한국어판 플러턴 어드밴스드 균형 척도의 라쉬분석
Application of Rasch Analysis to the Korean Version of the Fullerton Advanced Balance Scale
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background: Rasch analysis estimates the probability that a respondent will endorse an item and select a particular rating for that item. It has the advantage of placing both the items and the person along a single ration scale and calibrates person ability and item difficulty onto an interval scale by logits. In addition, Rasch analysis is a useful tool for exploring the validity of questionnaires that have been developed using traditional methods. Therefore, it has been recommended as a method for developing and evaluating functional outcome measures. Objects: The purpose of this study was to investigate the item fit, item difficulty, and rating scale of the Korean version of the Fullerton Advanced Balance Scale (KFAB) using Rasch analysis. Methods: Total 97 subjects (39 males and 58 females) with dwelling elderly adults were participated, but 3 people were excluded for misfit persons. Rasch analysis was then done by means of the Winsteps program to determine the item fit, item difficulty, rating scale, and reliability of the KFAB. Results: In this study, the ‘standing with feet together and eyes closed’, ‘two-footed jump’, ‘walk with head turns’, and ‘stand on foam, eyes closed’ items shown misfit statistics. The most difficult item was ‘stand on one leg’, whereas the easiest item was ‘turn in full circle’. The rating scale was acceptable with all criteria. Both item and person separation indices and reliability showed acceptable values. This would indicated that each domain covers a useful range of item difficulty that is appropriate for measuring a person with a wide range of functional ability. Conclusion: The KFAB has been proven reliable, valid and an appropriate tool with which to evaluate the balance of the elderly people.
Abstract
Background: Rasch analysis estimates the probability that a respondent will endorse an item and select a particular rating for that item. It has the advantage of placing both the items and the person along a single ration scale and calibrates person ability and item difficulty onto an interval scale by logits. In addition, Rasch analysis is a useful tool for exploring the validity of questionnaires that have been developed using traditional methods. Therefore, it has been recommended as a method for developing and evaluating functional outcome measures. Objects: The purpose of this study was to investigate the item fit, item difficulty, and rating scale of the Korean version of the Fullerton Advanced Balance Scale (KFAB) using Rasch analysis. Methods: Total 97 subjects (39 males and 58 females) with dwelling elderly adults were participated, but 3 people were excluded for misfit persons. Rasch analysis was then done by means of the Winsteps program to determine the item fit, item difficulty, rating scale, and reliability of the KFAB. Results: In this study, the ‘standing with feet together and eyes closed’, ‘two-footed jump’, ‘walk with head turns’, and ‘stand on foam, eyes closed’ items shown misfit statistics. The most difficult item was ‘stand on one leg’, whereas the easiest item was ‘turn in full circle’. The rating scale was acceptable with all criteria. Both item and person separation indices and reliability showed acceptable values. This would indicated that each domain covers a useful range of item difficulty that is appropriate for measuring a person with a wide range of functional ability. Conclusion: The KFAB has been proven reliable, valid and an appropriate tool with which to evaluate the balance of the elderly people.
참고문헌 (28)
- Alexander BH, "The cost and frequency of hospitalization for fall-related injuries in older adults", Am J Public Health, 82(7), pp.1020~1023 (1992)
- American Geriatrics Society, "Guideline for the prevention of falls in older persons", J Am Geriatr Soc, 49(5), pp.664~672 (2001)
- Chang WC, "Rasch analysis for outcomes measure: Some methodological considerations", Arch Phys Med Rehabil, 76(10), pp.934~939 (1995)
- Davidson M, "Rasch analysis of three versions of the Oswestry Disability Questionnaire", Man Ther, 13(3), pp.222~231 (2008)
- Duncan PW, "Rasch analysis of a new stroke-specific outcome scale: The Stroke Impact Scale", Arch Phys Med Rehabil, 84(7), pp.950~963 (2003)
- Farrell MK, "Using functional assessment and screening tools with frail older adults", Top Geriatr Rehabil, 20(1), pp.14~20 (2004)
- Vijaya K. Gothwal, "Rasch Analysis of the Quality of Life and Vision Function Questionnaire", Optometry and Vision Science, 86(7), pp.E836~E844 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Hausdorff JM, "Gait variability and fall risk in community-living older adults: A l-year prospective study", Arch Phys Med Rehabil, 82(8), pp.1050~1056 (2004)
- Danielle Hernandez, "Predicting Which Older Adults Will or Will Not Fall Using the Fullerton Advanced Balance Scale", Archives of Physical Medicine and Rehabilitation, 89(12), pp.2309~2315 (2008), Elsevier BV[DOI]
- Huxham F, "Theoretical considerations in balance assessment", Aust J Physiother, 47(2), pp.89~100 (2001)
- 김경모, "요통환자의 일반적 특성에 따른 한국어판 오스웨스트리 장애 설문지의 라쉬분석", 한국전문물리치료학회지, 18(2), pp.35~42 (2011), 한국전문물리치료학회
- 김경모, "Content Validity of a Korean-Translated Version of a Fullerton Advanced Balance Scale: A Pilot Study", 한국전문물리치료학회지, 22(4), pp.51~61 (2015), 한국전문물리치료학회[DOI]
- Penelope J. Klein, "Rasch Analysis of the Fullerton Advanced Balance (FAB) Scale", Physiotherapy Canada, 63(1), pp.115~125 (2011), University of Toronto Press Inc. (UTPress)[DOI]
- Ku JH, "Cross-cultural differences for adapting translated five-item version of international index of erectile function : Results of a Korean study", Urology, 65(6), pp.1179~1182 (2005)
- 이정아, "한국판 버그 균형척도 평가도구의 라쉬분석", 한국전문물리치료학회지, 13(3), pp.49~56 (2006), 한국전문물리치료학회
- Linacre JM, "Investigating rating scale category utility", J Outcome Meas, 3(2), pp.103~122 (1999)
- Lord SR, "Visual risk factors for falls in older people", J Am Geriatr Soc, 49(5), pp.508~515 (2001)
- Lord SR, "A physiological profile approach to falls risk assessment and prevention", Phys Ther, 83(3), pp.237~252 (2003)
- Lunz ME, "The effect of rater severity on person ability measure: A Rasch model analysis", Am J Occup Ther, 47(4), pp.311~317 (1993)
- Mary E. Lunz, "Measuring the Impact of Judge Severity on Examination Scores", Applied Measurement in Education, 3(4), pp.331~345 (1990), Informa UK Limited[DOI]
- Nilsson AL, "Scoring alternatives for FIM in neurological disorders applying Rasch analysis", Aata Neurol Scand, 111(4), pp.264~273 (2005)
- 박소연, "지역사회에 거주하는 노인을 대상으로 한 한글판 동적보행지수의 타당성", 한국전문물리치료학회지, 17(1), pp.43~52 (2010), 한국전문물리치료학회
- Rose DJ, "Development of a multidimensional balance scale for use with functionally independent older adults", Arch Phys Med Rehabil, 87(11), pp.1478~1485 (2006)
- 송경애, "Risk Factors for Falls among the Community-Dwelling Elderly in Korea", Journal of Korean Academy of Nursing, 34(7), pp.1483~1490 (2004), 한국간호과학회
- Stevens JA, "The costs of fatal and nonfatal falls among older adults", Inj Prev, 12(5), pp.290~295 (2006)
- Tyson S, "A systematic review of methods to measure balance and walking post stroke. Part 1: Ordinal scale", Phys Ther Rev, 7(3), pp.173~186 (2002)
- White LJ, "The use of Rasch measurement to improve the Oswestry classification scheme", Arch Phys Med Rehabil, 83(6), pp.822~831 (2002)
- Wright BD, "Reasonable mean-square fit values", Rasch Meas Trans, 8(3), pp.370~ (1994)
