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Table 9 Response category (rating scale) diagnostics based on Linacre’s criteria: the ASCOT-Carer

From: Feasibility, validity and reliability of the ASCOT-Proxy and ASCOT-Carer among unpaid carers of people living with dementia in England

Scale category

Observed count

% of counts

Observed average

OUTFIT MNSQ

Rasch-Andrich Threshold

Category measure

Feeling encouraged and supported

 High-level of unmet needs

35

11

-1.51

1.55

NONE

-3.51

 Some unmet needs

122

39

-0.45

1.13

-2.76

-0.98

 No unmet needs

114

36

1.42

0.95

0.03

1.80

 Ideal state

42

13

1.92

2.11

2.74

4.28

Space and time to be yourself

 High-level of unmet needs

28

9

-2.03

0.92

NONE

-3.94

 Some unmet needs

168

54

-0.33

0.70

-3.71

-0.78

 No unmet needs

95

30

1.90

0.65

0.38

2.75

 Ideal state

22

7

3.35

1.03

3.33

5.36

Self-care

 High-level of unmet needs

42

13

-2.10

0.66

NONE

-2.99

 Some unmet needs

58

19

-0.71

0.79

-1.55

-1.32

 No unmet needs

147

47

0.79

0.96

-0.92

0.79

 Ideal state

66

21

2.25

1.17

2.47

3.53

Personal safety

 High-level of unmet needs

2

1

-4.16

0.62

NONE

-5.84

 Some unmet needs

8

3

-2.11

1.45

-1.22

-4.22

 No unmet needs

67

21

-0.72

2.78

-0.65

-2.49

 Ideal state

235

75

0.87

1.22

1.87

-0.20

Social participation and involvement

 High-level of unmet needs

44

14

-1.58

1.12

NONE

-3.22

 Some unmet needs

140

45

-0.23

0.94

-2.74

-0.55

 No unmet needs

87

28

1.29

0.86

0.39

2.04

 Ideal state

42

13

3.10

0.95

2.35

4.19

Occupation

 High-level of unmet needs

17

5

-1.98

1.00

NONE

-4.66

 Some unmet needs

207

66

-0.21

0.78

-4.59

-0.81

 No unmet needs

73

23

2.16

0.67

0.93

3.32

 Ideal state

16

5

4.08

0.60

3.66

5.83

Control over daily life

 High-level of unmet needs

20

6

-2.06

1.00

NONE

-4.33

 Some unmet needs

142

45

-0.58

0.80

-3.55

-1.34

 No unmet needs

119

38

1.42

0.76

0.23

2.11

Ideal state

32

10

2.95

1.24

3.32

4.78

  1. We evaluated the functionality of the ASCOT-Carer 4-point rating scale using criteria proposed by Linacre: 1. the occurrence of more than 10 endorsements per response category, 2. the observation that both average measures and category thresholds increase across each response category, and 3. an observed OUTFIT MNSQ value of less than 2 for each response category [38]. Items highlighted in bold did not meet this criteria.
  2. Abbreviations: MNSQ Mean square