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Gepubliceerd in: Quality of Life Research 2/2015

01-02-2015

Examining unidimensionality and improving reliability for the eight subscales of the SF-36 in opioid-dependent patients using Rasch analysis

Auteurs: Yu-Yu Hsiao, Ching-Lin Shih, Wan-Hui Yu, Cheng-Hsi Hsieh, Ching-Lin Hsieh

Gepubliceerd in: Quality of Life Research | Uitgave 2/2015

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Abstract

Purpose

The Medical Outcome Study Short Form 36 (SF-36) is one of the most commonly used questionnaires for monitoring the Health-Related Quality of Life (HRQOL) of opioid-dependent patients. However, the unidimensionality and reliability of the SF-36 have not been verified in opioid-dependent patients. The aim of this study was to examine the unidimensionality and to improve the test reliability of the SF-36 for use in opioid-dependent patients.

Methods

A total of 583 opioid-dependent patients were recruited in the study. Unidimensionality was examined by conducting unidimensional Rasch analysis. Item fit statistics and principle component analysis were used to check the item-model fit in each of the eight subscales of the SF-36. Reliability was evaluated by applying both unidimensional and multidimensional Rasch analyses.

Results

After three misfitting items were excluded, the remaining items of each subscale in the SF-36 represented a single construct. The test reliabilities (0.80–0.87) yielded by the multidimensional approach were much higher than those (0.68–0.82) produced by the unidimensional approach.

Conclusion

The remaining 32 items of the SF-36 are appropriate for evaluating the HRQOL in opioid-dependent patients in terms of unidimensionality. Additionally, the test scores produced by the multidimensional approach were more accurate than those obtained by the unidimensional approach.
Literatuur
1.
go back to reference Lee, T. S., Shen, H. C., Wu, W. H., Huang, C. W., Yen, M. Y., Wang, B. E., et al. (2011). Clinical characteristics and risk behavior as a function of HIV status among heroin users enrolled in methadone treatment in northern Taiwan. Substance Abuse Treatment, Prevention, and Policy, 6, 6.PubMedCentralPubMedCrossRef Lee, T. S., Shen, H. C., Wu, W. H., Huang, C. W., Yen, M. Y., Wang, B. E., et al. (2011). Clinical characteristics and risk behavior as a function of HIV status among heroin users enrolled in methadone treatment in northern Taiwan. Substance Abuse Treatment, Prevention, and Policy, 6, 6.PubMedCentralPubMedCrossRef
2.
go back to reference Warner-Smith, M., Darke, S., Lynskey, M., & Hall, W. (2001). Heroin overdose: Causes and consequences. Addiction, 96(8), 1113–1125.PubMedCrossRef Warner-Smith, M., Darke, S., Lynskey, M., & Hall, W. (2001). Heroin overdose: Causes and consequences. Addiction, 96(8), 1113–1125.PubMedCrossRef
3.
go back to reference Rosen, D., Hunsaker, A., Albert, S. M., Cornelius, J. R., & Reynolds, C. F., III. (2011). Characteristics and consequences of heroin use among older adults in the United States: A review of the literature, treatment implications, and recommendations for further research. Addictive Behaviors, 36(4), 279–285.PubMedCentralPubMedCrossRef Rosen, D., Hunsaker, A., Albert, S. M., Cornelius, J. R., & Reynolds, C. F., III. (2011). Characteristics and consequences of heroin use among older adults in the United States: A review of the literature, treatment implications, and recommendations for further research. Addictive Behaviors, 36(4), 279–285.PubMedCentralPubMedCrossRef
4.
go back to reference Oviedo-Joekes, E., Marchand, K., Guh, D., Marsh, D. C., Brissette, S., Krausz, M., et al. (2011). History of reported sexual or physical abuse among long-term heroin users and their response to substitution treatment. Addictive Behaviors, 36(1–2), 55–60.PubMedCrossRef Oviedo-Joekes, E., Marchand, K., Guh, D., Marsh, D. C., Brissette, S., Krausz, M., et al. (2011). History of reported sexual or physical abuse among long-term heroin users and their response to substitution treatment. Addictive Behaviors, 36(1–2), 55–60.PubMedCrossRef
5.
go back to reference Lee, C. T. C., Chen, V. C. H., Tan, H. K. L., Chou, S.-Y., Wu, K.-H., Chan, C.-H., et al. (2013). Suicide and other-cause mortality among heroin users in Taiwan: A prospective study. Addictive Behaviors, 38(10), 2619–2623.PubMedCrossRef Lee, C. T. C., Chen, V. C. H., Tan, H. K. L., Chou, S.-Y., Wu, K.-H., Chan, C.-H., et al. (2013). Suicide and other-cause mortality among heroin users in Taiwan: A prospective study. Addictive Behaviors, 38(10), 2619–2623.PubMedCrossRef
6.
go back to reference Ryan, C. F., & White, J. M. (1996). Health status at entry to methadone maintenance treatment using the SF-36 health survey questionnaire. Addiction, 91(1), 39–45.PubMedCrossRef Ryan, C. F., & White, J. M. (1996). Health status at entry to methadone maintenance treatment using the SF-36 health survey questionnaire. Addiction, 91(1), 39–45.PubMedCrossRef
7.
go back to reference Domingo-Salvany, A., Brugal, M. T., Barrio, G. González-Saiz, F. Bravo, M.J., de la Fuente, L., et al. (2010). Gender differences in health related quality of life of young heroin users. Health and Quality of Life Outcomes, 8, 145.PubMedCentralPubMedCrossRef Domingo-Salvany, A., Brugal, M. T., Barrio, G. González-Saiz, F. Bravo, M.J., de la Fuente, L., et al. (2010). Gender differences in health related quality of life of young heroin users. Health and Quality of Life Outcomes, 8, 145.PubMedCentralPubMedCrossRef
8.
go back to reference Puigdollers, E., Domingo-Salvany, A., Brugal, M. T., Torrens, M., Alvaros, J., Castillo, C., et al. (2004). Characteristics of heroin addicts entering methadone maintenance treatment: Quality of life and gender. Substance Use and Misuse, 39(9), 1353–1368.PubMedCrossRef Puigdollers, E., Domingo-Salvany, A., Brugal, M. T., Torrens, M., Alvaros, J., Castillo, C., et al. (2004). Characteristics of heroin addicts entering methadone maintenance treatment: Quality of life and gender. Substance Use and Misuse, 39(9), 1353–1368.PubMedCrossRef
9.
go back to reference Prochaska, J. J., Sorensen, J. L., Hall, S. M., Rossi, J. S., Redding, C. A., Rosen, A. B., et al. (2005). Predictors of health functioning in two high-risk groups of smokers. Drug and Alcohol Dependence, 78(2), 169–175.PubMedCrossRef Prochaska, J. J., Sorensen, J. L., Hall, S. M., Rossi, J. S., Redding, C. A., Rosen, A. B., et al. (2005). Predictors of health functioning in two high-risk groups of smokers. Drug and Alcohol Dependence, 78(2), 169–175.PubMedCrossRef
10.
go back to reference Perneger, T. V., Giner, F., del Rio, M., & Mino, A. (1998). Randomised trial of heroin maintenance programme for addicts who fail in conventional drug treatments. British Medical Journal, 317(7150), 13–18.PubMedCentralPubMedCrossRef Perneger, T. V., Giner, F., del Rio, M., & Mino, A. (1998). Randomised trial of heroin maintenance programme for addicts who fail in conventional drug treatments. British Medical Journal, 317(7150), 13–18.PubMedCentralPubMedCrossRef
11.
go back to reference Karow, A., Verthein, U., Pukrop, R., Reimer, J., Haasen, C., Krausz, M., et al. (2011). Quality of life profiles and changes in the course of maintenance treatment among 1,015 patients with severe opioid dependence. Substance Use and Misuse, 46(6), 705–715.PubMedCrossRef Karow, A., Verthein, U., Pukrop, R., Reimer, J., Haasen, C., Krausz, M., et al. (2011). Quality of life profiles and changes in the course of maintenance treatment among 1,015 patients with severe opioid dependence. Substance Use and Misuse, 46(6), 705–715.PubMedCrossRef
12.
go back to reference Karow, A., Reimer, J., Schafer, I., Krausz, M., Haasen, C., & Verthein, U. (2010). Quality of life under maintenance treatment with heroin versus methadone in patients with opioid dependence. Drug and Alcohol Dependence, 112(3), 209–215.PubMedCrossRef Karow, A., Reimer, J., Schafer, I., Krausz, M., Haasen, C., & Verthein, U. (2010). Quality of life under maintenance treatment with heroin versus methadone in patients with opioid dependence. Drug and Alcohol Dependence, 112(3), 209–215.PubMedCrossRef
13.
go back to reference Richter, D., Eikelmann, B., & Berger, K. (2004). Use of the SF-36 in the evaluation of a drug detoxification program. Quality of Life Research, 13(5), 907–914.PubMedCrossRef Richter, D., Eikelmann, B., & Berger, K. (2004). Use of the SF-36 in the evaluation of a drug detoxification program. Quality of Life Research, 13(5), 907–914.PubMedCrossRef
14.
go back to reference Mishra, G., Gale, C., Sayer, A., Cooper, C., Dennison, E., Whalley, L., et al. (2011). How useful are the SF-36 sub-scales in older people? Mokken scaling of data from the HALCyon programme. Quality of Life Research, 20(7), 1005–1010.PubMedCentralPubMedCrossRef Mishra, G., Gale, C., Sayer, A., Cooper, C., Dennison, E., Whalley, L., et al. (2011). How useful are the SF-36 sub-scales in older people? Mokken scaling of data from the HALCyon programme. Quality of Life Research, 20(7), 1005–1010.PubMedCentralPubMedCrossRef
15.
go back to reference Haley, S. M., McHorney, C. A., & Ware, J. E. (1994). Evaluation of the MOS SF-36 physical functioning scale (PF-10):1. Unidimensionality and reproducibility of the Rasch item scale. Journal of Clinical Epidemiology, 47(6), 671–684.PubMedCrossRef Haley, S. M., McHorney, C. A., & Ware, J. E. (1994). Evaluation of the MOS SF-36 physical functioning scale (PF-10):1. Unidimensionality and reproducibility of the Rasch item scale. Journal of Clinical Epidemiology, 47(6), 671–684.PubMedCrossRef
16.
go back to reference van der Heijden, P. G. M., van Buuren, S., Fekkes, M., Radder, J., & Verrips, E. (2003). Unidimensionality and reliability under Mokken scaling of the Dutch language version of the SF-36. Quality of Life Research, 12(2), 189–198.PubMedCrossRef van der Heijden, P. G. M., van Buuren, S., Fekkes, M., Radder, J., & Verrips, E. (2003). Unidimensionality and reliability under Mokken scaling of the Dutch language version of the SF-36. Quality of Life Research, 12(2), 189–198.PubMedCrossRef
17.
go back to reference Schröder, A., Oernboel, E., Licht, R. W., Sharpe, M., & Fink, P. (2012). Outcome measurement in functional somatic syndromes: SF-36 summary scores and some scales were not valid. Journal of Clinical Epidemiology, 65(1), 30–41.PubMedCrossRef Schröder, A., Oernboel, E., Licht, R. W., Sharpe, M., & Fink, P. (2012). Outcome measurement in functional somatic syndromes: SF-36 summary scores and some scales were not valid. Journal of Clinical Epidemiology, 65(1), 30–41.PubMedCrossRef
18.
go back to reference Gandek, B., Ware, J. E., Jr., Aaronson, N. K., Alonso, J., Apolone, G., Bjorner, J., et al. (1998). Tests of data quality, scaling assumptions, and reliability of the SF-36 in eleven countries: Results from the IQOLA Project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51(11), 1149–1158.PubMedCrossRef Gandek, B., Ware, J. E., Jr., Aaronson, N. K., Alonso, J., Apolone, G., Bjorner, J., et al. (1998). Tests of data quality, scaling assumptions, and reliability of the SF-36 in eleven countries: Results from the IQOLA Project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51(11), 1149–1158.PubMedCrossRef
19.
go back to reference Leese, M., Schene, A., Koeter, M., Meijer, K., Bindman, J., Mazzi, M., et al. (2008). SF-36 scales, and simple sums of scales, were reliable quality-of-life summaries for patients with schizophrenia. Journal of Clinical Epidemiology, 61(6), 588–596.PubMedCrossRef Leese, M., Schene, A., Koeter, M., Meijer, K., Bindman, J., Mazzi, M., et al. (2008). SF-36 scales, and simple sums of scales, were reliable quality-of-life summaries for patients with schizophrenia. Journal of Clinical Epidemiology, 61(6), 588–596.PubMedCrossRef
20.
go back to reference Hattie, J. (1985). Methodology review: Assessing unidimensionality of test and items. Applied Psychological Measurement, 9(2), 139–164.CrossRef Hattie, J. (1985). Methodology review: Assessing unidimensionality of test and items. Applied Psychological Measurement, 9(2), 139–164.CrossRef
22.
go back to reference Wang, W.-C., Chen, P.-H., & Cheng, Y.-Y. (2004). Improving measurement precision of test batteries using multidimensional item response models. Psychological Methods, 9(1), 116–136.PubMedCrossRef Wang, W.-C., Chen, P.-H., & Cheng, Y.-Y. (2004). Improving measurement precision of test batteries using multidimensional item response models. Psychological Methods, 9(1), 116–136.PubMedCrossRef
23.
go back to reference Yan, Z., & Mok, M. M. C. (2012). Validating the coping scale for Chinese athletes using multidimensional Rasch analysis. Psychology of Sport and Exercise, 13(3), 271–279.CrossRef Yan, Z., & Mok, M. M. C. (2012). Validating the coping scale for Chinese athletes using multidimensional Rasch analysis. Psychology of Sport and Exercise, 13(3), 271–279.CrossRef
24.
go back to reference Hambleton, R. K., Swaminathan, H., & Rogers, H. J. (1991). Fundamentals of item response theory. Thousand Oaks, CA: Sage. Hambleton, R. K., Swaminathan, H., & Rogers, H. J. (1991). Fundamentals of item response theory. Thousand Oaks, CA: Sage.
25.
go back to reference Briggs, D. C., & Wilson, M. (2003). An introduction to multidimensional measurement using Rasch models. Journal of Applied Measurement, 4(1), 87–100.PubMed Briggs, D. C., & Wilson, M. (2003). An introduction to multidimensional measurement using Rasch models. Journal of Applied Measurement, 4(1), 87–100.PubMed
26.
go back to reference Rasch, G. (1960). Probabilistic models for some intelligence and attainment tests. Copenhagen, Denmark: Danmarks Paedagogiske Institut. Rasch, G. (1960). Probabilistic models for some intelligence and attainment tests. Copenhagen, Denmark: Danmarks Paedagogiske Institut.
27.
go back to reference Lu, J. F. R., Tseng, H. M., & Tsai, Y. J. (2003). Assessment of health-related quality of life in Taiwan (I): Development and psychometric testing of SF-36 Taiwan version. Taiwan Journal of Public Health, 22(6), 501–511. Lu, J. F. R., Tseng, H. M., & Tsai, Y. J. (2003). Assessment of health-related quality of life in Taiwan (I): Development and psychometric testing of SF-36 Taiwan version. Taiwan Journal of Public Health, 22(6), 501–511.
28.
go back to reference Chiu, E. C., Hsueh, I. P., Hsieh, C. H., & Hsieh, C. L. (2012). Tests of data quality, scaling assumptions, reliability, and construct validity of the SF-36 health survey in people who abuse heroin. Journal of the Formosan Medical Association, 113(4), 234–241.PubMedCrossRef Chiu, E. C., Hsueh, I. P., Hsieh, C. H., & Hsieh, C. L. (2012). Tests of data quality, scaling assumptions, reliability, and construct validity of the SF-36 health survey in people who abuse heroin. Journal of the Formosan Medical Association, 113(4), 234–241.PubMedCrossRef
29.
go back to reference Masters, G. (1982). A Rasch model for partial credit scoring. Psychometrika, 47(2), 149–174.CrossRef Masters, G. (1982). A Rasch model for partial credit scoring. Psychometrika, 47(2), 149–174.CrossRef
30.
go back to reference Wright, B. D., Linacre, J. M., Gustafson, J.-E., & Martin-Lof, P. (1994). Reasonable mean-square fit values. Rasch Measurement Transactions, 8(3), 370. Wright, B. D., Linacre, J. M., Gustafson, J.-E., & Martin-Lof, P. (1994). Reasonable mean-square fit values. Rasch Measurement Transactions, 8(3), 370.
31.
go back to reference Chen, W. H., Lenderking, W., Jin, Y., Wyrwich, K. W., Gelhorn, H., & Revicki, D. A. (2014). Is Rasch model analysis applicable in small size pilot studies for assessing item characteristics? An example using PROMIS pain behavior item bank data. Quality of Life Research, 23(2), 485–493.PubMedCrossRef Chen, W. H., Lenderking, W., Jin, Y., Wyrwich, K. W., Gelhorn, H., & Revicki, D. A. (2014). Is Rasch model analysis applicable in small size pilot studies for assessing item characteristics? An example using PROMIS pain behavior item bank data. Quality of Life Research, 23(2), 485–493.PubMedCrossRef
32.
go back to reference Linacre, J. M. (1994). Sample size and item calibrations stability. Rasch Measurement Transactions, 7(4), 328. Linacre, J. M. (1994). Sample size and item calibrations stability. Rasch Measurement Transactions, 7(4), 328.
33.
go back to reference Lord, F. M., Novick, M. R., & Birnbaum, A. (1968). Statistical theories of mental test scores. Oxford: Addison-Wesley. Lord, F. M., Novick, M. R., & Birnbaum, A. (1968). Statistical theories of mental test scores. Oxford: Addison-Wesley.
34.
go back to reference Dallmeijer, A. J., de Groot, V., Roorda, L. D., Schepers, V. P. M., Lindeman, E., et al. (2007). Cross-diagnostic validity of the SF-36 physical functioning scale in patients with stroke, multiple sclerosis and amyotrophic lateral sclerosis: A study using Rasch analysis. Journal of Rehabilitation Medicine, 39(2), 163–169.PubMedCrossRef Dallmeijer, A. J., de Groot, V., Roorda, L. D., Schepers, V. P. M., Lindeman, E., et al. (2007). Cross-diagnostic validity of the SF-36 physical functioning scale in patients with stroke, multiple sclerosis and amyotrophic lateral sclerosis: A study using Rasch analysis. Journal of Rehabilitation Medicine, 39(2), 163–169.PubMedCrossRef
35.
go back to reference Jenkinson, C., Fitzpatrick, R., Garratt, A., Peto, V., & Stewart-Brown, S. (2001). Can item response theory reduce patient burden when measuring health status in neurological disorders? Results from Rasch analysis of the SF-36 physical functioning scale (PF-10). Journal of Neurology, Neurosurgery and Psychiatry, 71(2), 220–224.PubMedCentralPubMedCrossRef Jenkinson, C., Fitzpatrick, R., Garratt, A., Peto, V., & Stewart-Brown, S. (2001). Can item response theory reduce patient burden when measuring health status in neurological disorders? Results from Rasch analysis of the SF-36 physical functioning scale (PF-10). Journal of Neurology, Neurosurgery and Psychiatry, 71(2), 220–224.PubMedCentralPubMedCrossRef
36.
go back to reference Taylor, W. J., & McPherson, K. M. (2007). Using Rasch analysis to compare the psychometric properties of the short form 36 physical function score and the health assessment questionnaire disability index in patients with psoriatic arthritis and rheumatoid arthritis. Arthritis Care & Research, 57(5), 723–729.CrossRef Taylor, W. J., & McPherson, K. M. (2007). Using Rasch analysis to compare the psychometric properties of the short form 36 physical function score and the health assessment questionnaire disability index in patients with psoriatic arthritis and rheumatoid arthritis. Arthritis Care & Research, 57(5), 723–729.CrossRef
37.
go back to reference Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit Indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.CrossRef Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit Indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.CrossRef
38.
go back to reference Kline, R. B. (2011). Principles and practice of structural equation modeling. New York: The Guilford Press. Kline, R. B. (2011). Principles and practice of structural equation modeling. New York: The Guilford Press.
39.
go back to reference Wang, W. C., Yao, G., Tsai, Y. J., Wang, J. D., & Hsieh, C. L. (2006). Validating, improving reliability, and estimating correlation of the four subscales in the WHOQOL-BREF using multidimensional Rasch analysis. Quality of Life Research, 15(4), 607–620.PubMedCrossRef Wang, W. C., Yao, G., Tsai, Y. J., Wang, J. D., & Hsieh, C. L. (2006). Validating, improving reliability, and estimating correlation of the four subscales in the WHOQOL-BREF using multidimensional Rasch analysis. Quality of Life Research, 15(4), 607–620.PubMedCrossRef
Metagegevens
Titel
Examining unidimensionality and improving reliability for the eight subscales of the SF-36 in opioid-dependent patients using Rasch analysis
Auteurs
Yu-Yu Hsiao
Ching-Lin Shih
Wan-Hui Yu
Cheng-Hsi Hsieh
Ching-Lin Hsieh
Publicatiedatum
01-02-2015
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 2/2015
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0771-z

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