Responsiveness of the "PROM Pediatric Physical Therapy" in Dutch Pediatric Physical Therapy Practices
Lieze P G Hoogveld1, Philip J van der Wees, Reinier P Akkermans
1Radboud University Medical Center, Amalia Children's Hospital, Department of Rehabilitation, Pediatric Physical Therapy, Nijmegen, the Netherlands (Ms Hoogveld and Dr Janssen); Radboud University Medical Center, Department of Rehabilitation, Nijmegen, the Netherlands (Dr van der Wees); Radboud University Medical Center, IQ Health Science Department, Nijmegen, the Netherlands, (Dr van der Wees and Mr Akkermans).
Insights
The patient-reported outcome measure pediatric physical therapy (PROM-ppt) shows moderate responsiveness in children overall. It is highly responsive for motor problems but less so for pain-related issues in pediatric physical therapy.
Area of Science:
- Pediatric Physical Therapy
- Patient-Reported Outcome Measures
- Health Outcomes Research
Background:
- Patient-reported outcome measures (PROMs) are crucial for evaluating pediatric physical therapy effectiveness.
- The pediatric physical therapy (PROM-ppt) questionnaire aims to assess outcomes and facilitate shared decision-making.
- Understanding the responsiveness of the PROM-ppt is essential for its clinical utility.
Purpose of the Study:
- To investigate the responsiveness of the pediatric physical therapy (PROM-ppt) questionnaire.
- To evaluate the PROM-ppt's ability to detect changes in pediatric patients over time.
- To assess the PROM-ppt's utility in Dutch pediatric physical therapy settings.
Main Methods:
- Children completed the PROM-ppt at intake and 3 months post-intervention.
- Intervention goals were categorized as motor or pain-related.
- Responsiveness was analyzed using a priori hypotheses and area under the curve (AUC), with the Global Perceived Effect scale as a comparator.
Main Results:
- The PROM-ppt demonstrated moderate overall responsiveness, with hypotheses confirmed in 60% of cases.
- Responsiveness was good for children with motor problems (80% hypothesis confirmation).
- Responsiveness was poor for children with pain-related problems (40% hypothesis confirmation).
Conclusions:
- The PROM-ppt exhibits moderate responsiveness in the pediatric population.
- The PROM-ppt is a responsive tool for assessing motor-related problems in pediatric physical therapy.
- The PROM-ppt's responsiveness to pain-related problems is limited, suggesting caution in its interpretation for this patient group.
Purpose:
To investigate the responsiveness of the patient-reported outcome measure pediatric physical therapy (PROM-ppt), a questionnaire used to also stimulate shared decision making in Dutch pediatric physical therapy practices.
Methods:
Children completed the PROM-ppt at intake and 3 months after intervention or post-intervention. Reported problems were categorized as motor or pain related goals for intervention. Responsiveness was examined to test the a priori hypotheses and area under the curve (AUC). The Global Perceived Effect scale was used for comparison.
Results:
Overall, the hypotheses were confirmed in 60% of the cases with adequate AUCs. In children with motor problems, 80% of the hypotheses were matched, with adequate AUCs. In children with pain related problems, 40% of the hypotheses were matched, with inadequate AUCs.
Conclusion:
The PROM-ppt had moderate responsiveness in the pediatric population, good responsiveness in children with interventions for motor problems, and poor responsiveness to pain related problems.
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