TY - JOUR
T1 - Rasch validation of the prosthetic mobility questionnaire
T2 - A new outcome measure for assessing mobility in people with lower limb amputation
AU - Franchignoni, Franco
AU - Monticone, Marco
AU - Giordano, Andrea
AU - Rocca, Barbara
PY - 2015/5/1
Y1 - 2015/5/1
N2 - Objective: To create a new outcome measure of mobility in people with lower limb amputation, based on a pool of 14 items assessing prosthetic mobility, comprising the 12-item Prosthesis Evaluation Questionnaire (Mobility Section) plus 2 new items. Design: Cross-sectional study. Subjects: A total of 100 subjects (median age 58 years; 46 males; median body mass index 23.8) who had recently undergone lower limb amputation. Methods: Each patient completed the 14-item questionnaire twice: (i) at admission to the rehabilitation unit for prosthetic rehabilitation training; (ii) at 6-month follow-up after discharge. Results: After Rasch analysis, 2 items were deleted (one due to misfit, the other because showing large (> 0.30) positive correlation of residuals with two other items (local dependence). The remaining items fitted the Rasch model (internal construct validity), giving a new 12-item scale with a 5-level response format, the Prosthetic Mobility Questionnaire (PMQ), which demonstrated unidimensionality, lack of differential item functioning, and good reliability indices (person-separation reliability = 0.87; Cronbach's alpha 0.88). Conclusion: Although further studies are needed to increase confidence in clinical use of the PMQ, this new questionnaire appears to be a promising, psychometrically-sound patientreported outcome measure for assessment of mobility in subjects with lower limb amputation who use a prosthesis.
AB - Objective: To create a new outcome measure of mobility in people with lower limb amputation, based on a pool of 14 items assessing prosthetic mobility, comprising the 12-item Prosthesis Evaluation Questionnaire (Mobility Section) plus 2 new items. Design: Cross-sectional study. Subjects: A total of 100 subjects (median age 58 years; 46 males; median body mass index 23.8) who had recently undergone lower limb amputation. Methods: Each patient completed the 14-item questionnaire twice: (i) at admission to the rehabilitation unit for prosthetic rehabilitation training; (ii) at 6-month follow-up after discharge. Results: After Rasch analysis, 2 items were deleted (one due to misfit, the other because showing large (> 0.30) positive correlation of residuals with two other items (local dependence). The remaining items fitted the Rasch model (internal construct validity), giving a new 12-item scale with a 5-level response format, the Prosthetic Mobility Questionnaire (PMQ), which demonstrated unidimensionality, lack of differential item functioning, and good reliability indices (person-separation reliability = 0.87; Cronbach's alpha 0.88). Conclusion: Although further studies are needed to increase confidence in clinical use of the PMQ, this new questionnaire appears to be a promising, psychometrically-sound patientreported outcome measure for assessment of mobility in subjects with lower limb amputation who use a prosthesis.
KW - Leg prosthesis
KW - Lower limb amputation
KW - Measurement
KW - Outcome assessment
KW - Rasch analysis
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U2 - 10.2340/16501977-1954
DO - 10.2340/16501977-1954
M3 - Article
C2 - 25783231
AN - SCOPUS:84928237145
VL - 47
SP - 460
EP - 465
JO - Journal of Rehabilitation Medicine
JF - Journal of Rehabilitation Medicine
SN - 1650-1977
IS - 5
ER -