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Gepubliceerd in: Quality of Life Research 7/2010

01-09-2010

The Work Instability Scale for Rheumatoid Arthritis (RA-WIS): Does it work in osteoarthritis?

Auteurs: Kenneth Tang, Dorcas E. Beaton, Diane Lacaille, Monique A. M. Gignac, Wei Zhang, Aslam H. Anis, Claire Bombardier, Canadian Arthritis Network Work Productivity Group

Gepubliceerd in: Quality of Life Research | Uitgave 7/2010

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Abstract

Purpose

To validate the 23-item Work Instability Scale for Rheumatoid Arthritis (RA-WIS) for use in osteoarthritis (OA) using both classical test theory and item response theory approaches.

Methods

Baseline and 12-month follow-up data were collected from workers with OA recruited from community and clinical settings (n = 130). Fit of RA-WIS data to the Rasch model was evaluated by item- and person-fit statistics (size of residual, chi-sq), assessments of differential item functioning, and tests of unidimensionality and local independence. Internal consistency was assessed by KR-20. Convergent construct validity (Spearman r, known-groups) was evaluated against theoretical constructs that assess impact of health on work. Responsiveness to global indicators of change was assessed by standardized response means (SRM) and area under the receiver operating characteristic curves.

Results

Data structure of the RA-WIS showed adequate fit to the Rasch model (chi-sq = 83.2, P = 0.03) after addressing local dependency in three item pairs by creating testlets. High internal consistency (KR-20 = 0.93) and convergent validity with work-oriented constructs (|r| = 0.55–0.77) were evident. The RA-WIS correlated most strongly with the concept of illness intrusiveness (r = 0.77) and was highly responsive to changes (SRM = 1.05 [deterioration]; −0.78 [improvement]).

Conclusions

Although developed for RA, the RA-WIS is psychometrically sound for OA and demonstrates interval-level property.
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Metagegevens
Titel
The Work Instability Scale for Rheumatoid Arthritis (RA-WIS): Does it work in osteoarthritis?
Auteurs
Kenneth Tang
Dorcas E. Beaton
Diane Lacaille
Monique A. M. Gignac
Wei Zhang
Aslam H. Anis
Claire Bombardier
Canadian Arthritis Network Work Productivity Group
Publicatiedatum
01-09-2010
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 7/2010
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-010-9656-y

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