中国成人斜视生存质量量表的Rasch分析

doi:10.3760/cma.j.issn.1674-845X.2015.04.008

Abstract
Figure/Table
References (24)
Related Citation (15)

Download: PDF (6813 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract

Objective To further refine the Chinese Adult Strabismus-20 （CAS-20） health-related quality of life（HRQOL） questionnaire using Rasch analysis. Methods In this cross-sectional study， the CAS-20 questionnaire was independently completed by 246 adult strabismus patients. Based on the score for each item， Rasch analysis was performed on the original CAS-20 using the following aspects： dimensionality， response order， local dependence， infit and outfit analysis， differential item function， subject targeting and confirmatory dimensionality. Results The original CAS-20 was divided into 4 subscales， which were labeled ″self-perception″， ″interaction″， ″reading function″， and ″general function″. Response ordering was appropriate for all of the 4 subscales. As a result of infit and outfit analysis， 3 items were removed， one each from ″self-perception″， ″reading function″， and ″general function″. No significant differential item function was found for sex or age. Compared with the ability of the patients and item difficulty， the 3 subscales matched well except for ″reading function″. Conclusion The original CAS-20 was reduced to 17 items， and divided into 4 subscales， which were ″self-perception″， ″interaction″， ″reading function″， and ″general function″. Subject response choices saved 5 test options. The refined CAS-20 may prove to be more responsive to HRQOL changes in adult strabismus patients.

Key words： Rasch analysis Adult strabismus health related quality of life questionnaire Subscale Strabismus

Received: 02 September 2014

Corresponding Authors: Zheng Jingwei，Email：jingwei327@gmail.com

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Xu Meiping
	Zheng Jingwei
	Yu Xinping
	Chen Yuanyuan
	Yu Huanyun

Cite this article:

Xu Meiping,Zheng Jingwei,Yu Xinping等. Evaluation of the Chinese Adult Strabismus-20 （CAS-20） questionnaire using Rasch analysis[J]. Chinese Journal of Optometry Ophthalmology and Visual science, 2015, 17(4): 221-227.

URL:

https://www.cjoovs.com/EN/10.3760/cma.j.issn.1674-845X.2015.04.008 OR https://www.cjoovs.com/EN/Y2015/V17/I4/221

[1]	Satterfield D， Keltner JL， Morrison TL. Psychosocial aspects of strabismus study[J]. Arch Ophthalmol，1993，111（8）：1100-1105.
[2]	Burke JP， Leach CM， Davis H. Psychosocial implications of strabismus surgery in adults[J]. J Pediatr Ophthalmol Strabismus，1997，34（3）：159-164.
[3]	Olitsky SE， Sudesh S， Graziano A， et al. The negative psychosocial impact of strabismus in adults[J]. J AAPOS，1999， 3（4）：209-211.
[4]	Menon V， Saha J， Tandon R， et al. Study of the psychosocial aspects of strabismus[J]. J Pediatr Ophthalmol Strabismus，2002， 39（4）：203-208.
[5]	Beauchamp GR， Black BC， Coats DK， et al. The management of strabismus in adults--III. The effects on disability[J]. J AAPOS，2005，9（5）：455-459.
[6]	Jackson S， Harrad RA， Morris M， et al. The psychosocial benefits of corrective surgery for adults with strabismus[J]. Br J Ophthalmol，2006，90（7）：883-888.
[7]	Coats DK， Paysse EA， Towler AJ， et al. Impact of large angle horizontal strabismus on ability to obtain employment[J]. Ophthalmology，2000，107（2）：402-405.
[8]	余新平，黄盈，陈洁，等. 成人斜视患者社会心理健康的研究[J]. 中华眼视光学与视觉科学杂志，2011，13（2）：136-139.
[9]	余新平，麦光焕. 关注斜视对患者生存质量的影响[J]. 中华眼视光与视觉科学杂志，2013，15（9）：513-515.
[10]	Mills MD， Coats DK， Donahue SP， et al. Strabismus surgery for adults： a report by the American Academy of Ophthalmology[J]. Ophthalmology，2004，111（6）：1255-1262.
[11]	Hatt SR， Leske DA， Bradley EA， et al. Development of a quality-of-life questionnaire for adults with strabismus[J]. Ophthalmology，2009，116（1）：139-144.
[12]	余焕云，余新平，叶婷，等. 成人斜视生存质量量表在中国人群的应用[J]. 中华眼视光学与视觉科学杂志，2013，15（9）：516-521.
[13]	Yu HY， Yang XJ， Yu XP， et al. Development and evaluation of a Chinese version of the Adult Strabismus Questionnaire （AS-20）[J]. Ophthalmic Epidemiol，2013，20（4）：239-247.
[14]	Hays RD， Morales LS， Reise SP. Item response theory and health outcomes measurement in the 21st century[J]. Med Care， 2000，38（9）：II28-42.
[15]	Cella D， CHang CH. A discussion of item response theory and its applications in health status assessment[J]. Med Care，2000， 38（9）：II66-72.
[16]	Leske DA， Hatt SR， Holmes JM. Test-retest reliability of health-related quality of life questionnaires in adults with strabismus[J]. Am J Ophthalmol，2010，149（4）：672-676.
[17]	Hatt SR， Leske DA， Holmes JM. Responsiveness of health-related quality-of-life questionnaires in adults undergoing strabismus surgery[J]. Ophthalmology，2010，117（12）：2322-2328.
[18]	Hatt SR， Leske DA， Liebermann L， et al. Comparing outcome criteria performance in adult strabismus surgery[J]. Ophthalmology，2012，119（9）：1930-1936.
[19]	Leske DA， Hatt SR， Liebermann L， et al. Evaluation of the adult strabismus 20 （AS-20） questionnaire using Rasch analysis[J]. Invest Ophthalmol Vis Sci，2012，53（6）：2630-2639.
[20]	Hart DL， Mioduski JE， Stratford PW. Simulated computerized adaptive tests for measuring functional status were efficient with good discriminant validity in patients with hip， knee， or foot ankle impairments[J]. J Clin Epidemiol，2005，58（6）：629-638.
[21]	Jenkinson C， Norquist JM， Fitapatrick R. Deriving summary indices of health status from the Amyotrophic Lateral Sclerosis Assessment Questionnaires （ALSAQ-40 and ALSAQ-5）[J]. J Neurol Neurosurg Psychiatry，2003，74（2）：242-245.
[22]	Jie Y， Xu Z， He Y， et al. A 4 year retrospective survey of strabismus surgery in Tongren Eye Centre Beijing[J]. Ophthalmic Physiol Opt，2010，30（3）：310-314.
[23]	Hatt SR， Leske DA， Liebermann L， et al. Changes in Health-Related Quality of Life 1 Year Following Strabismus Surgery[J].Am J Ophthalmol，2012，153（4）：614-619.
[24]	Liebermann L， Hatt SR， Leske DA， et al. Improvement in specific function-related quality-of-life concerns after strabismus surgery in nondiplopic adults[J]. J AAPOS，2014，18（2）：105-109.