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• W2068700452 abstract "Objectives (1) To appraise, by the means of Rasch analysis, the internal validity and reliability of the Coma Recovery Scale-Revised (CRS-R) in a sample of patients with disorder of consciousness (DOC); and (2) to provide information about the comparability of CRS-R scores across persons with DOC across different settings and groups, including different etiologies. Design Multicenter observational prospective study. Setting Two rehabilitation wards, 1 intermediate care facility, and 2 nursing homes in Italy. Participants Consecutively admitted patients (N=129) for which assessments at 2 different time points were available, giving a total sample of 258 observations. Interventions Not applicable. Main Outcome Measure CRS-R. Results After controlling for any possible dependency between persons’ measures collected at different time points, and for uniform differential item functioning by etiology showed by the visual subscale, Rasch analysis demonstrated adequate satisfaction of all the model’s requirements, including adequate ordering of scoring categories, unidimensionality, local independence, invariance (χ221=27.798, P=.146), and absence of differential item functioning across patients’ sex, age, time, and setting. The reliability (person separation index=.896) was adequate for individual person measurement. We devised a practical raw score to measure conversion tables based on the CRS-R calibrations. Conclusions The CRS-R is a psychometrically sound and robust measurement tool. The linear measures of ability derived from the CRS-R total scores do satisfy all the principles of scientific measurement and are sufficiently reliable for high stakes assessments, such as the diagnosis of the level of consciousness in individual patients. Future studies are needed to directly explore the capabilities of the CRS-R measures to reduce the risk of vegetative state misdiagnosis." @default.
• W2068700452 created "2016-06-24" @default.
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• W2068700452 date "2013-03-01" @default.
• W2068700452 modified "2023-10-16" @default.
• W2068700452 title "Can We Scientifically and Reliably Measure the Level of Consciousness in Vegetative and Minimally Conscious States? Rasch Analysis of the Coma Recovery Scale-Revised" @default.
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• W2068700452 doi "https://doi.org/10.1016/j.apmr.2012.09.035" @default.
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