Rasch analysis of the 23-item version of the Roland Morris Disability Questionnaire.

Authors

  • Peter Kent
  • Margreth Grotle
  • Kate M. Dunn
  • Hanne B. Albert
  • Henrik H. Lauridsen

DOI:

https://doi.org/10.2340/16501977-1935

Keywords:

Roland Morris Disability Questionnaire, Rasch analysis, back pain, rehabilitation, questionnaires.

Abstract

OBJECTIVE: To determine the psychometric properties of the 23-item version of the Roland Morris Disability Questionnaire (RMDQ-23) and to quantify their stability across 2 cultures/languages and 2 types of care-settings. METHODS: Rasch analysis of data from 1,000 patients with low back pain from primary care (UK and Denmark) and secondary care (Denmark). RESULTS: The RMDQ-23 is unidimensional if local item dependency issues are accommodated, but contains several misfitting or overdiscriminating items, some poor targeting of items, and the scoring of 4-5 items is differentially affected by common clinical characteristics (such as age, gender, pain intensity, pain duration and care setting), depending on the country. CONCLUSION: As similar results have been found for the RMDQ-24, we believe it is timely to reconsider whether: (i) the RMDQ should be reconstructed using an item-response theory-based approach that includes consideration of new items and response options

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Published

2015-01-13

How to Cite

Kent, P., Grotle, M., Dunn, K. M., Albert, H. B., & Lauridsen, H. H. (2015). Rasch analysis of the 23-item version of the Roland Morris Disability Questionnaire. Journal of Rehabilitation Medicine, 47(4), 356–364. https://doi.org/10.2340/16501977-1935

Issue

Section

Original Report