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  • 1
    Online Resource
    Online Resource
    Development and Validation of Crosswalks Between FIM® and SCIM III for Voluntary Musculoskeletal Movement Functions
    SAGE Publications ; 2021
    In:  Neurorehabilitation and Neural Repair Vol. 35, No. 10 ( 2021-10), p. 880-889
    Details
    In: Neurorehabilitation and Neural Repair, SAGE Publications, Vol. 35, No. 10 ( 2021-10), p. 880-889
    Abstract: Background. In spinal cord injury, there are multiple databases containing information on functional recovery, but data cannot be pooled or compared due to differences in how function is measured. A crosswalk is needed to link or convert scores between instruments. Objectives. To create a crosswalk between the voluntary musculoskeletal movement items in the Functional Independence Measure (FIM®) and the Spinal Cord Independence Measure III (SCIM III) for spinal cord injury. Methods. Retrospective datasets with FIM® and SCIM III on the same people were used to develop (Swiss dataset, n = 662) and validate (US, n = 119, and Canadian datasets, n = 133) the crosswalks. Three different crosswalk methods (expert panel, equipercentile, and Rasch analysis) were employed. We used the correlation between observed scores on FIM® and SCIM III to crosswalked scores as the primary criterion to assess the strength of the crosswalk. Secondary criteria such as score distributions, Cohen’s effect size, point differences, and subgroup invariance were also evaluated. Results. All three methods resulted in strong correlation coefficients, exceeding the primary criterion value of r = .866 (.897–.972). Assessment of secondary criteria suggests the equipercentile and Rasch methods produced the strongest crosswalks. Conclusions. The Rasch FIM®/SCIM III crosswalk is recommended because it is based on co-calibration of linearized measures, allowing for more sophisticated parametric analyses. The crosswalk will allow comparisons of voluntary musculoskeletal functional recovery across international databases using different functional measures, as well as different systems of care and rehabilitation approaches.
    Type of Medium: Online Resource
    ISSN: 1545-9683 , 1552-6844
    URL: Article
    DOI: 10.1177/15459683211033854
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2021
    detail.hit.zdb_id: 2100545-X
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  • 2
    Online Resource
    Online Resource
    Development and Validation of the Activities of Daily Living Short Form for Community-Dwelling Korean Stroke Survivors
    SAGE Publications ; 2018
    In:  Evaluation & the Health Professions Vol. 41, No. 1 ( 2018-03), p. 44-66
    Details
    In: Evaluation & the Health Professions, SAGE Publications, Vol. 41, No. 1 ( 2018-03), p. 44-66
    Abstract: This study developed and validated a short form (SF) using activities of daily living (ADL) outcome measures from the Korea National Health and Nutrition Examination Survey (KNHANES) that can minimize survey administration burden for clinicians. This study utilized secondary data from the 2005 KNHANES with 422 community-dwelling stroke survivors. The KNHANES data were collected from April to June 2005 in South Korea. We created a 7-item SF from the 17 ADL questions in the survey using item response theory (IRT) methodologies. The precision and validity of the SF were compared to the full questionnaire of ADL items and the EuroQol-5D total score. Among the 17 ADL questions, 14 questions demonstrated unidimensional construct validity. Using IRT methodologies, a set of 7 items were selected from the full bank. The 7-item SF demonstrated good psychometric properties: high correlation with the full bank ( r = .975, p 〈 .001), good internal consistency (Cronbach’s α = .93), and a high correlation with the EuroQol-5D total score ( r = .678, p 〈 .001). These findings indicate that a well-developed SF can precisely measure ADL performance capacity for stroke survivors compared to the full item bank, which is expected to reduce the administration burden of the KNHANES.
    Type of Medium: Online Resource
    ISSN: 0163-2787 , 1552-3918
    URL: Article
    DOI: 10.1177/0163278717695863
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2018
    detail.hit.zdb_id: 2067657-8
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  • 3
    Online Resource
    Online Resource
    Linking Existing Instruments to Develop an Activity of Daily Living Item Bank
    SAGE Publications ; 2018
    In:  Evaluation & the Health Professions Vol. 41, No. 1 ( 2018-03), p. 25-43
    Details
    In: Evaluation & the Health Professions, SAGE Publications, Vol. 41, No. 1 ( 2018-03), p. 25-43
    Abstract: This study examined dimensionality and item-level psychometric properties of an item bank measuring activities of daily living (ADL) across inpatient rehabilitation facilities and community living centers. Common person equating method was used in the retrospective veterans data set. This study examined dimensionality, model fit, local independence, and monotonicity using factor analyses and fit statistics, principal component analysis (PCA), and differential item functioning (DIF) using Rasch analysis. Following the elimination of invalid data, 371 veterans who completed both the Functional Independence Measure (FIM) and minimum data set (MDS) within 6 days were retained. The FIM-MDS item bank demonstrated good internal consistency (Cronbach’s α = .98) and met three rating scale diagnostic criteria and three of the four model fit statistics (comparative fit index/Tucker–Lewis index = 0.98, root mean square error of approximation = 0.14, and standardized root mean residual = 0.07). PCA of Rasch residuals showed the item bank explained 94.2% variance. The item bank covered the range of θ from −1.50 to 1.26 (item), −3.57 to 4.21 (person) with person strata of 6.3. The findings indicated the ADL physical function item bank constructed from FIM and MDS measured a single latent trait with overall acceptable item-level psychometric properties, suggesting that it is an appropriate source for developing efficient test forms such as short forms and computerized adaptive tests.
    Type of Medium: Online Resource
    ISSN: 0163-2787 , 1552-3918
    URL: Article
    DOI: 10.1177/0163278716676873
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2018
    detail.hit.zdb_id: 2067657-8
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  • 4
    Online Resource
    Online Resource
    The Development of a Scoring System for the Kinetic House-Tree-Person Drawing Test
    SAGE Publications ; 2011
    In:  Hong Kong Journal of Occupational Therapy Vol. 21, No. 2 ( 2011-12), p. 72-79
    Details
    In: Hong Kong Journal of Occupational Therapy, SAGE Publications, Vol. 21, No. 2 ( 2011-12), p. 72-79
    Abstract: The Kinetic House-Tree-Person Test (KHTPT) is already in widespread use amongst psychiatric occupational therapists in Taiwan, but the psychometric attributes of the test are somewhat limited. The primary aims of this study are to develop a quantitative scoring system for the KHTPT and carry out an assessment of its psychometric attributes. Methods Based on the test manual and the related literature, we identified 35 drawing characteristics relating to anxiety and depression, and we recruited 323 participants from two universities in northern Taiwan to participate in our study. These participants, who had a mean age of 20.1 years (SD = 3.0), were instructed to draw a KHTPT picture, and were then asked to complete related questionnaires. The data were subsequently analysed using WINSTEPS (Beavertown, Oregon: Winsteps.com ) and SPSS (SPSS Inc., Chicago). Results The results revealed that all of the items of the scoring system provided a good fit with the Rasch measurement model, with the Cronbach's alpha for the scale being .94. The Spearman correlation coefficients of the Rasch-transformed KHTPT scores with the Beck Anxiety Inventory, the Beck Depression Inventory-II, the Beck Hopelessness Scale, and the National Taiwan University Hospital Symptom Checklist were all found to be small, albeit with statistical significance (Spearman correlation coefficients, r = .140–-.226). Conclusion This study demonstrates our proposed KHTPT scoring system has eminently acceptable construct validity and internal consistency. We suggest that future studies should include patients with psychiatric disorders at varying degrees of severity or functional level to examine the applicability and predictive validity of our proposed scoring system.
    Type of Medium: Online Resource
    ISSN: 1569-1861 , 1876-4398
    URL: Article
    DOI: 10.1016/j.hkjot.2011.10.004
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2011
    detail.hit.zdb_id: 2202253-3
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  • 5
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    Online Resource
    Financial Performance is Associated With PPE Shortages in Chain-Affiliated Nursing Homes During the COVID-19 Pandemic: A Longitudinal Study
    SAGE Publications ; 2023
    In:  INQUIRY: The Journal of Health Care Organization, Provision, and Financing Vol. 60 ( 2023-01)
    Details
    In: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, SAGE Publications, Vol. 60 ( 2023-01)
    Abstract: Many nursing homes operated at thin profit margins prior to the COVID-19 pandemic. This study examines the role of nursing homes’ financial performance and chain affiliation in shortages of personal protection equipment (PPE) during the first year of the COVID-19 pandemic. We constructed a longitudinal file of 79 868 nursing home-week observations from 10 872 unique facilities. We found that a positive profit margin was associated with a 21.0% lower probability of reporting PPE shortages in chain-affiliated nursing homes, but not in non-chain nursing homes. Having adequate financial resources may help nursing homes address future emergencies, especially those affiliated with a multi-facility chain.
    Type of Medium: Online Resource
    ISSN: 0046-9580 , 1945-7243
    URL: Article
    DOI: 10.1177/00469580231219443
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2147137-X
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  • 6
    Online Resource
    Online Resource
    Early Indicators of Autism in Infants: Development of the IMES Screening Tool
    SAGE Publications ; 2022
    In:  OTJR: Occupation, Participation and Health
    Details
    In: OTJR: Occupation, Participation and Health, SAGE Publications
    Abstract: We developed the Infant, Motor, and Engagement Scale (IMES) to address the public health goal of early identification of autism spectrum disorder (ASD). The IMES is a screening tool that assesses quality of infants’ interaction with people and objects during early play. We aimed to examine the IMES’ preliminary psychometric properties and its value in discriminating between infants later diagnosed with ASD and typically developing infants. We used the IMES to score retrospective home videos of 15 male infants, 7 who were later diagnosed with autism. We examined interrater reliability using Cohen’s Kappa, internal consistency with Cronbach’s alpha and content validity through expert review. Preliminary data support validity and reliability of the IMES for early identification for infants at 6 to 9 months. With further research, the IMES has the potential to identify at risk infants at a young age that may have long-term impact on child and family outcomes.
    Type of Medium: Online Resource
    ISSN: 1539-4492 , 1938-2383
    URL: Article
    DOI: 10.1177/15394492221134910
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2221257-7
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  • 7
    Online Resource
    Online Resource
    A Psychometric Study of the Kinetic-House-Tree-Person Scoring System for People with Psychiatric Disorders in Taiwan
    SAGE Publications ; 2014
    In:  Hong Kong Journal of Occupational Therapy Vol. 24, No. 1 ( 2014-06), p. 20-27
    Details
    In: Hong Kong Journal of Occupational Therapy, SAGE Publications, Vol. 24, No. 1 ( 2014-06), p. 20-27
    Abstract: The Kinetic-House-Tree-Person (KHTP) drawing test is widely used by psychiatric occupational therapists in Taiwan; however, very little support has been provided through studies examining its psychometric properties. The aim of the study is to validate a scoring system for the KHTP on a group of people with psychiatric disorders. Methods A total of 66 individuals with psychiatric disorders were recruited for this study along with 53 college students as a comparative group. Each participant completed the KHTP test. Half of the individuals with psychiatric disorders (33 people) completed the KHTP again following a 2-week period. The KHTP scoring system contains 54 items representing drawing characteristics. Two independent raters determined the score of the drawings, with the validity and reliability of the KHTP scoring system being subsequently examined by the Rasch and traditional analysis. Results The results reveal both validity and unidimensionality of the KHTP scoring system, demonstrating acceptable test—retest reliability. The intraclass correlation coefficient of the scoring system's inter-rater reliability was .76, with significant statistical differences found between the KHTP scores of college students and individuals with psychiatric disorders. Conclusion The KHTP scoring system has acceptable construct validity, inter-rater reliability, and test—retest reliability. Because drawing tests have the advantage of expressing nonverbal characteristics, the scoring system should prove to be very useful for those who are unwilling or unable to communicate verbally. This study therefore provides valuable information for clinical application, particularly for the psychiatric rehabilitation professions.
    Type of Medium: Online Resource
    ISSN: 1569-1861 , 1876-4398
    URL: Article
    DOI: 10.1016/j.hkjot.2014.03.001
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2014
    detail.hit.zdb_id: 2202253-3
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  • 8
    Online Resource
    Online Resource
    Impact of Self-Care and Mobility on One or More Post-Acute Care Transitions
    SAGE Publications ; 2020
    In:  Journal of Aging and Health Vol. 32, No. 10 ( 2020-12), p. 1325-1334
    Details
    In: Journal of Aging and Health, SAGE Publications, Vol. 32, No. 10 ( 2020-12), p. 1325-1334
    Abstract: Objective: To investigate the association between functional status and post-acute care (PAC) transition(s). Methods: Secondary analysis of 2013–2014 Medicare data for individuals aged ≥66 years with stroke, lower extremity joint replacements, and hip/femur fracture discharged to one of three PAC settings (inpatient rehabilitation facilities, skilled nursing facilities, and home health agencies). Functional scores were co-calibrated into a 0–100 scale across settings. Multilevel logistic regression was used to test the partition of variance (%) and the probability of PAC transition attributed to the functional score in the initial PAC setting. Results: Patients discharged to inpatient rehabilitation facilities with higher function were less likely to use additional PAC. Function level in an inpatient rehabilitation facility explained more of the variance in PAC transitions than function level while in a skilled nursing facility. Discussion: The function level affected PAC transitions more for those discharged to an inpatient rehabilitation facility than to a skilled nursing facility.
    Type of Medium: Online Resource
    ISSN: 0898-2643 , 1552-6887
    URL: Article
    DOI: 10.1177/0898264320925259
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
    detail.hit.zdb_id: 2034469-7
    SSG: 5,2
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  • 9
    Online Resource
    Online Resource
    The Pre-Adaptation of a Stroke-Specific Self-Management Program Among Older Adults
    SAGE Publications ; 2023
    In:  Journal of Aging and Health Vol. 35, No. 9 ( 2023-10), p. 632-642
    Details
    In: Journal of Aging and Health, SAGE Publications, Vol. 35, No. 9 ( 2023-10), p. 632-642
    Abstract: Objectives: Managing multimorbidity as aging stroke patients is complex; standard self-management programs necessitate adaptations. We used visual analytics to examine complex relationships among aging stroke survivors’ comorbidities. These findings informed pre-adaptation of a component of the Chronic Disease Self-Management Program. Methods: Secondary analysis of 2013–2014 Medicare claims with stroke as an index condition, hospital readmission within 90 days ( n = 42,938), and 72 comorbidities. Visual analytics identified patient subgroups and co-occurring comorbidities. Guided by the framework for reporting adaptations and modifications to evidence-based interventions, an interdisciplinary team developed vignettes that highlighted multimorbidity to customize the self-management program. Results: There were five significant subgroups ( z = 6.19, p 〈 .001) of comorbidities such as obesity and cancer. We constructed 6 vignettes based on the 5 subgroups. Discussion: Aging stroke patients often face substantial disease-management hurdles. We used visual analytics to inform pre-adaptation of a self-management program to fit the needs of older adult stroke survivors.
    Type of Medium: Online Resource
    ISSN: 0898-2643 , 1552-6887
    URL: Article
    DOI: 10.1177/08982643231152520
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2034469-7
    SSG: 5,2
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  • 10
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    Online Resource
    Item-Level Psychometrics of the Glasgow Outcome Scale : Extended Structured Interviews
    SAGE Publications ; 2016
    In:  OTJR: Occupation, Participation and Health Vol. 36, No. 2 ( 2016-04), p. 65-73
    Details
    In: OTJR: Occupation, Participation and Health, SAGE Publications, Vol. 36, No. 2 ( 2016-04), p. 65-73
    Abstract: The Glasgow Outcome Scale–Extended (GOSE) structured interview captures critical components of activities and participation, including home, shopping, work, leisure, and family/friend relationships. Eighty-nine community dwelling adults with mild-moderate traumatic brain injury (TBI) were recruited (average = 2.7 year post injury). Nine items of the 19 items were used for the psychometrics analysis purpose. Factor analysis and item-level psychometrics were investigated using the Rasch partial-credit model. Although the principal components analysis of residuals suggests that a single measurement factor dominates the measure, the instrument did not meet the factor analysis criteria. Five items met the rating scale criteria. Eight items fit the Rasch model. The instrument demonstrated low person reliability (0.63), low person strata (2.07), and a slight ceiling effect. The GOSE demonstrated limitations in precisely measuring activities/participation for individuals after TBI. Future studies should examine the impact of the low precision of the GOSE on effect size.
    Type of Medium: Online Resource
    ISSN: 1539-4492 , 1938-2383
    URL: Article
    DOI: 10.1177/1539449216632449
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2016
    detail.hit.zdb_id: 2221257-7
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