Evaluation of the Unidimensional Fatigue Impact Scale in Crohn’s Disease: the importance of local item dependency

Alice Heaney, Stephen P McKenna, Peter Hagell

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

BACKGROUND AND PURPOSE: The Unidimensional Fatigue Impact Scale (U-FIS) was developed for use in a multiple sclerosis population. The aim was to determine whether the U-FIS is a valid tool for measuring the impact of fatigue in Crohn's disease (CD).

METHOD: CD patients completed the U-FIS as part of a validation study of the Crohn's Life Impact Questionnaire (CLIQ). Data were analyzed according to Rasch measurement theory (RMT).

RESULTS: Two hundred sixty-one completed U-FIS questionnaires were available for analysis. After rescoring the items to resolve disordered thresholds, all 22 items showed acceptable RMT fit. However, there was considerable local item dependency (LID).

CONCLUSION: The U-FIS did not provide unidimensional measurement in a sample of CD patients due to high levels of LID. Combining the three FIS outcomes into a single measure was not justified.

Original languageEnglish
Pages (from-to)345-360
Number of pages16
JournalJournal of Nursing Measurement
Volume30
Issue number2
DOIs
Publication statusPublished - 2022-Jun-01

Swedish Standard Keywords

  • Public Health, Global Health, Social Medicine and Epidemiology (30302)
  • Nursing (30305)

Keywords

  • Crohn's Life Impact Questionnaire (CLIQ)
  • Rasch
  • U-FIS
  • fatigue
  • local item dependency
  • unidimensionality
  • Crohn’s Life Impact Questionnaire (CLIQ)

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