16 research outputs found

    An investigation of a criterion- referenced test using G-theory, and factor and cluster analyses

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    There has been relatively little research on analytical procedures for examin ing the dependability and validity of criterion-referenced tests especially when compared to similar investigations for norm-referenced ESL or EFL tests. This study used three analytical procedures, namely, G-theory, factor and cluster analyses, to investigate the dependability and validity of a criterion-referenced test developed at the University of California, Los Angeles in 1989. Dependability estimates showed that test scores are not equally depend able for all placement groups and are rather undependable for two out of the four placement groups. Factor analysis of test scores for the placement groups showed that though two-factor solutions were the best solutions for the different groups, there were differences in the way the subtests loaded in the different groups, with progressively fewer subtests loading on the second factor as ability increased. This finding led to the extension study with cluster analysis which showed that a number of students might have been differently placed if subtest scores were used to place them.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68766/2/10.1177_026553229200900104.pd

    Factors that can predict pain with walking, 12 months after total knee arthroplasty

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    Background and purpose - Functional limitations after total knee arthroplasty (TKA) are common. In this longitudinal study, we wanted to identify subgroups of patients with distinct trajectories of pain-related interference with walking during the first year after TKA and to determine which demographic, clinical, symptom-related, and psychological characteristics were associated with being part of this subgroup. Patients and methods - Patients scheduled for primary TKA for osteoarthritis (n = 202) completed questionnaires that evaluated perception of pain, fatigue, anxiety, depression, and illness on the day before surgery. Clinical characteristics were obtained from the medical records. Interference of pain with walking was assessed preoperatively, on postoperative day 4, and at 6 weeks, 3 months, and 12 months after TKA. Results - Using growth mixture modeling, 2 subgroups of patients were identified with distinct trajectories of pain-related interference with walking over time. Patients in the Continuous Improvement class (n = 157, 78%) had lower preoperative interference scores and reported a gradual decline in pain-related interference with walking over the first 12 months after TKA. Patients in the Recurrent Interference class (n = 45, 22%) reported a high degree of preoperative pain-related interference with walking, initial improvement during the first 3 months after TKA, and then a gradual increase-returning to preoperative levels at 12 months. Patients in the Recurrent Interference class had higher preoperative pain, fatigue, and depression scores, and poorer perception of illness than the Continuous Improvement class. Interpretation - 1 in 5 patients did not improve in pain-related interference with walking at 12 months after TKA. Future studies should test the efficacy of interventions designed to modify preoperative characteristics
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