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下象限瘤患者报告结果测量可靠,有效和有效的患者的淋巴和静脉疾病
Daniel Deutscher1,2, Michael A Kallen3, Deanna Hayes1
1Net Health Systems, Inc., Pittsburgh, Pennsylvania, USA.
Physical therapy
|September 8, 2023
概括
这项研究开发了一种可靠和有效的患者报告结果测量方法 (PROM),用于较低象限胀 (LQE) 对身体功能的影响. 提供计算机化适应性测试 (CAT) 和简体形式 (SF) 版本的LQE PROM,为研究和临床护理提供高效的评估.
科学领域:
- 康复医学 康复医学 康复医学
- 健康结果 测量 测量 测量
- 心理测量 心理测量 心理测量
背景情况:
- 下象限 (LQE) 显著影响患者的身体功能.
- 现有的措施可能无法充分捕捉LQE对日常活动的微妙影响.
- 开发患者报告结果指标 (PROM) 对于个性化护理和研究至关重要.
研究的目的:
- 使用物件响应理论 (IRT) 为LQE开发一个患者报告的结果测量 (PROM) 项目库.
- 通过计算机自适应测试 (CAT) 和10项简单表格 (SF) 评估LQE PROM得分的可靠性,有效性和效率.
主要方法:
- 从门诊康复中对4894名LQE患者进行了回顾性分析.
- 将项目响应理论 (IRT) 应用于30项候选银行,评估单维性,合适性和差异性项目功能 (DIF).
- 对LQE-CAT和LQE-SF评分的可靠性,有效性和管理效率的评估.
主要成果:
- 建立了一个20项LQE项目银行,展示了强大的心理测量特性 (CAT和SF的可靠性>0.92).
- 对测试的变量没有观察到DIF;得分有效地区分了患者组.
- CAT管理的平均值为6.1项,与全银行的得分有很高的相关性 (0.98);小效应大小 (0.4) 值得注意.
结论:
- 在评估LQE患者的身体功能方面,LQE PROM (CAT和SF) 是可靠,有效和高效的.
- 这些PROM适用于康复机构的研究和常规临床实践.
- 该研究主张在PROM中采用现代化的测量方法,以提高准确性和效率.
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