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Evaluation of the Intermittent Exotropia Questionnaire using Rasch analysis
Journal article   Open access   Peer reviewed

Evaluation of the Intermittent Exotropia Questionnaire using Rasch analysis

David A Leske, Jonathan M Holmes, B Michele Melia and Pediatric Eye Disease Investigator Group
JAMA ophthalmology, Vol.133(4), pp.461-465
04/2015
DOI: 10.1001/jamaophthalmol.2014.5622
PMCID: PMC4393341
PMID: 25634146
url
https://doi.org/10.1001/jamaophthalmol.2014.5622View
Published (Version of record) Open Access

Abstract

The Intermittent Exotropia Questionnaire (IXTQ) is a patient, proxy, and parental report of quality of life specific to children with intermittent exotropia. We refine the IXTQ using Rasch analysis to improve reliability and validity. Rasch analysis was performed on responses of 575 patients with intermittent exotropia enrolled from May 15, 2008, through July 24, 2013, and their parents from each of the 4 IXTQ health-related quality-of-life questionnaires (child 5 through 7 years of age and child 8 through 17 years of age, proxy, and parent questionnaires). Questionnaire performance and structure were confirmed in a separate cohort of 379 patients with intermittent exotropia. One item was removed from the 12-item child and proxy questionnaires, and response options in the 8- to 17-year-old child IXTQ and proxy IXTQ were combined into 3 response options for both questionnaires. Targeting was relatively poor for the child and proxy questionnaires. For the parent questionnaire, 3 subscales (psychosocial, function, and surgery) were evident. One item was removed from the psychosocial subscale. Resulting subscales had appropriate targeting. The Rasch-revised IXTQ may be a useful instrument for determining how intermittent exotropia affects health-related quality of life of children with intermittent exotropia and their parents, particularly for cohort studies.
Reproducibility of Results Cross-Sectional Studies Sickness Impact Profile Humans Child, Preschool Infant Male Exotropia - psychology Adolescent Female Surveys and Questionnaires Quality of Life - psychology Health Status Child

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