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 |
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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. |
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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 |
Author_xml | – sequence: 1 givenname: David A surname: Leske fullname: Leske, David A organization: Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota – sequence: 2 givenname: Jonathan M surname: Holmes fullname: Holmes, Jonathan M organization: Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota – sequence: 3 givenname: B Michele surname: Melia fullname: Melia, B Michele 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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CitedBy_id | crossref_primary_10_1080_09273972_2023_2227681 crossref_primary_10_1177_2374373517706614 crossref_primary_10_3368_aoj_66_1_11 crossref_primary_10_1016_j_ophtha_2018_08_034 crossref_primary_10_1097_OPX_0000000000001080 crossref_primary_10_1080_09273972_2016_1276941 crossref_primary_10_1111_cxo_12553 crossref_primary_10_1097_OPX_0000000000001901 crossref_primary_10_1007_s11136_021_02814_4 crossref_primary_10_1080_09273972_2016_1242640 crossref_primary_10_1016_j_jaapos_2020_10_011 crossref_primary_10_1001_jamaophthalmol_2021_0082 crossref_primary_10_1016_j_jaapos_2020_11_021 |
ContentType | Journal Article |
Contributor | Leske, David A Bothun, Erick Sanders, Emi Liebermann, Laura Allen, Megan Parker, Susan Davis, Patricia Morrison, David Alfaro, Angela Summers, C Gail Steinkuller, Paul Cotter, Susan Jones, Sarah Duckman, Robert Price, Tammy Klem, Heather Mohney, Brian Frazier, Marcela Kiesau, Yana Kong, Lingkun Yoon, Hawke MacSween, Lesley Hussein, Mohamed Silbert, David Nielsen, Rebecca Yanovitch, Tammy Petersen, David Fraine, Lisa Christian, Melanie Wallace, David Hayes, Susan Kehler, Lori Ann Vricella, Marilyn Weaver, Richard Patel, Reena Sala, Nicholas Morse, Christie Glaser, Stephen Brower, Judy Chu, Raymond Romanchuk, Kenneth Handford, Paula Hatt, Sarah Miller, Aaron Fallaha, Nicole Huang, Kristine Marsh-Tootle, Wendy Chen, Angela Meeder, Sara Weise, Katherine Mesropian, Lernik Hein, Eric Roberts, Joan Khuddus, Nausheen Holleschau, Ann Khammar, Alexander Estes, Robert Cooke, Lori Barnhardt, Carmen Matta, Noelle Belanger, Caroline Ventura, Gaylord Tamkins, Susanna Graham, Laura McMurtrey, J Wheeler, Maynard Yamada, Tomohiko Adams, Kenneth Astle, William Holmes, Jon |
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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 |
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