoid arthritis (28%), osteoarthritis (16.6%), and general musculoskeletal disorders (43%). Sixty-six reports (57.9%) evaluated psychometric properties of existing scales and 35 (30.7%) involved development of new scales. Nine articles (7.9%) were on methodology illustration. Four articles were on item banking and computer adaptive testing. A majority of the articles reported fit statistics, while the basic Rasch model assumption (i.e., unidimensionality) was examined in only 57.2% of the articles. An improvement in reporting qualities with Rasch articles was noted over time. In addition, only 11.4% of the articles provided a transformation table for interval scale measurement in clinical practice. CONCLUSION: The Rasch model has been increasingly used in rheumatology over the last 2 decades in a wide range of applications. The majority of the articles demonstrated reasonable quality of reporting. Improvements in quality of reporting over time were revealed.

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References

1961Probabilistic Models for Some Intelligence and Attainment Tests 1980Measurement of patient outcome in arthritis 2005Development and Testing of a Short Form of the Patient Activation Measure 2007The Rasch measurement model in rheumatology: What is it and why use it? When should it be applied, and what should one look for in a Rasch paper?1980Measuring health status in arthritis 2007An introduction to the Rasch measurement model: An example using the Hospital Anxiety and Depression Scale (HADS)2002Detecting and evaluating the impact of multidimensionality using item fit statistics and principal component analysis of residuals.1995Rasch models: foundations, recent developments and applications

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