Evidence map›Paper›PMID 33223007›Full record

ArticleArchives of physical medicine and rehabilitation2021

Rasch Analysis of Social Attitude Barriers and Facilitators to Participation for Individuals with Disabilities.

Alex W K Wong, Sofia F Garcia, Elizabeth A Hahn, Patrick Semik, Jin-Shei Lai, Susan Magasi, Joy Hammel, Kristian P Nitsch, Ana Miskovic, Allen W Heinemann

Abstract readMulticenter StudyValidation Study
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Functional Cognition-Patient Reported Outcomes Short Forms and Keyform Ability Maps.Archives of rehabilitation research and clinical translation · 2025
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Alex W K WongProgram in Occupational Therapy, Washington University School of Medicine, St. Louis, MO; Department of Neurology, Washington University School of Medicine, St. Louis, MO; Department of Psychiatry, Washington University School of Medicine, St. Louis, MO; Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL. Electronic address: wongal@wustl.edu.
Sofia F GarciaDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago.
Elizabeth A HahnDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago.
Patrick SemikCenter for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL.
Jin-Shei LaiDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago.
Susan MagasiDepartment of Occupational Therapy, University of Illinois at Chicago, Chicago, IL.
Joy HammelDepartment of Occupational Therapy, University of Illinois at Chicago, Chicago, IL.
Kristian P NitschCenter for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL.
Ana MiskovicCenter for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL.
Allen W HeinemannCenter for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL; Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL.

Funding

Mobile Rehabilitation for Daily Life Participation Post-StrokeK01HD095388 · NICHD · WASHINGTON UNIVERSITY · PI WONG, WING KAI · 2019 to 2023
$642k
NICHD NIH HHS K01 HD095388
6 · The paper itself

Abstract

objectivesTo develop item banks of social attitude barriers and facilitators to participation and validate them with established instruments.

designWe used the Rasch model to identify misfitting items and rating scale problems, calibrate items, and develop KeyForms and short forms. Correlations between the Social Attitude Barriers and Facilitators item banks with the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Health domain and National Institutes of Health Toolbox Emotional Battery Social Relationships domain were computed to evaluate convergent and divergent validity.

settingCommunity-dwelling individuals traveled to 3 academic medical centers for testing.

participantsParticipants (N=558) who had a primary impairment of stroke, spinal cord injury, or traumatic brain injury (mean age, 47.0±16.0y) completed 31 social attitude facilitator and 51 barrier items using a 5-point rating scale.

interventionsNot applicable.

main outcome measuresItem banks to measure social attitude barriers and facilitators for individuals with disabilities.

resultsAfter combining the "never" and "rarely" rating scale categories, 30 Facilitator items fit the Rasch model and demonstrated person reliability of 0.93. After collapsing the "never" and "rarely" rating scale categories, 45 Barrier items fit the Rasch model and demonstrated person reliability of 0.95. Ceiling and floor effects were negligible for both item banks. Facilitators and Barriers item banks were negatively correlated, and these banks were moderately correlated with PROMIS and Toolbox measures, providing evidence of convergent and divergent validity.

conclusionsFindings support the reliability and validity of the Social Attitude Facilitators and Barriers item banks. These item banks allow investigators and clinicians to measure perceptions of social attitudes, providing information that can guide individual interventions to reduce barriers and promote facilitators. Moderate correlations between the Social Attitude banks and PROMIS and Toolbox variables provide support for the measurement and theory of environmental influences on social health and participation.

Indexed as

Attitude to HealthSocial ParticipationAdultFemaleHumansIndependent LivingMaleMiddle AgedPersons with DisabilitiesPsychometricsSurveys and QuestionnairesAttitudeBrain injuries, traumaticCommunity participationEnvironmentPatient reported outcome measuresRehabilitationSpinal cord injuriesStroke

Identifiers

PMID33223007
PMCPMC8166573

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.