Archives of physical medicine and rehabilitation · 2013
Development of a self-report physical function instrument for disability assessment: item pool construction and factor analysis.
СтатьяПоддержка NIH: внешняя программаResearch Support, N.I.H., IntramuralПоддержка правительства СШАНазвание и аннотация: Перевод в очереди
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McDonough Christine M, Jette Alan M, Ni Pengsheng, Bogusz Kara, Marfeo Elizabeth E, Brandt Diane E, Chan Leighton, Meterko Mark, Haley Stephen M, Rasch Elizabeth K
Аннотация
OBJECTIVES: To build a comprehensive item pool representing work-relevant physical functioning and to test the factor structure of the item pool. These developmental steps represent initial outcomes of a broader project to develop instruments for the assessment of function within the context of Social Security Administration (SSA) disability programs.
DESIGN: Comprehensive literature review; gap analysis; item generation with expert panel input; stakeholder interviews; cognitive interviews; cross-sectional survey administration; and exploratory and confirmatory factor analyses to assess item pool structure.
SETTING: In-person and semistructured interviews and Internet and telephone surveys.
PARTICIPANTS: Sample of SSA claimants (n=1017) and a normative sample of adults from the U.S. general population (n=999).
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURE: Model fit statistics.
RESULTS: The final item pool consisted of 139 items. Within the claimant sample, 58.7% were white; 31.8% were black; 46.6% were women; and the mean age was 49.7 years. Initial factor analyses revealed a 4-factor solution, which included more items and allowed separate characterization of: (1) changing and maintaining body position, (2) whole body mobility, (3) upper body function, and (4) upper extremity fine motor. The final 4-factor model included 91 items. Confirmatory factor analyses for the 4-factor models for the claimant and the normative samples demonstrated very good fit. Fit statistics for claimant and normative samples, respectively, were: Comparative Fit Index=.93 and .98; Tucker-Lewis Index=.92 and .98; and root mean square error approximation=.05 and .04.
CONCLUSIONS: The factor structure of the physical function item pool closely resembled the hypothesized content model. The 4 scales relevant to work activities offer promise for providing reliable information about claimant physical functioning relevant to work disability.
DESIGN: Comprehensive literature review; gap analysis; item generation with expert panel input; stakeholder interviews; cognitive interviews; cross-sectional survey administration; and exploratory and confirmatory factor analyses to assess item pool structure.
SETTING: In-person and semistructured interviews and Internet and telephone surveys.
PARTICIPANTS: Sample of SSA claimants (n=1017) and a normative sample of adults from the U.S. general population (n=999).
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURE: Model fit statistics.
RESULTS: The final item pool consisted of 139 items. Within the claimant sample, 58.7% were white; 31.8% were black; 46.6% were women; and the mean age was 49.7 years. Initial factor analyses revealed a 4-factor solution, which included more items and allowed separate characterization of: (1) changing and maintaining body position, (2) whole body mobility, (3) upper body function, and (4) upper extremity fine motor. The final 4-factor model included 91 items. Confirmatory factor analyses for the 4-factor models for the claimant and the normative samples demonstrated very good fit. Fit statistics for claimant and normative samples, respectively, were: Comparative Fit Index=.93 and .98; Tucker-Lewis Index=.92 and .98; and root mean square error approximation=.05 and .04.
CONCLUSIONS: The factor structure of the physical function item pool closely resembled the hypothesized content model. The 4 scales relevant to work activities offer promise for providing reliable information about claimant physical functioning relevant to work disability.
Предметные рубрики MeSH
Activities of Daily LivingAdultCross-Sectional StudiesDisability EvaluationPersons with DisabilitiesExtremitiesFemaleHumansMaleMiddle AgedMobility LimitationPhysical Therapy ModalitiesPsychometricsReproducibility of ResultsSelf ReportSocioeconomic FactorsUnited StatesUnited States Social Security Administration