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Interpretability and Clinical Utility of the Pediatric Evaluation of Disability Inventory - Patient Reported Outcome
Ariel Schwartz1, Fiorella Guerrero Calle2, Elizabeth Barbour2
1Institute on Disability, University of New Hampshire, Durham, New Hampshire, USA.
Physical & Occupational Therapy in Pediatrics
|July 23, 2024
Summary
Therapists found the Pediatric Evaluation Disability Inventory-Patient Reported Outcome (PEDI-PRO) score report useful, though additional training on advanced item-response theory (IRT) concepts may be needed for accurate interpretation.
Area of Science:
- Rehabilitation Medicine
- Clinical Assessment
- Health Informatics
Background:
- Effective score reports are crucial for therapists to accurately interpret patient assessments.
- The Pediatric Evaluation Disability Inventory-Patient Reported Outcome (PEDI-PRO) is a key assessment tool.
Purpose of the Study:
- To evaluate the accuracy of occupational and physical therapists' (OT, PT) interpretation of item-response theory (IRT)-based PEDI-PRO results using a pilot score report.
- To assess the perceived clinical utility of the PEDI-PRO pilot score report among therapists.
Main Methods:
- An exploratory, sequential mixed methods design was employed.
- Focus groups with 20 OTs and PTs informed score report development, followed by a survey with 33 OTs and PTs who reviewed fictional client reports and answered interpretation and utility questions.
Main Results:
- Visual cues in the score report aided interpretation, but therapists desired more explanation for advanced IRT concepts.
- Therapists accurately interpreted basic IRT concepts but struggled with advanced ones like fit and unexpected responses.
- Therapists identified specific report components for sharing with families, clinicians, and payers.
Conclusions:
- The pilot PEDI-PRO score report received high endorsement from therapists.
- Additional training may be necessary for therapists to fully interpret advanced item-response theory (IRT) concepts within the PEDI-PRO score report.
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