Item Banks for Measuring the Effect of Blood Pressure Dysregulation on Health-Related Quality of Life in Persons With Spinal Cord Injury

被引:1
作者
Carlozzi, Noelle E. [1 ,9 ]
Kallen, Michael A. [2 ]
Morin, Kel G. [3 ,4 ]
Fyffe, Denise C. [5 ,6 ]
Wecht, Jill M. [3 ,4 ,7 ,8 ]
机构
[1] Univ Michigan, Dept Phys Med & Rehabil, Ann Arbor, MI USA
[2] Northwestern Univ, Feinberg Sch Med, Dept Med Social Sci, Chicago, IL USA
[3] James J Peters Vet Affairs Med Ctr, Ctr Excellence Med Consequences SCI, Vet Affairs Rehabil Res & Dev Serv VA RR&D, Bronx, NY USA
[4] James J Peters VAMC, Spinal Cord Damage Res Ctr, Bronx, NY USA
[5] Kessler Fdn, West Orange, NJ USA
[6] Rutgers New Jersey Med Sch, Newark, NJ USA
[7] Icahn Sch Med, Dept Human Performance & Rehabil Med, Mt Sinai, NY USA
[8] Icahn Sch Med, Dept Med, Mt Sinai, NY USA
[9] Univ Michigan, Dept Phys Med & Rehabil, Dept Surg, North Campus Res Complex,2800 Plymouth Rd,Bldg NCR, Ann Arbor, MI 48109 USA
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2023年 / 104卷 / 11期
关键词
Autonomic dysreflexia; Blood pressure; Item response theory; Orthostatic hypotension; Measurement; Paraplegia; Rehabilita-tion; Tetraplegia; AUTONOMIC DYSREFLEXIA; ORTHOSTATIC HYPOTENSION; OUTCOMES MEASUREMENT; RESPONSE THEORY; HEART-RATE; WALD TEST; RISK; CRITERIA; UNIDIMENSIONALITY; ABNORMALITIES;
D O I
10.1016/j.apmr.2023.04.018
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To report on the development and calibration of the new Blood Pressure Dysregulation Measurement System (BPD-MS) item banks that assess the effect of BPD on health-related quality of life (HRQOL) and the daily activities of Veterans and non-Veterans with spinal cord injury (SCI). Design: Cross-sectional survey study. Setting: Two Veteran Affairs medical centers and a SCI model system site. Participants: 454 respondents with SCI (n=262 American Veterans and n=192 non-Veterans; N=454). Interventions: Not applicable Main Outcome Measures: The BPD-MS item banks. Results: BPD item pools were developed and refined using literature reviews, qualitative data from focus groups, and cognitive debriefing of per-sons with SCI and professional caregivers. The item banks then underwent expert review, reading level assessment, and translatability review prior to field testing. The items pools consisted of 180 unique questions (items). Exploratory and confirmatory factor analyses, item response theory modeling, and differential item function investigations resulted in item banks that included a total of 150 items: 75 describing the effect of auto-nomic dysreflexia on HRQOL, 55 describing the effect of low blood pressure (LBP) on HRQOL, and 20 describing the effect of LBP on daily activities. In addition, 10-item short forms were constructed based on item response theory-derived item information values and the clinical rele-vance of item content. Conclusions: The new BPD-MS item banks and corresponding 10-item short forms were developed using established rigorous measurement development standards, which represents the first BPD-specific patient-reported outcomes measurement system unique for use in the SCI population. Archives of Physical Medicine and Rehabilitation 2023;104:1872-81 (c) 2023 by the American Congress of Rehabilitation Medicine.
引用
收藏
页码:1872 / 1881
页数:10
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