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Measurement Properties of the Dizziness Handicap Inventory—Children and Adolescents for Children and Adolescents Postconcussion

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Supplemental Digital Content is Available in the Text. The specific aims of this study were to examine the construct validity, internal consistency, and t structure of items the Dizziness Handicap… Click to show full abstract

Supplemental Digital Content is Available in the Text. The specific aims of this study were to examine the construct validity, internal consistency, and t structure of items the Dizziness Handicap Inventory-Children and Adolescents in children and adolescents postconcussion. Purpose: The purpose of this study was to examine and report the construct validity, internal consistency, and item structure of the Dizziness Handicap Inventory—Children and Adolescents (DHI-CA) in postconcussion children and adolescents. Methods: A retrospective chart review was conducted for 132 participants. Data were extracted on the DHI-CA, Sports Concussion Assessment Tool-III symptom inventory, and Vestibulo-ocular Motor Screening. The DHI-CA was examined for validity, internal consistency, and factor structure. Results: The DHI-CA had fair convergent validity (rs = 0.30-0.40), but discriminant validity findings were inconclusive. The functional subscale demonstrated least consistent loadings and 4 items had cross-loading. Reliability analysis indicated possible item redundancy given that the overall Cronbach α was higher than the subscales. Conclusion: Despite demonstrating convergent validity, structural inconsistencies and possible item redundancy warrant further exploration and restructuring of the DHI-CA. Caution is recommended while making clinical decisions based on the DHI-CA results alone. Video Abstract: For more insights from the authors, see Supplemental Digital Content 1, available at: http://links.lww.com/PPT/A303.

Keywords: handicap inventory; dizziness handicap; children adolescents; inventory children; validity

Journal Title: Pediatric Physical Therapy
Year Published: 2020

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