Konrad Pesudovs1, Thomas A Wright, Vijaya K Gothwal. 1. Department of Optometry and Vision Science, NH&MRC Centre for Clinical Eye Research, Flinders University of South Australia, Bedford Park, South Australia, Australia. konrad.pesudovs@flinders.edu.au
Abstract
AIM: The Visual Disability Assessment (VDA), a questionnaire for measuring the impact of cataract on visual functioning, was developed using classical test theory. Since this approach is limited, our aim was to further investigate the psychometric properties of the VDA using Rasch analysis. METHODS: 613 patients from the Flinders Medical Centre cataract surgery self-administered the VDA. Psychometric properties investigated for the overall VDA and each subscale included: measurement of a single construct (unidimensionality), item fit to the construct, reliable discrimination between strata of patient ability (person separation) and targeting of item difficulty to person ability. RESULTS: The VDA discriminated five strata of patient ability. However, seven mobility items constituted a second dimension and formed a valid separate scale. Sequestration of these items resulted in a unidimensional 11-item measure of activity limitation. Both the mobility and activity limitation scales had acceptable person separation and neither contained misfitting items. Targeting was suboptimal for mobility (-2.12 logits) but good for activity limitation (-0.72). The subscales also satisfied the requirements of the Rasch measurement model. CONCLUSIONS: The Rasch-scaled VDA effectively measures two separate constructs: mobility and activity limitation (with two subscales). Its good psychometric properties make it suitable for measuring cataract surgery outcomes.
AIM: The Visual Disability Assessment (VDA), a questionnaire for measuring the impact of cataract on visual functioning, was developed using classical test theory. Since this approach is limited, our aim was to further investigate the psychometric properties of the VDA using Rasch analysis. METHODS: 613 patients from the Flinders Medical Centre cataract surgery self-administered the VDA. Psychometric properties investigated for the overall VDA and each subscale included: measurement of a single construct (unidimensionality), item fit to the construct, reliable discrimination between strata of patient ability (person separation) and targeting of item difficulty to person ability. RESULTS: The VDA discriminated five strata of patient ability. However, seven mobility items constituted a second dimension and formed a valid separate scale. Sequestration of these items resulted in a unidimensional 11-item measure of activity limitation. Both the mobility and activity limitation scales had acceptable person separation and neither contained misfitting items. Targeting was suboptimal for mobility (-2.12 logits) but good for activity limitation (-0.72). The subscales also satisfied the requirements of the Rasch measurement model. CONCLUSIONS: The Rasch-scaled VDA effectively measures two separate constructs: mobility and activity limitation (with two subscales). Its good psychometric properties make it suitable for measuring cataract surgery outcomes.
Authors: Mallika Prem Senthil; Jyoti Khadka; John De Roach; Tina Lamey; Terri McLaren; Isabella Campbell; Eva K Fenwick; Ecosse L Lamoureux; Konrad Pesudovs Journal: Graefes Arch Clin Exp Ophthalmol Date: 2018-05-05 Impact factor: 3.117
Authors: Eva K Fenwick; Konrad Pesudovs; Jyoti Khadka; Gwyn Rees; Tien Y Wong; Ecosse L Lamoureux Journal: Qual Life Res Date: 2012-11-08 Impact factor: 4.147
Authors: Richard N McNeely; Salissou Moutari; Samuel Arba-Mosquera; Shwetabh Verma; Jonathan E Moore Journal: PLoS One Date: 2018-06-21 Impact factor: 3.240
Authors: Jyoti Khadka; Vijaya K Gothwal; Colm McAlinden; Ecosse L Lamoureux; Konrad Pesudovs Journal: Health Qual Life Outcomes Date: 2012-07-13 Impact factor: 3.186