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Related Experiment Video

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Demographic and functional differences among social security disability claimants.

Molly Marino1,2, Pengsheng Ni3, Lewis Kazis3

  • 1Department of Health Law, Policy, & Management, Boston University School of Public Health, Boston, MA, USA. memarino@bu.edu.

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PubMed
Summary

Differential item functioning (DIF) was identified in the Work Disability Functional Assessment Battery 2.0 (WD-FAB 2.0) across sociodemographic factors. After controlling for DIF, true differences in work disability function were observed by gender, age, and education.

Keywords:
Differential item functioningFunctional assessmentPsychometricsWork disability

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Area of Science:

  • Psychometrics
  • Disability assessment
  • Health services research

Background:

  • Sociodemographic characteristics can influence self-reported health measures.
  • Differential item functioning (DIF) occurs when population characteristics affect item endorsement probability on scales.
  • The Work Disability Functional Assessment Battery 2.0 (WD-FAB 2.0) is an Item Response Theory (IRT)-based measure of work-related activity limitations.

Purpose of the Study:

  • To identify DIF in WD-FAB 2.0 items based on sociodemographic factors.
  • To assess true differences in functional limitations across these groups after controlling for DIF.

Main Methods:

  • Utilized two samples: 3793 SSA disability claimants and 2100 working-age adults.
  • Applied a two-step IRT-based DIF analysis for age, gender, and race/ethnicity.
  • Calculated weighted absolute differences in item characteristic curves and used T-tests for score comparisons.

Main Results:

  • Seventeen WD-FAB 2.0 items exhibited DIF.
  • Men reported higher physical and mental function than women.
  • Older individuals reported lower physical but higher mental function; lower education correlated with lower mental function.

Conclusions:

  • DIF significantly impacts function measurement and psychometric assessment.
  • Diverse samples are crucial for conducting robust DIF analyses.
  • WD-FAB 2.0 scores, after DIF adjustment, provide less biased measures of function across gender, race/ethnicity, and age.