Abstract
Purpose
The aim of this study is to evaluate the properties of the Leg Activity measure according to COnsensus‐based Standards for the selection of health Measurement INstruments.
Method
Participants were assessed at baseline, one day, 6 weeks and 12 weeks, following treatment for leg spasticity with botulinum toxin and physical interventions.
Results
In stage 1, 64 participants were recruited to evaluate the initial psychometric properties of Leg Activity measure. In stage 2, 100 additional participants were recruited, to evaluate the scaling properties. Total sample of 164 participants was used.
Construct validity was supported for ‘passive function’, ‘active function’ and ‘impact on quality of life’. Cronbach’s alpha was 0.86, 0.97 and 0.87 respectively for the scales. Item level test-retest agreement ranged from 91-97% (Kappa 0.75-0.95). Following treatment for spasticity (n=64), the Leg Activity measure ‘passive function’ and ‘impact on life’ scales were responsive to change.
Principal components analysis confirmed the constructs and a unidimensional Rasch Partial Credit Model was subsequently established for each scale. Transformation to an interval scale was achieved. Using the ordinal-to-interval conversion tables, parametric statistical analysis may be used.
Conclusion
The study provides support for the Leg Activity measure being valid, reliable and responsive.
The aim of this study is to evaluate the properties of the Leg Activity measure according to COnsensus‐based Standards for the selection of health Measurement INstruments.
Method
Participants were assessed at baseline, one day, 6 weeks and 12 weeks, following treatment for leg spasticity with botulinum toxin and physical interventions.
Results
In stage 1, 64 participants were recruited to evaluate the initial psychometric properties of Leg Activity measure. In stage 2, 100 additional participants were recruited, to evaluate the scaling properties. Total sample of 164 participants was used.
Construct validity was supported for ‘passive function’, ‘active function’ and ‘impact on quality of life’. Cronbach’s alpha was 0.86, 0.97 and 0.87 respectively for the scales. Item level test-retest agreement ranged from 91-97% (Kappa 0.75-0.95). Following treatment for spasticity (n=64), the Leg Activity measure ‘passive function’ and ‘impact on life’ scales were responsive to change.
Principal components analysis confirmed the constructs and a unidimensional Rasch Partial Credit Model was subsequently established for each scale. Transformation to an interval scale was achieved. Using the ordinal-to-interval conversion tables, parametric statistical analysis may be used.
Conclusion
The study provides support for the Leg Activity measure being valid, reliable and responsive.
| Original language | English |
|---|---|
| Pages (from-to) | 1-12 |
| Number of pages | 12 |
| Journal | Disability & Rehabilitation |
| Early online date | 22 Jul 2019 |
| DOIs | |
| Publication status | Published - Jul 2019 |
