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• W2034604221 abstract "The 23-item Work Instability Scale for Rheumatoid Arthritis (RA-WIS) is a promising measure to assess risk for future work disability. Validated in both rheumatoid arthritis (RA) and osteoarthritis (OA), it has high potential for cross-disease applications. Our objective was to examine disease-related differential item functioning (DIF) in the RA-WIS.Workers with RA (n = 120) or OA (n = 130) were recruited from 3 sites and completed a questionnaire consisting of demographic and health- and work-related variables, including the RA-WIS (range 0-23, where 23 = highest work instability). Multiple DIF detection methods were applied for comparability: 1) Mantel-Haenszel and Breslow-Day procedures, 2) hierarchical 3-step sequential logistic regression procedure, and 3) a 1-parameter item response theory approach (Rasch analysis). Both tests of significance (chi-square and F tests) and effect size statistics (Δ(MH) , ΔR(2) ) were assessed to confirm items demonstrating uniform or nonuniform DIF. A 2-step purification procedure was applied to establish a DIF-free conditioning variable (total RA-WIS score) for DIF analyses. The resultant impact of disease-related DIF at the scale level was also evaluated.All 3 DIF detection methods converged to reveal 3 RA-WIS items as having significant disease-related uniform DIF. Two items (difficulty opening doors and pressure on hand) were more likely affirmed in RA, while 1 item (very stiff) was more likely affirmed in OA. Overall, only a marginal impact at the scale level was found due to a small proportion of scale items exhibiting DIF and the bidirectional nature of DIF effects.RA-WIS scores can be directly compared between RA and OA without significant concerns for DIF-related measurement bias." @default.
• W2034604221 created "2016-06-24" @default.
• W2034604221 creator A5076962046 @default.
• W2034604221 date "2011-08-01" @default.
• W2034604221 modified "2023-09-27" @default.
• W2034604221 title "Disease-related differential item functioning in the work instability scale for rheumatoid arthritis: Converging results from three methods" @default.
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• W2034604221 doi "https://doi.org/10.1002/acr.20491" @default.
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