Medical-Rehabilitation Research Center, Franciscan Children's Hospital, Boston, MA, USA.
Physical Therapy Department, Franciscan Children's Hospital, Boston, MA, USA.
Physiother Theory Pract. 2021 Apr;37(4):517-526. doi: 10.1080/09593985.2019.1633716. Epub 2019 Jun 24.
: To evaluate the content validity of the PEDI-CAT Speedy Mobility domain through analysis of item and content area exposure, score range and scoring precision.: Retrospective analysis of 3,364 items from assessments (n = 301) completed from 2013 to 2017. Content validity was appraised through analysis of item and content area exposure (item, content area, response frequency), score range (floor and ceiling effect) and scoring precision (person fit, score reliability, item information function).: Sixty-five of the 75 general mobility items from the PEDI-CAT Mobility domain item bank were exposed. " (68%) was the most frequently exposed non-mandatory item. Almost half (49%) of all items were from the Basic Mobility and Transfers content area. Scaled scores ranged from 26.77 to 69.40 with a floor (scores ≤27; n = 51, 17%) but no ceiling effect. Person fit statistics were acceptable for 238 (79%), suggesting limited outliers. Score reliability was sufficient with 68% of scores above threshold (>0.9). Item information function plot indicated less discriminating items at the lower end of the score range.: Content is adequately and reliably measuring the intended construct, but additional items at the lower end of the scale could improve score precision.
: 评估 PEDI-CAT Speedy 移动领域的内容效度,通过分析项目和内容领域的暴露度、分数范围和评分精度。: 对 2013 年至 2017 年完成的 301 名患者的 3364 项评估进行回顾性分析。通过分析项目和内容领域的暴露度(项目、内容领域、反应频率)、分数范围(地板效应和天花板效应)和评分精度(个人拟合、分数可靠性、项目信息功能)来评估内容效度。: 从 PEDI-CAT 移动领域项目库中,75 项一般移动项目中有 65 项被暴露。“(68%)是最常被暴露的非强制性项目。几乎一半(49%)的项目来自基本移动和转移内容领域。量表分数范围从 26.77 到 69.40,有地板效应(得分≤27;n=51,17%)但无天花板效应。对于 238 个(79%)人,拟合统计数据是可接受的,表明存在有限的异常值。68%的分数高于阈值(>0.9),表明分数可靠性充足。项目信息功能图表明,在分数范围内的低端,有一些区分度较低的项目。: 内容能够充分可靠地测量预期的结构,但在量表的低端可以增加更多的项目来提高分数的精度。