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

DOI

10.1097/PEP.0000000000000741

Authors

Devashish Tiwari, Department of Physical Therapy (Dr Tiwari), Simmons University, Boston, Massachusetts; Physical Therapy Department (Drs Yorke, Goldberg, and Alsalaheen), School of Health Professions and Studies, University of Michigan-Flint, Flint, Michigan; Physical Therapy Department (Dr Marchetti), Rangos School of Health Sciences, Duquesne University, Pittsburgh, Pennsylvania; Department of Neurology (Dr Alsalaheen), University of Michigan, Ann Arbor, Michigan; Michigan NeuroSport (Dr Alsalaheen), Michigan Medicine, Ann Arbor, Michigan.
Amy Yorke
Allon Goldberg
Gregory F. Marchetti
Bara Alsalaheen

Document Type

Journal Article

Publication Date

10-1-2020

Publication Title

Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association

Volume

32

Issue

4

First Page

382

Last Page

388

Abstract

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 ? 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.

Open Access

Green Accepted

Repository Citation

Tiwari, D., Yorke, A., Goldberg, A., Marchetti, G. F., & Alsalaheen, B. (2020). Measurement Properties of the Dizziness Handicap Inventory-Children and Adolescents for Children and Adolescents Postconcussion. Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association, 32 (4), 382-388. https://doi.org/10.1097/PEP.0000000000000741