Análise das propriedades psicométricas do American Orthopaedic Foot and Ankle Society Score (Aofas) em pacientes com artrite reumatoide: aplicação do modelo Rasch

Conceição, Cristiano Sena da; Neto, Mansueto Gomes; Neto, Anolino Costa; Mendes, Selena Márcia Dubois; Baptista, Abrahão Fontes; Sá, Kátia Nunes

doi:10.1016/j.rbr.2014.12.003

Cited by 10 publications

(2 citation statements)

References 22 publications

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“…In the context of cross-cultural validation, a Rasch analysis was used to confirm the validity and reliability of the Foot and Ankle Ability Measure [ 20 ] and the Manchester Foot Pain and Disability Index – Spanish version [ 21 ]. When applied to the American Orthopaedic Foot and Ankle Society Score [ 22 ] in a sample of Brazilian patients with rheumatoid arthritis, the Rasch analysis demonstrated one item that did not fit, thus supporting the refinement of the tool.…”

Section: Introductionmentioning

confidence: 99%

A Rasch analysis of the self-administered Foot Health Assessment Instrument (S-FHAI)

2021

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Background Reliable and valid measurement is the foundation of evidence-based practice. The self-administered Foot Health Assessment Instrument (S-FHAI) was recently developed to measure patients’ evaluations of their own foot health. Evidence regarding the psychometric properties of the S-FHAI is limited. The aim of this study was to investigate those properties by using a Rasch analysis. Methods This methodological study analysed secondary data that was collected from nurses (n = 411) in 2015. The psychometric properties of the S-FHAI were evaluated using the Rasch model. Unidimensionality was analysed first, followed by item functioning, person misfit and differential item functioning (DIF). Results The S-FHAI demonstrated evidence of unidimensionality, with an acceptable item fit according to the Rasch model. Person fit and person separation were low, however, indicating restricted separation among different respondents. Item separation was high, demonstrating clear discrimination between the items. No DIF was detected in relation to gender, but significant DIF was demonstrated in relation to age for 6 of the 25 items. Conclusions The S-FHAI has potential for use in investigating self-reported foot health. The Rasch analysis revealed that the psychometric properties of the instrument were acceptable, although some issues should be addressed to improve the scale. In future, it may be beneficial to analyse the sensitivity of the items and to test the S-FHAI in more diverse patient populations.

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Section: Introductionmentioning

confidence: 99%

A Rasch analysis of the self-administered Foot Health Assessment Instrument (S-FHAI)

2021

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“… 1 Damage to the ankles and feet occurs in 85% to 100% of these patients and contributes greatly to their loss of quality of life. 2 Typically, foot involvement indicates more aggressive disease and requires more than just pharmacological care. 3 …”

Section: Introductionmentioning

confidence: 99%

Evaluation of foot functionality in cases of rheumatoid arthritis through the FFI-BR and FHSQ-BR questionnaires: a cross-sectional observational study

2018

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Rheumatoid arthritis (RA) is a chronic, progressive inflammatory disease that can cause limitations and difficulties in activities of daily living (ADLs), due to pain, gait impairment and difficulties with self-care. 1 Damage to the ankles and feet occurs in 85% to 100% of these patients and contributes greatly to their loss of quality of life. 2 Typically, foot involvement indicates more aggressive disease and requires more than just pharmacological care. 3 Studying functional disability of the feet is important because, in addition to causing the abovementioned limitations, this form of disability has been correlated with higher risk of falls due to stiffness, pain, muscle weakness and balance disorders, which increases mortality, health resource utilization and loss of patients' work capacity. 4,5 Although RA patients frequently complain about their feet, such complaints are often overlooked by healthcare professionals. Specific instruments for foot health assessment, including the Brazilian versions of the Foot Health Status Questionnaire (FHSQ-BR) and the Foot Function Index (FFI-BR), measure the day-today impact of involvement of the feet in RA. These instruments provide data that help in understanding the repercussions of this involvement and the respective therapeutic indications. This can improve the quality of life of the individuals affected. 3 OBJECTIVE The objectives of the present study were to assess the disability that originated through foot involvement among RA patients, as indicated using the FFI-BR and FHSQ-BR questionnaires, and to evaluate the influence of inflammatory activity on the dysfunction of foot joints.

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Resection or preservation of the metatarsal heads in rheumatoid forefoot surgery? A randomised clinical trial

Schrier

Keijsers

Matricali

et al. 2019

Foot and Ankle Surgery

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Análise das propriedades psicométricas do American Orthopaedic Foot and Ankle Society Score (Aofas) em pacientes com artrite reumatoide: aplicação do modelo Rasch

Cited by 10 publications

References 22 publications

A Rasch analysis of the self-administered Foot Health Assessment Instrument (S-FHAI)

A Rasch analysis of the self-administered Foot Health Assessment Instrument (S-FHAI)

Evaluation of foot functionality in cases of rheumatoid arthritis through the FFI-BR and FHSQ-BR questionnaires: a cross-sectional observational study

Resection or preservation of the metatarsal heads in rheumatoid forefoot surgery? A randomised clinical trial

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