Excellent cross-cultural validity, intra-test reliability and construct validity of the dutch rivermead mobility index in patients after stroke undergoing rehabilitation

Leo D. Roorda*, John Green, Kiki R. A. De Kluis, Ivo W. Molenaar, Pam Bagley, Jane Smith, Alexander C. H. Geurts

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    8 Citations (Scopus)
    169 Downloads (Pure)

    Abstract

    Objective: To investigate the cross-cultural validity of international Dutch-English comparisons when using the Dutch Rivermead Mobility Index (RMI), and the intra-test reliability and construct validity of the Dutch RMI.

    Methods: Cross-cultural validity was studied in a combined data-set of Dutch and English patients undergoing rehabilitation after stroke. who were assessed with the Dutch version of the RMI and the original English RMI, respectively. Mokken scale analysis was used to investigate unidimensionality, monotone homogeneity model fit, and differential item functioning between the Dutch and the English RMI. Intratest reliability and construct validity were studied in the Dutch patients by calculating the reliability coefficient and correlating the Dutch RMI and the Dutch Barthel Index.

    Results: The RMI was completed for Dutch (n = 200) and English (n = 420) patients after stroke. The unidimensionality and monotone homogeneity model fit of the RMI were excellent: combined Dutch-English data-set (coefficient H = 0.91); Dutch data-set (coefficient H = 0.93); English data-set (coefficient H = 0.89). No differential item functioning was found between the Dutch and the English RNIL The intra-test reliability of the Dutch RMI was excellent (coefficient p = 0.97). In a sub-sample of patients (n = 91), the Dutch RMI correlated strongly with the Dutch Barthel Index (Spearman's correlation coefficient p = 0.84).

    Conclusion: The Dutch RMI allows valid international Dutch-English comparisons, and has excellent intra-test reliability and construct validity.

    Original languageEnglish
    Pages (from-to)727-732
    Number of pages6
    JournalJournal of Rehabilitation Medicine
    Volume40
    Issue number9
    DOIs
    Publication statusPublished - Oct-2008

    Keywords

    • cerebrovascular accident
    • quality of life
    • disability evaluation
    • psychometrics
    • MEASURING ACTIVITY LIMITATIONS
    • LOWER-EXTREMITY DISORDERS
    • TEST-RETEST RELIABILITY
    • BARTHEL INDEX
    • PSYCHOMETRIC PROPERTIES
    • HIERARCHICAL SCALE
    • RESPONSIVENESS
    • INPATIENTS
    • TRIAL
    • WORLD

    Cite this