Structural Validity of the Functional Assessment for Control of Trunk (FACT) for Patients with Acute Stroke Using Rasch Analysis

[Purpose] The purpose of this study was to examine the structural validity of the Functional Assessment for Control of Trunk (FACT) using Rasch analysis. [Participants and Methods] Sixty patients with acute stroke were included in this study. FACT was measured at admission and discharge, and a Rasch...

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Published inRigaku ryoho kagaku Vol. 36; no. 4; pp. 561 - 565
Main Authors IGARASHI, Tatsuya, HAYASHI, Shota, MIYATA, Kazuhiro, SUGA, Hiroki, KAKIMA, Hironobu
Format Journal Article
LanguageJapanese
Published Tokyo The Society of Physical Therapy Science 2021
Japan Science and Technology Agency
Subjects
Online AccessGet full text
ISSN1341-1667
2434-2807
DOI10.1589/rika.36.561

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Abstract [Purpose] The purpose of this study was to examine the structural validity of the Functional Assessment for Control of Trunk (FACT) using Rasch analysis. [Participants and Methods] Sixty patients with acute stroke were included in this study. FACT was measured at admission and discharge, and a Rasch analysis was performed. [Results] Items 1 and 2 were excluded from the analysis. Item 9 had the highest level of difficulty, and item 10 with 3 points did not have a high level of difficulty. In addition, three items had a poor fit. [Conclusion] Rasch analysis showed that the FACT items are valid, except for the 5 items that were excluded or showed a misfit.
AbstractList [Purpose] The purpose of this study was to examine the structural validity of the Functional Assessment for Control of Trunk (FACT) using Rasch analysis. [Participants and Methods] Sixty patients with acute stroke were included in this study. FACT was measured at admission and discharge, and a Rasch analysis was performed. [Results] Items 1 and 2 were excluded from the analysis. Item 9 had the highest level of difficulty, and item 10 with 3 points did not have a high level of difficulty. In addition, three items had a poor fit. [Conclusion] Rasch analysis showed that the FACT items are valid, except for the 5 items that were excluded or showed a misfit.
Author IGARASHI, Tatsuya
MIYATA, Kazuhiro
HAYASHI, Shota
SUGA, Hiroki
KAKIMA, Hironobu
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  organization: Physical Therapy Division, Department of Rehabilitation, Numata Neurosurgery & Heart Disease Hospital
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  fullname: HAYASHI, Shota
  organization: Physical Therapy Division, Department of Rehabilitation, Numata Neurosurgery & Heart Disease Hospital
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  fullname: MIYATA, Kazuhiro
  organization: Department of Physical Therapy, Ibaraki Prefectural University of Health Sciences
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  fullname: SUGA, Hiroki
  organization: Physical Therapy Division, Department of Rehabilitation, Numata Neurosurgery & Heart Disease Hospital
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  fullname: KAKIMA, Hironobu
  organization: Physical Therapy Division, Department of Rehabilitation, Numata Neurosurgery & Heart Disease Hospital
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2021. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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References 3) 八谷瑞紀,村田 伸,大田尾浩・他:脳卒中片麻痺患者の起き上がり動作能力と身体機能との関連.理学療法学,2009, 24: 593-597.
7) 村山 航:妥当性概念の歴史的変還と心理測定学的観点からの考察.教育心理学年報,2012, 51: 118-130.
9) 木原雅子,加治正行,木原正博:医学的測定尺度の理論と応用─妥当性,信頼性からG理論,項目反応理論まで.メディカル・サイエンス・インターナショナル,東京,2016, pp270-301
10) Straube D, Moore J, Leech K, et al.: Item analysis of the berg balance scale in individuals with subacute and chronic stroke. Top Stroke Rehabil, 2013, 20: 241-249.
1) 内野善生,田中勵作,森 茂美・他:姿勢調節障害の理学療法,第2版.奈良 勲,内山 靖(編),医歯薬出版,東京,2012,pp3-8
2) 江連亜弥,原田慎一,小澤佑介・他:脳卒中片麻痺者の体幹機能と日常生活活動(ADL)との関係について.理学療法科学,2010, 25: 147-150.
6) Mokkink LB, Terwee CB, Patrick DL, et al.: COSMIN checklist manual. https://cosmin.nl/wp-content/uploads/COSMIN-syst-review-for-PROMs-manual_version-1_feb-2018.pdf(閲覧日2020年10月27日)
8) Miyata K, Hasegawa S, Iwamoto H, et al.: Structural validity of Balance Evaluation Systems Test assessed using factor and Rasch analyses in patients with stroke. J Phys Ther Sci, 2018, 30: 1446-1454.
12) 内山 靖,島田裕之:高齢者の平衡機能と理学療法.理学療法学,1999, 16: 731-738.
4) 奥田 裕,萩野禎子,小澤佑介・他:臨床的体幹機能検査(FACT)の開発と信頼性.理学療法科学,2006, 21: 357-362.
5) 菅 博貴,島 千秋,柿間洋信・他:急性期脳卒中患者におけるFunctional Assessment for Control of Trunk(FACT)の反応性および臨床的に意義のある最小変化量の検討.理学療法学,2020, 47: 35-41.
13) Bond TG, Fox CM: Applying the Rasch model: Fundamental measurement in the human sciences. Taylor & Francis Group, New York and London, 2015.
11) Shumway CA, Woollacott MH: モーターコントロール運動制御の理論から臨床実践へ,第3版.田中 繁,高橋 明(監修),医歯薬出版,東京,2009,pp153-460
References_xml – reference: 2) 江連亜弥,原田慎一,小澤佑介・他:脳卒中片麻痺者の体幹機能と日常生活活動(ADL)との関係について.理学療法科学,2010, 25: 147-150.
– reference: 11) Shumway CA, Woollacott MH: モーターコントロール運動制御の理論から臨床実践へ,第3版.田中 繁,高橋 明(監修),医歯薬出版,東京,2009,pp153-460.
– reference: 1) 内野善生,田中勵作,森 茂美・他:姿勢調節障害の理学療法,第2版.奈良 勲,内山 靖(編),医歯薬出版,東京,2012,pp3-8.
– reference: 3) 八谷瑞紀,村田 伸,大田尾浩・他:脳卒中片麻痺患者の起き上がり動作能力と身体機能との関連.理学療法学,2009, 24: 593-597.
– reference: 7) 村山 航:妥当性概念の歴史的変還と心理測定学的観点からの考察.教育心理学年報,2012, 51: 118-130.
– reference: 12) 内山 靖,島田裕之:高齢者の平衡機能と理学療法.理学療法学,1999, 16: 731-738.
– reference: 8) Miyata K, Hasegawa S, Iwamoto H, et al.: Structural validity of Balance Evaluation Systems Test assessed using factor and Rasch analyses in patients with stroke. J Phys Ther Sci, 2018, 30: 1446-1454.
– reference: 5) 菅 博貴,島 千秋,柿間洋信・他:急性期脳卒中患者におけるFunctional Assessment for Control of Trunk(FACT)の反応性および臨床的に意義のある最小変化量の検討.理学療法学,2020, 47: 35-41.
– reference: 6) Mokkink LB, Terwee CB, Patrick DL, et al.: COSMIN checklist manual. https://cosmin.nl/wp-content/uploads/COSMIN-syst-review-for-PROMs-manual_version-1_feb-2018.pdf(閲覧日2020年10月27日).
– reference: 4) 奥田 裕,萩野禎子,小澤佑介・他:臨床的体幹機能検査(FACT)の開発と信頼性.理学療法科学,2006, 21: 357-362.
– reference: 9) 木原雅子,加治正行,木原正博:医学的測定尺度の理論と応用─妥当性,信頼性からG理論,項目反応理論まで.メディカル・サイエンス・インターナショナル,東京,2016, pp270-301.
– reference: 13) Bond TG, Fox CM: Applying the Rasch model: Fundamental measurement in the human sciences. Taylor & Francis Group, New York and London, 2015.
– reference: 10) Straube D, Moore J, Leech K, et al.: Item analysis of the berg balance scale in individuals with subacute and chronic stroke. Top Stroke Rehabil, 2013, 20: 241-249.
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SubjectTerms Functional Assessment for Control of Trunk (FACT)
Rasch
Rasch model
structural validity
Title Structural Validity of the Functional Assessment for Control of Trunk (FACT) for Patients with Acute Stroke Using Rasch Analysis
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