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Development of a computer-administered mobility questionnaire.

Jorunn L Helbostad1, Line M Oldervoll, Peter M Fayers

  • 1Department of Neuroscience, Norwegian University of Science and Technology, Olav Kyrres g, 7006, Trondheim, Norway. jorunn.helbostad@ntnu.no

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
|March 26, 2010
PubMed
Summary
This summary is machine-generated.

This study developed a validated mobility item bank for palliative care patients, demonstrating good psychometric properties and wide functional coverage. The next step involves a pan-European study to refine this assessment tool.

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Area of Science:

  • Palliative Care
  • Rehabilitation Medicine
  • Psychometrics

Background:

  • Feasible and validated self-report mobility assessment tools are lacking for palliative care patients.
  • This research is part of the European Palliative Research Network programme to develop an internationally endorsed assessment tool.
  • Existing tools do not adequately capture the spectrum of mobility challenges in this population.

Purpose of the Study:

  • To assess the psychometric properties of a novel mobility item bank for palliative patients.
  • Evaluate uni-dimensionality, functional coverage, and identify redundant items or gaps.
  • Contribute to the development of an internationally recognized palliative care assessment tool.

Main Methods:

  • Cross-sectional study involving 604 palliative cancer patients and 186 chronic pain patients.
  • Data collected via tablet computer using a 21-item mobility pool, assessing difficulty on a four-category scale.
  • Psychometric properties evaluated using exploratory factor analysis, internal consistency, and item response theory.

Main Results:

  • The mobility scale demonstrated uni-dimensionality and excellent internal consistency (Cronbach's alpha = 0.97).
  • Items provided wide functional coverage, from basic sitting to more advanced activities like running.
  • Two items with poor psychometric properties and two redundant items were removed, with no significant gaps identified.

Conclusions:

  • The developed mobility item bank possesses strong psychometric properties suitable for palliative care populations.
  • The scale offers comprehensive functional coverage and good reliability.
  • Future work will focus on creating a pre-programmed version for a pan-European study.