Abstract
Objective
To examine the state of psychometric validation in the health-related work outcome
literature.
Data Sources
We searched PubMed, PubMed Central, CINAHL, Embase (plus Embase Classic), and PsycINFO
from inception to January 2016 using the following search terms: stroke, multiple sclerosis, epilepsy, spinal cord injury, brain injury, musculoskeletal disease, work, absenteeism, presenteeism, occupation, employment, job, outcome measure, assessment, work capacity evaluation, scale, and questionnaire.
Study Selection
From the 22,676 retrieved abstracts, 597 outcome measures were identified. Inclusion
was based on content analysis. There were 95 health-related work outcome measures
retained; of these, 2 were treated as outliers and therefore are discussed separately.
All 6 authors individually organized the 93 remaining scales based on their content.
Data Extraction
A follow-up search using the same sources, and time period, with the name of the outcome
measures and the terms psychometric, reliability, validity, and responsiveness, identified
263 unique classical test theory psychometric property datasets for the 93 tools.
An assessment criterion for psychometric properties was applied to each article, and
where consensus was not achieved, the rating delivered by most of the assessors was
reported.
Data Synthesis
Of the articles reported, 18 reporting psychometric data were not accessible and therefore
could not be assessed. There were 39 that scored <20% of the maximum achievable score,
106 scored between 20% and 40%, 82 scored between 40% and 60%, 15 scored between 60%
and 80%, and only 1 scored >80%. The 3 outcome measures associated with the highest
scoring datasets were the Sheehan Disability Scale, the Fear Avoidance Beliefs Questionnaire,
and the assessment of the Subjective Handicap of Epilepsy. Finally, only 2 psychometric
validation datasets reported the complete set of baseline psychometric properties.
Conclusions
This systematic review highlights the current limitations of the health-related work
outcome measure literature, including the limited number of robust tools available.
Keywords
List of abbreviations:
COSMIN (COnsensus-based Standards for the selection of health Measurement Instruments), CTT (classical test theory)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: July 14, 2016
Footnotes
E.D.P. was supported by the National Institute for Health Research University College London Hospitals Biomedical Research Center.
Disclosures: none.
Identification
Copyright
© 2016 Published by Elsevier Inc. on behalf of the American Congress of Rehabilitation Medicine
