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The Traumatic Injuries Distress Scale: A New Tool That Quantifies Distress and Has Predictive Validity With
The Journal of Orthopaedic and Sports Physical Therapy
|September 6, 2016
Summary
The Traumatic Injuries Distress Scale (TIDS) effectively identifies individuals at risk for persistent problems after musculoskeletal injuries. This new tool aids in early risk stratification for better patient outcomes.
Area of Science:
- Orthopedics
- Psychology
- Rehabilitation Medicine
Background:
- Suboptimal outcomes persist for 10-50% of acute musculoskeletal injury patients.
- Early, risk-targeted interventions are needed to improve recovery.
- A validated tool is required to identify individuals at risk for persistent issues.
Purpose of the Study:
- To develop and validate the Traumatic Injuries Distress Scale (TIDS).
- To assess TIDS's ability to measure risk magnitude and nature for persistent problems post-musculoskeletal injury.
Main Methods:
- Observational cohort study with 200 participants from emergency and rehabilitation settings.
- Concurrent and longitudinal validation using validated questionnaires.
- Exploratory factor analysis and correlation analyses at baseline, 1 week, and 12 weeks.
Main Results:
- Exploratory factor analysis identified 3 factors explaining 62.8% of TIDS variance.
- Baseline TIDS scores significantly predicted 12-week disability, pain, satisfaction, anxiety, and depression.
- TIDS demonstrated adequate accuracy for use in screening protocols.
Conclusions:
- The TIDS is a novel measure with initial psychometric properties for assessing acute posttraumatic distress.
- TIDS subscales can stratify patients for clinical intervention studies.
- This scale aids in identifying at-risk individuals for targeted management.
