ArticleOptometry and vision science : official publication of the American Academy of Optometry2010
Comparison of scoring approaches for the NEI VFQ-25 in low vision.
Article in Optometry and vision science : official publication of the American Academy of Optometry, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Patient-Reported Outcome Instruments Relevant to Glaucoma.Journal of glaucoma · 2026Pooled it
- Manhattan Vision Screening and Follow-up Study (NYC-SIGHT): Baseline Results and Costs of a Cluster-Randomized Trial.American journal of ophthalmology · 2023Trial
- Visual function response to ocriplasmin for the treatment of vitreomacular traction and macular hole.Acta ophthalmologica · 2017Trial
- Visual impairment and vision-related quality of life in the Early Manifest Glaucoma Trial after 20 years of follow-up.Acta ophthalmologica · 2015Trial
- Psychometric properties of the WHO-VFQ-20 questionnaire for assessing vision-related quality of life in Brazilian urban populations with different vision status.Scientific reports · 2026Article
- VFQ-25 With and Without Rasch Scoring Assessed Using Simulated Data in Trials Comparing Laser With Anti-VEGF for Diabetic Retinopathy.Translational vision science & technology · 2026Article
- Gender-specific changes in vision-related quality of life over time - results from the population-based Gutenberg Health Study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025Observational
- Reduced quality of life in corneal dystrophy - a prospective case control study.BMC ophthalmology · 2025Article
- EyeMatics: An Ophthalmology Use Case Within the German Medical Informatics Initiative.JMIR medical informatics · 2024Article
- Visual acuity, amblyopia, and vision-related quality of life in preterm adults with and without ROP: results from the Gutenberg prematurity eye study.Eye (London, England) · 2023Article
- The intraocular implant and visual rehabilitation improve the quality of life of elderly patients with geographic atrophy secondary to age-related macular degeneration.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023Article
- The NEI VFQ-25C: Calibrating Items in the National Eye Institute Visual Function Questionnaire-25 to Enable Comparison of Outcome Measures.Translational vision science & technology · 2022Article
- A Virtual Reality Orientation and Mobility Test for Inherited Retinal Degenerations: Testing a Proof-of-Concept After Gene Therapy.Clinical ophthalmology (Auckland, N.Z.) · 2021Article
- Validation of a vision-related activity scale for patients with retinitis pigmentosa.Health and quality of life outcomes · 2020Article
- Vision-related quality of life considering both eyes: results from the German population-based Gutenberg Health Study (GHS).Health and quality of life outcomes · 2019Article
- Psychometric properties of the Portuguese version of the National Eye Institute Visual Function Questionnaire-25.PloS one · 2019Article
- Patient-reported outcomes of ocriplasmin for the treatment of vitreomacular traction: a systematic review and synthesis of the literature.Patient related outcome measures · 2019Review
- Improvement in Patient-Reported Quality of Life Outcomes in Severely Visually Impaired Individuals Using the Aira Assistive Technology System.Translational vision science & technology · 2018Article
- The burden of neovascular age-related macular degeneration: a patient's perspective.Clinical ophthalmology (Auckland, N.Z.) · 2018Article
- The National Eye Institute 25-Item Visual Function Questionnaire (NEI VFQ-25) - reference data from the German population-based Gutenberg Health Study (GHS).Health and quality of life outcomes · 2017Observational
Corrections and comments
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2 authors.
Funding
Abstract
purposeThe aim of this study was to evaluate different approaches to scoring the National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25) in patients with low vision including scoring by the standard method, by Rasch analysis, and by use of an algorithm created by Massof to approximate Rasch person measure. Subscale validity and use of a 7-item short form instrument proposed by Ryan et al. were also investigated.
methodsNEI VFQ-25 data from 50 patients with low vision were analyzed using the standard method of summing Likert-type scores and calculating an overall average, Rasch analysis using Winsteps software, and the Massof algorithm in Excel. Correlations between scores were calculated. Rasch person separation reliability and other indicators were calculated to determine the validity of the subscales and of the 7-item instrument.
resultsScores calculated using all three methods were highly correlated, but evidence of floor and ceiling effects was found with the standard scoring method. None of the subscales investigated proved valid. The 7-item instrument showed acceptable person separation reliability and good targeting and item performance.
conclusionsAlthough standard scores and Rasch scores are highly correlated, Rasch analysis has the advantages of eliminating floor and ceiling effects and producing interval-scaled data. The Massof algorithm for approximation of the Rasch person measure performed well in this group of low-vision patients. The validity of the subscales VFQ-25 should be reconsidered.
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