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Assessing autonomic symptoms of Parkinson’s disease with the SCOPA‐AUT: a new perspective from Rasch analysis

Identifieur interne : 002705 ( Main/Corpus ); précédent : 002704; suivant : 002706

Assessing autonomic symptoms of Parkinson’s disease with the SCOPA‐AUT: a new perspective from Rasch analysis

Auteurs : M. J. Forjaz ; A. Ayala ; C. Rodriguez-Blazquez ; B. Frades-Payo ; P. Martinez-Martin

Source :

RBID : ISTEX:02F01173A1E5541CE859C58861F1270B84DB6741

English descriptors

Abstract

Background:  The Scale for Outcomes in Parkinson’s disease (PD) for Autonomic Symptoms (SCOPA‐AUT) is a specific scale to assess autonomic dysfunction in PD patients. It was developed and validated under the classic test theory approach. This study sought to test whether the SCOPA‐AUT meets item response theory standards for reliability, internal construct validity, response category ordering, and differential item functioning by gender and age group. Method:  The Rasch measurement model was applied to a sample of 385 PD patients. Results:  Model fit was obtained after the response categories were rescored and item 10‐Incomplete emptying deleted because of redundancy. Person separation index, a reliability measure, was 0.82. All but two items (2‐Sialorrhea and 13‐Nocturia) were free of gender‐ and age‐related bias. The strict tests of unidimensionality were met, indicating the validity of the total sumscore. Scale targeting suggested the need for items representing milder autonomic symptoms. Conclusions:  Suggestions for improving the SCOPA‐AUT include a shorter scale with a simpler response scheme and a combination of sexual items for men and women. The resulting SCOPA‐AUT is a reliable scale, with good internal construct validity, providing Rasch transformed results on a linear metric scale.

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DOI: 10.1111/j.1468-1331.2009.02835.x

Links to Exploration step

ISTEX:02F01173A1E5541CE859C58861F1270B84DB6741

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<unparsedAffiliation>National School of Public Health; and Consortium for Biomedical Research in Neurodegenerative Diseases (Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas – CIBERNED), Madrid</unparsedAffiliation>
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<unparsedAffiliation>National School of Public Health, Madrid</unparsedAffiliation>
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<unparsedAffiliation> Area of Applied Epidemiology, National Center for Epidemiology; and
<i>CIBERNED</i>
, Carlos III Institute of Health, Madrid, Spain</unparsedAffiliation>
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<keyword xml:id="k1">differential item functioning</keyword>
<keyword xml:id="k2">internal construct validity</keyword>
<keyword xml:id="k3"> Parkinson’s disease</keyword>
<keyword xml:id="k4">Rasch analysis</keyword>
<keyword xml:id="k5">SCOPA‐AUT</keyword>
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<p>
<b>Background: </b>
The Scale for Outcomes in Parkinson’s disease (PD) for Autonomic Symptoms (SCOPA‐AUT) is a specific scale to assess autonomic dysfunction in PD patients. It was developed and validated under the classic test theory approach. This study sought to test whether the SCOPA‐AUT meets item response theory standards for reliability, internal construct validity, response category ordering, and differential item functioning by gender and age group.</p>
<p>
<b>Method: </b>
The Rasch measurement model was applied to a sample of 385 PD patients.</p>
<p>
<b>Results: </b>
Model fit was obtained after the response categories were rescored and item 10‐Incomplete emptying deleted because of redundancy. Person separation index, a reliability measure, was 0.82. All but two items (2‐Sialorrhea and 13‐Nocturia) were free of gender‐ and age‐related bias. The strict tests of unidimensionality were met, indicating the validity of the total sumscore. Scale targeting suggested the need for items representing milder autonomic symptoms.</p>
<p>
<b>Conclusions: </b>
Suggestions for improving the SCOPA‐AUT include a shorter scale with a simpler response scheme and a combination of sexual items for men and women. The resulting SCOPA‐AUT is a reliable scale, with good internal construct validity, providing Rasch transformed results on a linear metric scale.</p>
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<title>Assessing autonomic symptoms of Parkinson’s disease with the SCOPA‐AUT: a new perspective from Rasch analysis</title>
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<title>SCOPA‐AUT</title>
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<title>Assessing autonomic symptoms of Parkinson’s disease with the SCOPA‐AUT: a new perspective from Rasch analysis</title>
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<name type="personal">
<namePart type="given">M. J.</namePart>
<namePart type="family">Forjaz</namePart>
<affiliation>National School of Public Health; and Consortium for Biomedical Research in Neurodegenerative Diseases (Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas – CIBERNED), Madrid</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">A.</namePart>
<namePart type="family">Ayala</namePart>
<affiliation>National School of Public Health, Madrid</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">C.</namePart>
<namePart type="family">Rodriguez‐Blazquez</namePart>
<affiliation>Area of Applied Epidemiology, National Center for Epidemiology; and CIBERNED, Carlos III Institute of Health, Madrid, Spain</affiliation>
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<roleTerm type="text">author</roleTerm>
</role>
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<name type="personal">
<namePart type="given">B.</namePart>
<namePart type="family">Frades‐Payo</namePart>
<affiliation>Area of Applied Epidemiology, National Center for Epidemiology; and CIBERNED, Carlos III Institute of Health, Madrid, Spain</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
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<name type="personal">
<namePart type="given">P.</namePart>
<namePart type="family">Martinez‐Martin</namePart>
<affiliation>Area of Applied Epidemiology, National Center for Epidemiology; and CIBERNED, Carlos III Institute of Health, Madrid, Spain</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
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<namePart>on behalf of the Longitudinal Parkinson’s Disease Patient Study (Estudio longitudinal de pacientes con enfermedad de Parkinson – ELEP) Group</namePart>
<description>National School of Public Health; and Consortium for Biomedical Research in Neurodegenerative Diseases (Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas – CIBERNED), MadridNational School of Public Health, MadridArea of Applied Epidemiology, National Center for Epidemiology; and CIBERNED, Carlos III Institute of Health, Madrid, Spain</description>
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<dateIssued encoding="w3cdtf">2010-02</dateIssued>
<edition>Received 4 March 2009 Accepted 23 July 2009</edition>
<copyrightDate encoding="w3cdtf">2010</copyrightDate>
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<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<extent unit="tables">2</extent>
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<abstract lang="en">Background:  The Scale for Outcomes in Parkinson’s disease (PD) for Autonomic Symptoms (SCOPA‐AUT) is a specific scale to assess autonomic dysfunction in PD patients. It was developed and validated under the classic test theory approach. This study sought to test whether the SCOPA‐AUT meets item response theory standards for reliability, internal construct validity, response category ordering, and differential item functioning by gender and age group. Method:  The Rasch measurement model was applied to a sample of 385 PD patients. Results:  Model fit was obtained after the response categories were rescored and item 10‐Incomplete emptying deleted because of redundancy. Person separation index, a reliability measure, was 0.82. All but two items (2‐Sialorrhea and 13‐Nocturia) were free of gender‐ and age‐related bias. The strict tests of unidimensionality were met, indicating the validity of the total sumscore. Scale targeting suggested the need for items representing milder autonomic symptoms. Conclusions:  Suggestions for improving the SCOPA‐AUT include a shorter scale with a simpler response scheme and a combination of sexual items for men and women. The resulting SCOPA‐AUT is a reliable scale, with good internal construct validity, providing Rasch transformed results on a linear metric scale.</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>differential item functioning</topic>
<topic>internal construct validity</topic>
<topic>Parkinson’s disease</topic>
<topic>Rasch analysis</topic>
<topic>SCOPA‐AUT</topic>
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<title>European Journal of Neurology</title>
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<genre type="Journal">journal</genre>
<identifier type="ISSN">1351-5101</identifier>
<identifier type="eISSN">1468-1331</identifier>
<identifier type="DOI">10.1111/(ISSN)1468-1331</identifier>
<identifier type="PublisherID">ENE</identifier>
<part>
<date>2010</date>
<detail type="volume">
<caption>vol.</caption>
<number>17</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>2</number>
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<extent unit="pages">
<start>273</start>
<end>279</end>
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<identifier type="DOI">10.1111/j.1468-1331.2009.02835.x</identifier>
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<accessCondition type="use and reproduction" contentType="copyright">© 2009 The Author(s). Journal compilation © 2009 EFNS</accessCondition>
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