Measurement Validity of the Low Vision Independence Measure (LVIM)

Theresa M. Smith, Shilpa Krishnan, Ickpyo Hong, Timothy Reistetter

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

OBJECTIVE: This study's objective was to test the psychometrics of Smith's (2013) Low Vision Independence Measure (LVIM) using the Rasch model. METHOD: A cohort design was used with 93 participants receiving occupational therapy for low vision. Confirmatory factor analysis (CFA) with a parceling approach was used to test the LVIM factors and Rasch analysis to examine item-level psychometrics. RESULTS: Participants' average age was 78.9 yr (standard deviation = 12.1), and the majority were female (72.8%) with macular degeneration (62.3%). The CFA revealed two measurement factors: visual field or scotoma (n = 28) and visual acuity (n = 24). We removed six misfitting items, and the two factors of the revised LVIM demonstrated good rating scale function, good internal consistency (person reliability: visual field, .87; visual acuity, .90), good precision (person strata: visual field, 3.91; visual acuity, 4.40), no ceiling or floor effects, and no differential item functioning. CONCLUSION: The revised LVIM demonstrates good psychometrics on the Rasch model and can be used as a valid outcome measure in low vision rehabilitation.

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Low Vision
Visual Fields
Psychometrics
Visual Acuity
Statistical Factor Analysis
Scotoma
Occupational Therapy
Macular Degeneration
Rehabilitation
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Occupational Therapy

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Measurement Validity of the Low Vision Independence Measure (LVIM). / Smith, Theresa M.; Krishnan, Shilpa; Hong, Ickpyo; Reistetter, Timothy.

In: The American journal of occupational therapy : official publication of the American Occupational Therapy Association, Vol. 73, No. 3, 01.05.2019.

Research output: Contribution to journalArticle

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