International Cooperative Ataxia Rating Scale (ICARS): appropriate for studies of Friedreich's ataxia?
Identifieur interne : 003093 ( PubMed/Checkpoint ); précédent : 003092; suivant : 003094International Cooperative Ataxia Rating Scale (ICARS): appropriate for studies of Friedreich's ataxia?
Auteurs : Stefan J. Cano [Royaume-Uni] ; Jeremy C. Hobart ; Paul E. Hart ; L V Prasad Korlipara ; Anthony H V. Schapira ; J Mark CooperSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2005.
English descriptors
- KwdEn :
- Adolescent, Adult, Child, Disability Evaluation, Female, Friedreich Ataxia (diagnosis), Friedreich Ataxia (physiopathology), Humans, International Cooperation, Male, Middle Aged, Models, Statistical, Neurologic Examination (methods), Neurologic Examination (standards), Psychometrics (legislation & jurisprudence), Psychometrics (methods), Psychometrics (standards), Reproducibility of Results, Sensitivity and Specificity, Severity of Illness Index, Sickness Impact Profile.
- MESH :
- diagnosis : Friedreich Ataxia.
- legislation & jurisprudence : Psychometrics.
- methods : Neurologic Examination, Psychometrics.
- physiopathology : Friedreich Ataxia.
- standards : Neurologic Examination, Psychometrics.
- Adolescent, Adult, Child, Disability Evaluation, Female, Humans, International Cooperation, Male, Middle Aged, Models, Statistical, Reproducibility of Results, Sensitivity and Specificity, Severity of Illness Index, Sickness Impact Profile.
Abstract
Clinicians require scientifically rigorous, clinically meaningful rating scales to evaluate the health impact of disease and treatment that cannot be measured using conventional laboratory instruments. This study evaluated the psychometric properties of the International Cooperative Ataxia Rating Scale (ICARS), a commonly used clinician-rated measure, in Friedreich's ataxia (FRDA). People with confirmed FRDA were assessed by using the ICARS. Two assumptions of its measurement model were tested: the legitimacy of reporting ICARS scores in FRDA, and the acceptability, reliability, and validity of total and subscale scores. Seventy-seven people with FRDA were assessed. The ICARS total score effectively satisfied all psychometric criteria tested. The posture and gait disturbances subscale also performed well. The other three subscales did not pass standard criteria for tests of scaling assumptions, reliability, and validity. This small study recommends only the use of the ICARS total score as a measure of FRDA. However, the extent to which this score quantifies the true extent of FRDA remains uncertain as our validity testing was limited, partly by the lack of appropriate validating measures. Further validity testing, and examination of responsiveness, is required before the ICARS can be recommended as an outcome measure for treatment trials of FDRA.
DOI: 10.1002/mds.20651
PubMed: 16114019
Affiliations:
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pubmed:16114019Le document en format XML
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<front><div type="abstract" xml:lang="en">Clinicians require scientifically rigorous, clinically meaningful rating scales to evaluate the health impact of disease and treatment that cannot be measured using conventional laboratory instruments. This study evaluated the psychometric properties of the International Cooperative Ataxia Rating Scale (ICARS), a commonly used clinician-rated measure, in Friedreich's ataxia (FRDA). People with confirmed FRDA were assessed by using the ICARS. Two assumptions of its measurement model were tested: the legitimacy of reporting ICARS scores in FRDA, and the acceptability, reliability, and validity of total and subscale scores. Seventy-seven people with FRDA were assessed. The ICARS total score effectively satisfied all psychometric criteria tested. The posture and gait disturbances subscale also performed well. The other three subscales did not pass standard criteria for tests of scaling assumptions, reliability, and validity. This small study recommends only the use of the ICARS total score as a measure of FRDA. However, the extent to which this score quantifies the true extent of FRDA remains uncertain as our validity testing was limited, partly by the lack of appropriate validating measures. Further validity testing, and examination of responsiveness, is required before the ICARS can be recommended as an outcome measure for treatment trials of FDRA.</div>
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<Abstract><AbstractText>Clinicians require scientifically rigorous, clinically meaningful rating scales to evaluate the health impact of disease and treatment that cannot be measured using conventional laboratory instruments. This study evaluated the psychometric properties of the International Cooperative Ataxia Rating Scale (ICARS), a commonly used clinician-rated measure, in Friedreich's ataxia (FRDA). People with confirmed FRDA were assessed by using the ICARS. Two assumptions of its measurement model were tested: the legitimacy of reporting ICARS scores in FRDA, and the acceptability, reliability, and validity of total and subscale scores. Seventy-seven people with FRDA were assessed. The ICARS total score effectively satisfied all psychometric criteria tested. The posture and gait disturbances subscale also performed well. The other three subscales did not pass standard criteria for tests of scaling assumptions, reliability, and validity. This small study recommends only the use of the ICARS total score as a measure of FRDA. However, the extent to which this score quantifies the true extent of FRDA remains uncertain as our validity testing was limited, partly by the lack of appropriate validating measures. Further validity testing, and examination of responsiveness, is required before the ICARS can be recommended as an outcome measure for treatment trials of FDRA.</AbstractText>
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<name sortKey="Hobart, Jeremy C" sort="Hobart, Jeremy C" uniqKey="Hobart J" first="Jeremy C" last="Hobart">Jeremy C. Hobart</name>
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