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Rasch Analysis of the Community Integration Measure in Persons With Traumatic Brain Injury
Authors:Scott R. Millis  Sarah-Jane Meachen  Julie A. Griffen  Robin A. Hanks  Lisa J. Rapport
Affiliation:1. Department of Physical Medicine and Rehabilitation, Wayne State University, Detroit, MI;2. Rehabilitation Institute of Michigan, Detroit, MI;3. Department of Psychology, Wayne State University, Detroit, MI
Abstract:

Objective

To examine the measurement properties of the Community Integration Measure (CIM) in persons with traumatic brain injury (TBI).

Design

Rasch analysis was used to retrospectively evaluate the CIM.

Setting

Rehabilitation hospital.

Participants

Persons (N=279) 1 to 15 years after a TBI.

Interventions

None.

Main Outcome Measure

CIM.

Results

The CIM met Rasch expectations of unidimensionality and reliability (person separation ratio=2.01, item separation ratio=4.52). However, item endorsibility was poorly targeted to the participants' level of community integration. A ceiling effect was found with this sample.

Conclusions

The CIM is a relatively reliable and unidimensional scale. Future iterations might benefit from the addition of items that are more difficult to endorse (ie, improved targeting).
Keywords:Brain injuries   Community integration   Psychometrics   Rehabilitation
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