Evaluation of the Intermittent Exotropia Questionnaire using Rasch analysis

The Intermittent Exotropia Questionnaire (IXTQ) is a patient, proxy, and parental report of quality of life specific to children with intermittent exotropia. We refine the IXTQ using Rasch analysis to improve reliability and validity. Rasch analysis was performed on responses of 575 patients with in...

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Published in:JAMA ophthalmology Vol. 133; no. 4; p. 461
Main Authors: Leske, David A, Holmes, Jonathan M, Melia, B Michele
Format: Journal Article
Language:English
Published: United States 01-04-2015
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Abstract The Intermittent Exotropia Questionnaire (IXTQ) is a patient, proxy, and parental report of quality of life specific to children with intermittent exotropia. We refine the IXTQ using Rasch analysis to improve reliability and validity. Rasch analysis was performed on responses of 575 patients with intermittent exotropia enrolled from May 15, 2008, through July 24, 2013, and their parents from each of the 4 IXTQ health-related quality-of-life questionnaires (child 5 through 7 years of age and child 8 through 17 years of age, proxy, and parent questionnaires). Questionnaire performance and structure were confirmed in a separate cohort of 379 patients with intermittent exotropia. One item was removed from the 12-item child and proxy questionnaires, and response options in the 8- to 17-year-old child IXTQ and proxy IXTQ were combined into 3 response options for both questionnaires. Targeting was relatively poor for the child and proxy questionnaires. For the parent questionnaire, 3 subscales (psychosocial, function, and surgery) were evident. One item was removed from the psychosocial subscale. Resulting subscales had appropriate targeting. The Rasch-revised IXTQ may be a useful instrument for determining how intermittent exotropia affects health-related quality of life of children with intermittent exotropia and their parents, particularly for cohort studies.
AbstractList The Intermittent Exotropia Questionnaire (IXTQ) is a patient, proxy, and parental report of quality of life specific to children with intermittent exotropia. We refine the IXTQ using Rasch analysis to improve reliability and validity. Rasch analysis was performed on responses of 575 patients with intermittent exotropia enrolled from May 15, 2008, through July 24, 2013, and their parents from each of the 4 IXTQ health-related quality-of-life questionnaires (child 5 through 7 years of age and child 8 through 17 years of age, proxy, and parent questionnaires). Questionnaire performance and structure were confirmed in a separate cohort of 379 patients with intermittent exotropia. One item was removed from the 12-item child and proxy questionnaires, and response options in the 8- to 17-year-old child IXTQ and proxy IXTQ were combined into 3 response options for both questionnaires. Targeting was relatively poor for the child and proxy questionnaires. For the parent questionnaire, 3 subscales (psychosocial, function, and surgery) were evident. One item was removed from the psychosocial subscale. Resulting subscales had appropriate targeting. The Rasch-revised IXTQ may be a useful instrument for determining how intermittent exotropia affects health-related quality of life of children with intermittent exotropia and their parents, particularly for cohort studies.
Author Leske, David A
Melia, B Michele
Holmes, Jonathan M
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  organization: Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota
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  organization: Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota
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  organization: Jaeb Center for Health Research, Tampa, Florida
BackLink https://www.ncbi.nlm.nih.gov/pubmed/25634146$$D View this record in MEDLINE/PubMed
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Snippet The Intermittent Exotropia Questionnaire (IXTQ) is a patient, proxy, and parental report of quality of life specific to children with intermittent exotropia....
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SubjectTerms Adolescent
Child
Child, Preschool
Cross-Sectional Studies
Exotropia - psychology
Female
Health Status
Humans
Infant
Male
Quality of Life - psychology
Reproducibility of Results
Sickness Impact Profile
Surveys and Questionnaires
Title Evaluation of the Intermittent Exotropia Questionnaire using Rasch analysis
URI https://www.ncbi.nlm.nih.gov/pubmed/25634146
Volume 133
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