The struggle to bring the abstract, but ever so real, experience of "pain" within the boundaries of quantitative science continues. This is no mere academic exercise. Pain measurement enables the prospect of better understanding of pain-cause and cure.
330 participants in a six to eight week inpatient rehabilitation program for chronic low-back pain were assessed on nine items of pain behavior by staff ratings at: admission to the program, discharge from the program and one-month follow-up. The nine four- category items were: endurance, strength, flexibility, pain expression (gestures and vocalization), muscle tension, sitting tolerance, assertiveness, comprehension of chronic pain treatment, and understanding of the relationship between pain and anxiety.
Conventional analysis of this type of data fails. The chi-square statistic is no help because information about the ordered nature of the scale is lost. Ridit analysis (Bross 1958) begins with the assumption that the ordered response categories represent an approximation to an underlying continuum with successive categories corresponding to consecutive intervals on the variable. But this method requires an arbitrary choice of a standard distribution against which to make comparisons. Results differ dramatically depending on this choice. Chi-square statistics and ridit analysis explore consistency across items within a test, but neither reveals where an individual respondent stands on the underlying concept which the test is intended to measure, or whether the test has done well in providing useful information.
Rasch analysis, in contrast, supplies a mathematically sound basis for interpreting the relationship of each rating to the underlying construct, and for developing a basis for future refinement of the test. Partial Credit analysis shows that the structure of the pain expression scale depends on the occasion of administration. The scale does not define an underlying continuum of pain behavior in the same way at admission as at discharge. At admission, the intermediate categories of "moderate" and "mild" pain provide much less clinical information than the extreme categories of "marked" and "negligible" pain. Yet the same ratings at discharge are related systematically to the overall pattern of behavior. The pain expression (Ow!) is less related to overall pain behavior at admission than after treatment. This seems due to involvement in the program, since modifying inappropriate vocalizations is an explicit goal.
There was a mean improvement for the 330 patients of at least 3 logits on each of nine items, equivalent to an improvement from "marked" to "mild" pain for the group. Details in McArthur et al., Archives of Physical Medicine and Rehabilitation, 1991, 72:296-304.
Measuring Pain Behavior, D McArthur Rasch Measurement Transactions, 1991, 5:1 p. 129
Please help with Standard Dataset 4: Andrich Rating Scale Model
|Rasch Measurement Transactions (free, online)||Rasch Measurement research papers (free, online)||Probabilistic Models for Some Intelligence and Attainment Tests, Georg Rasch||Applying the Rasch Model 3rd. Ed., Bond & Fox||Best Test Design, Wright & Stone|
|Rating Scale Analysis, Wright & Masters||Introduction to Rasch Measurement, E. Smith & R. Smith||Introduction to Many-Facet Rasch Measurement, Thomas Eckes||Invariant Measurement: Using Rasch Models in the Social, Behavioral, and Health Sciences, George Engelhard, Jr.||Statistical Analyses for Language Testers, Rita Green|
|Rasch Models: Foundations, Recent Developments, and Applications, Fischer & Molenaar||Journal of Applied Measurement||Rasch models for measurement, David Andrich||Constructing Measures, Mark Wilson||Rasch Analysis in the Human Sciences, Boone, Stave, Yale|
|in Spanish:||Análisis de Rasch para todos, Agustín Tristán||Mediciones, Posicionamientos y Diagnósticos Competitivos, Juan Ramón Oreja Rodríguez|
|Forum||Rasch Measurement Forum to discuss any Rasch-related topic|
Go to Top of Page
Go to index of all Rasch Measurement Transactions
AERA members: Join the Rasch Measurement SIG and receive the printed version of RMT
Some back issues of RMT are available as bound volumes
Subscribe to Journal of Applied Measurement
Go to Institute for Objective Measurement Home Page. The Rasch Measurement SIG (AERA) thanks the Institute for Objective Measurement for inviting the publication of Rasch Measurement Transactions on the Institute's website, www.rasch.org.
|Coming Rasch-related Events|
|April 26-30, 2017, Wed.-Sun.||NCME, San Antonio, TX, www.ncme.org - April 29: Ben Wright book|
|April 27 - May 1, 2017, Thur.-Mon.||AERA, San Antonio, TX, www.aera.net|
|April 29, 2017, Sat., 16:35 to 18:05.||NCME Presidents Invitational Symposium: a new book commemorating Ben Wright's life and career, 16:35 to 18:05, San Antonio, TX, www.ncme.org|
|May 26 - June 23, 2017, Fri.-Fri.||On-line workshop: Practical Rasch Measurement - Core Topics (E. Smith, Winsteps), www.statistics.com|
|June 30 - July 29, 2017, Fri.-Fri.||On-line workshop: Practical Rasch Measurement - Further Topics (E. Smith, Winsteps), www.statistics.com|
|July 31 - Aug. 3, 2017, Mon.-Thurs.||Joint IMEKO TC1-TC7-TC13 Symposium 2017: Measurement Science challenges in Natural and Social Sciences, Rio de Janeiro, Brazil, imeko-tc7-rio.org.br|
|Aug. 7-9, 2017, Mon-Wed.||In-person workshop and research coloquium: Effect size of family and school indexes in writing competence using TERCE data (C. Pardo, A. Atorressi, Winsteps), Bariloche Argentina. Carlos Pardo, Universidad Catòlica de Colombia|
|Aug. 7-9, 2017, Mon-Wed.||PROMS 2017: Pacific Rim Objective Measurement Symposium, Sabah, Borneo, Malaysia, proms.promsociety.org/2017/|
|Aug. 10, 2017, Thurs.||In-person Winsteps Training Workshop (M. Linacre, Winsteps), Sydney, Australia. www.winsteps.com/sydneyws.htm|
|Aug. 11 - Sept. 8, 2017, Fri.-Fri.||On-line workshop: Many-Facet Rasch Measurement (E. Smith, Facets), www.statistics.com|
|Aug. 18-21, 2017, Fri.-Mon.||IACAT 2017: International Association for Computerized Adaptive Testing, Niigata, Japan, iacat.org|
|Sept. 15-16, 2017, Fri.-Sat.||IOMC 2017: International Outcome Measurement Conference, Chicago, jampress.org/iomc2017.htm|
|Oct. 13 - Nov. 10, 2017, Fri.-Fri.||On-line workshop: Practical Rasch Measurement - Core Topics (E. Smith, Winsteps), www.statistics.com|
|Jan. 5 - Feb. 2, 2018, Fri.-Fri.||On-line workshop: Practical Rasch Measurement - Core Topics (E. Smith, Winsteps), www.statistics.com|
|Jan. 10-16, 2018, Wed.-Tues.||In-person workshop: Advanced Course in Rasch Measurement Theory and the application of RUMM2030, Perth, Australia (D. Andrich), Announcement|
|Jan. 17-19, 2018, Wed.-Fri.||Rasch Conference: Seventh International Conference on Probabilistic Models for Measurement, Matilda Bay Club, Perth, Australia, Website|
|May 25 - June 22, 2018, Fri.-Fri.||On-line workshop: Practical Rasch Measurement - Core Topics (E. Smith, Winsteps), www.statistics.com|
|June 29 - July 27, 2018, Fri.-Fri.||On-line workshop: Practical Rasch Measurement - Further Topics (E. Smith, Winsteps), www.statistics.com|
|Aug. 10 - Sept. 7, 2018, Fri.-Fri.||On-line workshop: Many-Facet Rasch Measurement (E. Smith, Facets), www.statistics.com|
|Oct. 12 - Nov. 9, 2018, Fri.-Fri.||On-line workshop: Practical Rasch Measurement - Core Topics (E. Smith, Winsteps), www.statistics.com|
|The HTML to add "Coming Rasch-related Events" to your webpage is:|
The URL of this page is www.rasch.org/rmt/rmt51c.htm