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Assessing child quality of life impairments following pediatric burn injuries: Rasch analysis of the children’s dermatology life quality index

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Abstract

Aims

There is a need for a brief, validated measure of quality of life (QOL) for children to monitor their adjustment to burn injuries. We aimed to apply a Rasch analysis to an existing measure of QOL from the dermatology literature to a clinical sample of pediatric burn patients.

Methods

The Children’s Dermatology Life Quality Index (CDLQI) was administered to pediatric burn patients (N = 253) during a standard clinic visit. Rasch analysis was used to examine psychometric properties of this measure with a burn sample.

Results

The CDLQI showed an adequate fit to the Rasch model. Test difficulty is .61 logits greater than person ability. Results of item reliability and separation analyses were sufficiently strong and indicated a unidimensional latent trait. Person reliability (.74) and separation analyses (1.64) were moderate. Finally, the CDLQI was able to moderately separate the group of respondents into low and high levels of QOL impairments related to burn injuries.

Conclusion

The Rasch model demonstrated that the CDLQI is a reliable and valid scale that adequately measures QOL impairments in children following burn injuries.

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References

  1. Gibran, N. S. (2013). Presidential address: Our third leg—we have seen it all before. Journal of Burn Care and Research,34, 1–7. https://doi.org/10.1097/BCR.0b013e31827e4ee9.

    Article  PubMed  Google Scholar 

  2. Nedelec, B., Donelan, M., Baryza, M., Bhavsar, D., Blome-Eberwein, S., Carrougher, G. J.,… Ware, L. (2013). Functional outcomes. Journal of Burn Care & Research, 34, 376–380

  3. Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. Journal of the American Medical Association,273, 59–65. https://doi.org/10.1001/jama.273.1.59.

    Article  CAS  PubMed  Google Scholar 

  4. Griffiths, C., Armstrong-James, L., White, P., Rumsey, N., Pleat, J., & Harcourt, D. (2015). A systematic review of patient reported outcome measures (PROMs) used in child and adolescent burn research. Burns,41, 212–224. https://doi.org/10.1016/j.burns.2014.07.018.

    Article  CAS  PubMed  Google Scholar 

  5. Wiechman, S., Meyer, W., Edelman, L., Fauerbach, J., Gibbons, L., Holavanahalli, R.,… Yovino, S. (2013). Psychological outcomes. Journal of Burn Care & Research, 34, 363–368

  6. Finlay, A. Y., & Khan, G. K. (1994). Dermatology Life Quality Index (DLQI)—a simple practical measure for routine clinical use. Clinical and Experimental Dermatology,19, 210–216. https://doi.org/10.1111/j.1365-2230.1994.tb01167.x.

    Article  CAS  PubMed  Google Scholar 

  7. Lewis-Jones, M. S., & Finlay, A. Y. (1995). The Children’s Dermatology Life Quality Index (CDLQI): Initial validation and practical use. British Journal of Dermatology,132, 942–949. https://doi.org/10.1111/j.1365-2133.1995.tb16953.x.

    Article  CAS  PubMed  Google Scholar 

  8. Olsen, J. R., Gallacher, J., Finlay, A. Y., Piguet, V., & Fancis, N. A. (2016). Quality of life impact of childhood skin conditions measured using the Children’s Dermatology Life Quality Index (CDLQI): A meta-analysis. British Journal of Dermatology,174, 853–861. https://doi.org/10.1111/bjd.14361.

    Article  CAS  PubMed  Google Scholar 

  9. Mazharinia, N., Aghaei, S., & Shayan, Z. (2007). Dermatology Life Quality Index (DLQI) scores in burn victims after revival. Journal of Burn Care Research,28, 312–317. https://doi.org/10.1097/bcr.0b013e318031a151.

    Article  PubMed  Google Scholar 

  10. Agaei, S., Sodaifi, M., Jafari, P., Mazharinia, N., & Finlay, A. Y. (2004). DLQI scores in vitiligo: Reliability and validity of the Persian version. BMC Dermatology,4, 8. https://doi.org/10.1186/1471-5945-4-8.

    Article  Google Scholar 

  11. Ryan, C. M., Lee, A. F., Kazis, L. E., Shapiro, G. D., Schneider, J. C., Goverman, J.,… Tompkins, R. G. (2016). Is real-time feedback of burn-specific patient-reported outcome measures in clinical setting practical and useful? A pilot study implementing the young adult burn outcome questionnaire. Journal of Burn Care and Research, 37, 64–74. https://doi.org/10.1097/bcr.0000000000000287

  12. Salek, M. S., Jung, S., Brincat-Ruffini, L. A., MacFarlane, L., Lewi-Jones, M. S., Basra, M. K., et al. (2013). Clinical experience and psychometric properties of the Children’s Dermatology Life Quality Index (CDLQI), 1995–2012. British Journal of Dermatology,169, 734–759. https://doi.org/10.1111/bjd.12437.

    Article  CAS  PubMed  Google Scholar 

  13. Andrich, D. (1978). A rating formulation for ordered response categories. Psychometrika,43, 561–574. https://doi.org/10.1007/bf02293814.

    Article  Google Scholar 

  14. Linacre, J. M. (2018). Winsteps Rasch measurement computer program (Version 4.1.0). Beaverton, OR: Winsteps.com.

    Google Scholar 

  15. Linacre, J. M. (1999). Investigating rating scale category utility. Journal of Outcome Measurement,3, 266–283.

    Google Scholar 

  16. Iramaneerat, C., Smith, E. V., & Smith, R. M. (2008). An introduction to Rasch measurement. In J. W. Osborne (Ed.), Best practices in quantitative methods (pp. 50–70). Thousand Oaks, CA: Sage Publications Inc.

    Chapter  Google Scholar 

  17. Christensen, K. B., Makransky, G., & Horton, M. (2016). Critical values for Yen’s Q3: Identification of local dependence in the Rasch model using residual correlations. Applied Psychological Measurement,41(3), 178–194.

    Article  Google Scholar 

  18. Bond, T. G., & Fox, C. M. (2007). Applying the Rasch model: Fundamental measurement in the human sciences (2nd ed.). Mahwah, NJ: Lawrence Erlbaum Associates Inc.

    Google Scholar 

  19. Linacre, J. M. (2018b). Winsteps Rasch measurement computer program user’s guide. Beaverton, OR: Winsteps.com. Retrieved 11 Jan 2019, from http://www.winsteps.com/winman

  20. Wright, B. D. (1995). Which standard error? Item specific or general? Ideal or real? Rasch Measurement Transactions,9(2), 436.

    Google Scholar 

  21. Fisher, W. P. (2007). Rating scale instrument quality criteria. Rasch Measurement Transactions,21(1), 1095.

    Google Scholar 

  22. Wright, B. D., & Linacre, J. M. (1994). Reasonable mean-square fit values. Rasch Measurement Transactions,8(3), 370.

    Google Scholar 

  23. DeVillis, R. F. (1991). Scale development: Theory and applications. Newbury Park, CA: Sage.

    Google Scholar 

  24. Nijsten, T., Meads, D. M., de Korte, J., Sampogna, F., Gelfand, J. M., Ongenae, K., et al. (2007). Cross-cultural inequivalence of dermatology-specific health-related quality of life instruments in psoriasis patients. Journal of Investigative Dermatology,127, 2315–2322. https://doi.org/10.1038/sj.jid.5700875.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, USA

    Carisa Parrish, Elizabeth Reynolds & Rick Ostrander

  2. Department of Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA

    Dylan Stewart & Susan Ziegfeld

  3. Department of Psychology, Graduate Program in Psychometrics, Morgan State University, Baltimore, MD, USA

    R. Trent Haines

  4. Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Margo Szabo

  5. Department of Psychology, Loyola University Maryland, Baltimore, MD, USA

    Jill Caradec

Authors
  1. Carisa Parrish
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  2. R. Trent Haines
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  3. Dylan Stewart
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  4. Margo Szabo
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  5. Jill Caradec
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  6. Susan Ziegfeld
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  7. Elizabeth Reynolds
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  8. Rick Ostrander
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Correspondence to Rick Ostrander.

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Parrish, C., Haines, R.T., Stewart, D. et al. Assessing child quality of life impairments following pediatric burn injuries: Rasch analysis of the children’s dermatology life quality index. Qual Life Res 29, 1083–1091 (2020). https://doi.org/10.1007/s11136-019-02380-w

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  • DOI: https://doi.org/10.1007/s11136-019-02380-w

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