加拿大职业绩衡量的响应转变:一个融合混合方法研究
Kanta Ohno1, Riho Oi2, Ai Harada3
1Kanta Ohno, PhD, is Assistant Professor, Department of Rehabilitation, School of Health Science, Tokyo University of Technology, Tokyo, Japan; ohnoknt@stf.teu.ac.jp.
概括
响应转移 (RS) 影响加拿大职业绩效指标 (COPM) 通过在评估之间改变患者的感知. 这项研究发现,RS影响了超过一半的职业,影响了得分的解释,并突出了提高测量准确性的需要.
科学领域:
- 康复科学 康复科学 康复科学
- 职业疗法 职业疗法 职业疗法
- 心理测量 心理测量 心理测量
背景情况:
- 响应转移 (RS) 是一种现象,在前后评估之间,个体的感知会发生变化.
- 这些RS效应最初在加拿大职业绩效指标 (COPM) 的开发中没有被考虑.
研究的目的:
- 检测和描述响应转移对COPM的影响.
- 了解RS如何影响临床实践中COPM分数的解释.
主要方法:
- 融合混合方法研究设计.
- 在日本的一个亚急性康复医院进行的研究.
- 19名患有各种神经和肌肉骨疾病的成年患者参与了这项研究.
主要成果:
- 19名患者中有18名 (94.7%) 在至少一个职业中经历了RS.
- 在评估的90个职业中,RS影响了46个 (51.1%) 职业.
- 由于RS而导致的临床显著的得分变化 (±2分) 在26.1% (绩效) 和30.4% (满意度) 的受影响职业中被观察到.
结论:
- 在COPM中确定了不同的响应转移效应.
- RS显著影响COPM得分的解释,引入潜在的测量偏差.
- 需要精细的测量方法来减轻RS对COPM结果的影响.
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