Research Repository

See what's under the surface

Rasch analysis of the Nottingham Extended Activities of Daily Living Scale

das Nair, Roshan; Moreton, Bryan; Lincoln, Nadina

Authors

Roshan das Nair roshan.dasnair@nottingham.ac.uk

Bryan Moreton

Nadina Lincoln Nadina.Lincoln@nottingham.ac.uk

Abstract

Background and purpose: The Nottingham Extended Activities of Daily Living (EADL) Scale is frequently used in clinical practice and research in rehabilitation to assess patients’ independence in activities of daily living. Summative scores are used for this purpose, but this is problematic because the EADL is an ordinal level measurement scale.

Objective: To examine the fit of data to the Rasch model and to determine how the fit could be improved by making changes to the scale. The appropriateness of using total and subscale (Mobility, Kitchen, Domestic and Leisure) scores in determining change over time was evaluated.

Methods: EADL data (n = 210 stroke patients, 55% male, age range 27–93 years) from a randomized trial of a Stroke family support organiser service were analysed using the Partial Credit model.

Results: Rasch analysis did not support the total scale as a unidimensional measure of activities of daily living. However, the subscales exhibited reasonable fit to the Rasch model following re-scoring and removal of items. Item 16 exhibited differential item functioning for age and item 22 differential item functioning for gender.

Conclusion: The results endorse the use and psychometric properties of the 4 EADL subscales, but not the total scale. Further work to corroborate these findings would be useful

Journal Article Type Article
Publication Date Oct 1, 2011
Journal Journal of Rehabilitation Medicine
Print ISSN 1650-1977
Electronic ISSN 1651-2081
Publisher Foundation for Rehabilitation Information
Peer Reviewed Peer Reviewed
Volume 43
Issue 10
Institution Citation das Nair, R., Moreton, B., & Lincoln, N. (2011). Rasch analysis of the Nottingham Extended Activities of Daily Living Scale. Journal of Rehabilitation Medicine, 43(10), doi:10.2340/16501977-0858
DOI https://doi.org/10.2340/16501977-0858
Keywords Rasch analysis; Stroke rehabilitation; Disability;
Activities of daily living; Outcome assessment
Publisher URL http://dx.doi.org/10.2340/16501977-0858
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf

Files

Rasch analysis.pdf (899 Kb)
PDF

Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf




Downloadable Citations