- Email: [email protected]
Psychometrics study of Alberta Infant Motor Scale and Peabody developmental motor scale in high risk infants
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Abstracts / Annals of Physical and Rehabilitation Medicine 61S (2018) e435–e557
AIMS and PDMS-II participated in this study. Each investigator administered the AIMS and PDMS-II to the infants within one week and recorded the assessment results. The raw scores of AIMS and PDMS-II-GM for each infant were analyzed for the concurrent validity. Results The Pearson correlation coefficient of AIMS with PDMS-II was 0.97. For the 0∼4 month group, the Pearson correlation coefficient was 0.94. For the 4∼8 month group, Pearson correlation coefficient was 0.95. For the 8∼12 month group, Pearson correlation coefficient was 0.94. For the >12 month group, Pearson correlation coefficient was 0.91. Conclusion The AIMS in Chinese had high concurrent validity with PDMS-II when used in high-risk infants at very early age. Keywords Alberta infant motor scale; Validity; High-risk infant Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1264 ISPR8-1085
Changes in the health status and patient reported disability after multimodal low back pain rehabilitation T. Kienbacher 1 , K. Tuechler 2,∗ , A. Friedl 2 , P. Mair 3 , G. Ebenbichler 4 1 Karl Landsteiner Institute of oupatient rehabilitation research, PMR, Vienna, Austria 2 Karl Landsteiner Institute of oupatient rehabilitation research, Physical Medicine and Rehabilitation, Vienna, Austria 3 Harvard University, Department of Psychology, Boston, USA 4 Vienna Medical University, Department of Physical Medicine and Rehabilitation, Vienna, Austria ∗ Corresponding author. E-mail address: [email protected] (K. Tuechler) Introduction/Background Multimodal rehabilitation concepts based on the biopsychosocial model significantly improve patient reported outcomes in chronic low back pain (cLBP) but so far there is no study investigating the health status before and after such intervention. Material and Method 1463 patients (65% females) aged 18 to 90 years [mean 50,8 (SD 6,8) years] suffering from nonspecific chronic low back pain performed six months of therapy comprising muscle strength and proprioceptive training, psychological interventions, and education in a referral outpatient rehabilitation center twice weekly. They answered the Roland Morris Disability Questionnaire (RMDQ), the Pain Disability Index (PDI), and rated their pain on a visual analoge scale (1–100) prior to (t1) and at the end of rehabilitation (t2). A preliminary study revealed that the most relevant activity and participation categories of the brief International Classification of Functioning, Disability and Health (ICF) core set for low back pain can be predicted from the RMDQ and the PDI with good performance. Results 314 patients (21,5%) dropped out from rehabilitation. RMDQ improved from 9,27 to 5,85, the PDI from 20,3 to 17,0, and the pain score from 49,7 to 25,2. D530 ‘toileting’ was reported with low frequencies and was thus excluded from recording. The percentage of patients reporting impairment in the various activity and participation categories differed when 85% of the patients had difficulty with d415 ‘maintaining a body position’ and 34% with walking ‘d450‘. All categories improved from t1 to t2. Conclusion Multimodal rehabilitation improves patient reported disability measurement scores beyond minimal clinically important differences. Assessment of the activity and participation ICF categories helps to track the aspects of the individual functional status enabling specific goal setting and treatment guidance and it shades light to the effects of the rehab communitie’s therapeutic doing to the overall health state of cLBP patients.
Keywords ICF; Chronic low back pain Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1265 ISPR8-1674
Modeling health information for measurement of health state descriptions coded by ICF: Requirements for software development
P.H. de Araujo Barbosa ∗ , F. da Rocha Medeiros , M. Brandão , T.I. de Souza Oliveira , E. Fachin Martins University of Brasilia, Faculdade de Ceilandia, Brasilia, Brazil ∗ Corresponding author. E-mail address: [email protected] (P.H. de Araujo Barbosa) Introduction/Background The International Classification of Functioning, Disability and Health (ICF) proposes an organization that is based on coded and qualified information distinguishing functioning and disability codes. The aim of this study was to develop a tool able to use information converted into qualified codes proposed by the ICF to establish a measure of the health-related states for individuals and populations, and that represents reliable and valid indices for investment in health information systems. Material and Method We outlined a cross-sectional study with descriptive and exploratory aims for technological development, including quantitative and qualitative approaches to collective speech content analysis, and modelling of data of in a single case report. We perform three stages: (1) modelling of data coming from the information reported in the case to identify codes and qualify them; (2) survey of the requirements and face validation through focus group, which was heard the demands of future users of the software, beyond to establish a list of useful requirements for (3) development of the computer program. Results The sequence of events followed the simulation model, producing theoretical results, conceptual, graphics and numeric components. The simulation revealed that the measure may be better represented by a three-dimensional model which considers the events over time, the ratio between functioning and disability codes and discrete events representing health condition hallmarks. Conclusion The model was validated by the focus group (face validation), resulting in a list of requirements that contributed to development of the preliminary version of the desired product: the DataCIF. Keywords System of information in health; ICF; Determinants of health; State of health Disclosure of interest The authors have not supplied their declaration of competing interest. Appendix A Appendix A Supplementary data Supplementary data associated with this article can be found, in the online version, at https://doi.org/10.1016/j.rehab.2018.05.1266. https://doi.org/10.1016/j.rehab.2018.05.1266 ISPR8-0348
Psychometrics study of Alberta Infant Motor Scale and Peabody developmental motor scale in high risk infants C. Wang 1,∗ , H. Zhen 2 , Y. Xi 2 Peking university First Hospital, Rehabilitation Medicine, Beijing, China 2 Peking University First Hospital, Rehabilitation Medicine Department, Beijing, China ∗ Corresponding author. E-mail address: [email protected] (C. Wang)
1
Abstracts / Annals of Physical and Rehabilitation Medicine 61S (2018) e435–e557
Introduction/Background The aim of this study was to compare the psychometric properties of Alberta Infant Motor Scale (AIMS) with gross motor scale of Peabody Developmental Motor Scale II (PDMS-II) when they were used in high-risk infants. Material and Method Fifty-eight high-risk infants with the average age 4.46 ± 0.97 months (from 2 to 6 months) were recruited to this study. Three investigators experienced in AIMS and PDMS-II participated in this study. Each investigator administered the AIMS and PDMS-II to the infants and recorded the assessment results. Forty-seven high-risk infants were followed-up till two years old. The diagnosis at two years old and the first scale assessment result were used to investigate the sensitivity, specificity, positive predictive value and negative predictive value of AIMS and PDMS-II. Results When used in high-risk infants in an early age, the AIMS’s sensitivity was 0.857, specificity was 0.731, positive predictive value was 0.720, and negative predictive value was 0.864. For the PDMS-II, the sensitivity was 0.524, specificity was 1.000, positive predictive value was 1.000, and negative predictive value was 0.722. Conclusion The AIMS is a sensitive monitor tool to evaluate the motor development of high-risk infants at very early age compared with PDMS-II. It needs to dynamic monitor for the high-risk infants. Keywords Alberta infant motor scale; Motor development; Assessment Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1267 ISPR8-0421
Systemwide routine clinical assessment of functioning based on the ICF in China: Interrater reliability, convergent, known group, and predictive validity of the ICF generic S. Liu Jiangsu Province Hospital, Rehabilitation department, Nanjing, China E-mail address: [email protected] Introduction/Background Based on WHO’s International Classification of Functioning, Disability and Health (ICF), the ICF Generic-6 is a minimum set of information on functioning to be routinely collected across health conditions and settings. This study aimed to validate the ICF Generic in daily routine clinical practice in Mainland China. Specific objectives were to a) analyse the interrater reliability, b) convergent validity, c) known group validity and d) predictive validity of the ICF Generic. Material and Method Data from 4,510 patients with various diagnoses from 50 hospitals located in 20 provinces of Mainland China were collected by nurses who applied a 0 (no problem) to 10 (complete problem) numeric rating scale to each of six ICF categories of the ICF Generic at admission and study endpoint. 703 patients were rated independently by two investigators. Interrater reliability was evaluated with intraclass correlation coefficients (ICC). Convergent validity was evaluated with Spearman correlation coefficients between ICF Generic and SF-12 items. Known groupvalidity was examined by comparing discharge scores between different discharge destinations. Predictive validity was determined by employing ICF Generic baseline scores for estimating length of hospital stay and cost of in-hospital treatment. Results The interrater reliability of items and score of ICF Generic was good with ICCs ranging from 0.67 to 0.87. Spearman correlation coefficient analysis showed that ICF Generic items were correlated with respective SF-12 items. Discharge scores of patients differed significantly by discharge destination. ICF Generic admission score was a significant predictor of length of stay and treatment cost. Conclusion The ICF Generic administered in combination with a 0 to 10 numeric rating scale is a reliable and valid tool for the collec-
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tion of minimal information on functioning across various clinical settings. Disclosure of interest The author has not supplied his declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1268 ISPR8-0246
Rater reliability of the extended International classification of functioning, disability and health core set for stroke N. Nualnetr 1,∗ , S. Kamalasing 2 1 Faculty of Associated Medical Sciences, Division of Physical Therapy, Khon Kaen, Thailand 2 Kabchoeng Hospital, Department of Physical Therapy, Surin, Thailand ∗ Corresponding author. E-mail address: [email protected] (N. Nualnetr) Introduction/Background The extended International Classification of Functioning, Disability and Health core set for stroke (eICFCS-stroke) is an assessment tool for describing stroke-related health. However, there were no reports of its use in Thailand. Before this core set could be applied to Thai population, there was a need to investigate its quality of measurement. This study aimed to evaluate rater reliability of the eICFCS-stroke in Thai population. Material and Method Participants were 43 community-dwellers with stroke (27 males and 16 females, mean age ± SD 65.6 ± 10.6 years). Raters were 2 physical therapists who independently assessed the participants and filled in the eICFCS-stroke with a qualifying scale ranging from 0 (no problem/facilitator/barrier) to 4 (complete problem/facilitator/barrier) or the qualifiers 8 (not specified) and 9 (not applicable). The ratings were based on information obtained through interviews with the participants and their caregivers, observations and physical therapy examinations. Rater reliability was analyzed by using the percent observed agreement and the weighted kappa for each category. Results Based on the kappa coefficients and respective confidence intervals, the results revealed that of 166 categories of the eICFCS-stroke, 123 (74.1%) and 119 (71.7%) had intra- and interrater reliability, respectively. Conclusion Most categories of the eICFCS-stroke had rater reliability when assessing within the context of Thai community. However, reduction of some categories which were difficult to make a judgment in the community as well as reduction the number of qualifiers and simplification of the “environmental factors” categories should be considered to improve the efficient use of this core set. Keywords ICF core set; Reliability; Stroke Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1269 ISPR8-0681
The effect of educational level in the comparison of pre-injury health-related quality of life (HRQoL) with HRQoL of a Dutch reference population N. Kruithof 1,∗ , J. Haagsma 2 , L. de Munter 1 , S. Polinder 2 , M. de Jongh 3 1 ETZ Tilburg, Trauma TopCare, Tilburg, The Netherlands 2 Erasmus Medical Center, Public Health, Rotterdam, The Netherlands 3 Brabant Trauma Registry, Network Emergency Care Brabant, Tilburg, The Netherlands
Abstracts / Annals of Physical and Rehabilitation Medicine 61S (2018) e435–e557
AIMS and PDMS-II participated in this study. Each investigator administered the AIMS and PDMS-II to the infants within one week and recorded the assessment results. The raw scores of AIMS and PDMS-II-GM for each infant were analyzed for the concurrent validity. Results The Pearson correlation coefficient of AIMS with PDMS-II was 0.97. For the 0∼4 month group, the Pearson correlation coefficient was 0.94. For the 4∼8 month group, Pearson correlation coefficient was 0.95. For the 8∼12 month group, Pearson correlation coefficient was 0.94. For the >12 month group, Pearson correlation coefficient was 0.91. Conclusion The AIMS in Chinese had high concurrent validity with PDMS-II when used in high-risk infants at very early age. Keywords Alberta infant motor scale; Validity; High-risk infant Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1264 ISPR8-1085
Changes in the health status and patient reported disability after multimodal low back pain rehabilitation T. Kienbacher 1 , K. Tuechler 2,∗ , A. Friedl 2 , P. Mair 3 , G. Ebenbichler 4 1 Karl Landsteiner Institute of oupatient rehabilitation research, PMR, Vienna, Austria 2 Karl Landsteiner Institute of oupatient rehabilitation research, Physical Medicine and Rehabilitation, Vienna, Austria 3 Harvard University, Department of Psychology, Boston, USA 4 Vienna Medical University, Department of Physical Medicine and Rehabilitation, Vienna, Austria ∗ Corresponding author. E-mail address: [email protected] (K. Tuechler) Introduction/Background Multimodal rehabilitation concepts based on the biopsychosocial model significantly improve patient reported outcomes in chronic low back pain (cLBP) but so far there is no study investigating the health status before and after such intervention. Material and Method 1463 patients (65% females) aged 18 to 90 years [mean 50,8 (SD 6,8) years] suffering from nonspecific chronic low back pain performed six months of therapy comprising muscle strength and proprioceptive training, psychological interventions, and education in a referral outpatient rehabilitation center twice weekly. They answered the Roland Morris Disability Questionnaire (RMDQ), the Pain Disability Index (PDI), and rated their pain on a visual analoge scale (1–100) prior to (t1) and at the end of rehabilitation (t2). A preliminary study revealed that the most relevant activity and participation categories of the brief International Classification of Functioning, Disability and Health (ICF) core set for low back pain can be predicted from the RMDQ and the PDI with good performance. Results 314 patients (21,5%) dropped out from rehabilitation. RMDQ improved from 9,27 to 5,85, the PDI from 20,3 to 17,0, and the pain score from 49,7 to 25,2. D530 ‘toileting’ was reported with low frequencies and was thus excluded from recording. The percentage of patients reporting impairment in the various activity and participation categories differed when 85% of the patients had difficulty with d415 ‘maintaining a body position’ and 34% with walking ‘d450‘. All categories improved from t1 to t2. Conclusion Multimodal rehabilitation improves patient reported disability measurement scores beyond minimal clinically important differences. Assessment of the activity and participation ICF categories helps to track the aspects of the individual functional status enabling specific goal setting and treatment guidance and it shades light to the effects of the rehab communitie’s therapeutic doing to the overall health state of cLBP patients.
Keywords ICF; Chronic low back pain Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1265 ISPR8-1674
Modeling health information for measurement of health state descriptions coded by ICF: Requirements for software development
P.H. de Araujo Barbosa ∗ , F. da Rocha Medeiros , M. Brandão , T.I. de Souza Oliveira , E. Fachin Martins University of Brasilia, Faculdade de Ceilandia, Brasilia, Brazil ∗ Corresponding author. E-mail address: [email protected] (P.H. de Araujo Barbosa) Introduction/Background The International Classification of Functioning, Disability and Health (ICF) proposes an organization that is based on coded and qualified information distinguishing functioning and disability codes. The aim of this study was to develop a tool able to use information converted into qualified codes proposed by the ICF to establish a measure of the health-related states for individuals and populations, and that represents reliable and valid indices for investment in health information systems. Material and Method We outlined a cross-sectional study with descriptive and exploratory aims for technological development, including quantitative and qualitative approaches to collective speech content analysis, and modelling of data of in a single case report. We perform three stages: (1) modelling of data coming from the information reported in the case to identify codes and qualify them; (2) survey of the requirements and face validation through focus group, which was heard the demands of future users of the software, beyond to establish a list of useful requirements for (3) development of the computer program. Results The sequence of events followed the simulation model, producing theoretical results, conceptual, graphics and numeric components. The simulation revealed that the measure may be better represented by a three-dimensional model which considers the events over time, the ratio between functioning and disability codes and discrete events representing health condition hallmarks. Conclusion The model was validated by the focus group (face validation), resulting in a list of requirements that contributed to development of the preliminary version of the desired product: the DataCIF. Keywords System of information in health; ICF; Determinants of health; State of health Disclosure of interest The authors have not supplied their declaration of competing interest. Appendix A Appendix A Supplementary data Supplementary data associated with this article can be found, in the online version, at https://doi.org/10.1016/j.rehab.2018.05.1266. https://doi.org/10.1016/j.rehab.2018.05.1266 ISPR8-0348
Psychometrics study of Alberta Infant Motor Scale and Peabody developmental motor scale in high risk infants C. Wang 1,∗ , H. Zhen 2 , Y. Xi 2 Peking university First Hospital, Rehabilitation Medicine, Beijing, China 2 Peking University First Hospital, Rehabilitation Medicine Department, Beijing, China ∗ Corresponding author. E-mail address: [email protected] (C. Wang)
1
Abstracts / Annals of Physical and Rehabilitation Medicine 61S (2018) e435–e557
Introduction/Background The aim of this study was to compare the psychometric properties of Alberta Infant Motor Scale (AIMS) with gross motor scale of Peabody Developmental Motor Scale II (PDMS-II) when they were used in high-risk infants. Material and Method Fifty-eight high-risk infants with the average age 4.46 ± 0.97 months (from 2 to 6 months) were recruited to this study. Three investigators experienced in AIMS and PDMS-II participated in this study. Each investigator administered the AIMS and PDMS-II to the infants and recorded the assessment results. Forty-seven high-risk infants were followed-up till two years old. The diagnosis at two years old and the first scale assessment result were used to investigate the sensitivity, specificity, positive predictive value and negative predictive value of AIMS and PDMS-II. Results When used in high-risk infants in an early age, the AIMS’s sensitivity was 0.857, specificity was 0.731, positive predictive value was 0.720, and negative predictive value was 0.864. For the PDMS-II, the sensitivity was 0.524, specificity was 1.000, positive predictive value was 1.000, and negative predictive value was 0.722. Conclusion The AIMS is a sensitive monitor tool to evaluate the motor development of high-risk infants at very early age compared with PDMS-II. It needs to dynamic monitor for the high-risk infants. Keywords Alberta infant motor scale; Motor development; Assessment Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1267 ISPR8-0421
Systemwide routine clinical assessment of functioning based on the ICF in China: Interrater reliability, convergent, known group, and predictive validity of the ICF generic S. Liu Jiangsu Province Hospital, Rehabilitation department, Nanjing, China E-mail address: [email protected] Introduction/Background Based on WHO’s International Classification of Functioning, Disability and Health (ICF), the ICF Generic-6 is a minimum set of information on functioning to be routinely collected across health conditions and settings. This study aimed to validate the ICF Generic in daily routine clinical practice in Mainland China. Specific objectives were to a) analyse the interrater reliability, b) convergent validity, c) known group validity and d) predictive validity of the ICF Generic. Material and Method Data from 4,510 patients with various diagnoses from 50 hospitals located in 20 provinces of Mainland China were collected by nurses who applied a 0 (no problem) to 10 (complete problem) numeric rating scale to each of six ICF categories of the ICF Generic at admission and study endpoint. 703 patients were rated independently by two investigators. Interrater reliability was evaluated with intraclass correlation coefficients (ICC). Convergent validity was evaluated with Spearman correlation coefficients between ICF Generic and SF-12 items. Known groupvalidity was examined by comparing discharge scores between different discharge destinations. Predictive validity was determined by employing ICF Generic baseline scores for estimating length of hospital stay and cost of in-hospital treatment. Results The interrater reliability of items and score of ICF Generic was good with ICCs ranging from 0.67 to 0.87. Spearman correlation coefficient analysis showed that ICF Generic items were correlated with respective SF-12 items. Discharge scores of patients differed significantly by discharge destination. ICF Generic admission score was a significant predictor of length of stay and treatment cost. Conclusion The ICF Generic administered in combination with a 0 to 10 numeric rating scale is a reliable and valid tool for the collec-
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tion of minimal information on functioning across various clinical settings. Disclosure of interest The author has not supplied his declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1268 ISPR8-0246
Rater reliability of the extended International classification of functioning, disability and health core set for stroke N. Nualnetr 1,∗ , S. Kamalasing 2 1 Faculty of Associated Medical Sciences, Division of Physical Therapy, Khon Kaen, Thailand 2 Kabchoeng Hospital, Department of Physical Therapy, Surin, Thailand ∗ Corresponding author. E-mail address: [email protected] (N. Nualnetr) Introduction/Background The extended International Classification of Functioning, Disability and Health core set for stroke (eICFCS-stroke) is an assessment tool for describing stroke-related health. However, there were no reports of its use in Thailand. Before this core set could be applied to Thai population, there was a need to investigate its quality of measurement. This study aimed to evaluate rater reliability of the eICFCS-stroke in Thai population. Material and Method Participants were 43 community-dwellers with stroke (27 males and 16 females, mean age ± SD 65.6 ± 10.6 years). Raters were 2 physical therapists who independently assessed the participants and filled in the eICFCS-stroke with a qualifying scale ranging from 0 (no problem/facilitator/barrier) to 4 (complete problem/facilitator/barrier) or the qualifiers 8 (not specified) and 9 (not applicable). The ratings were based on information obtained through interviews with the participants and their caregivers, observations and physical therapy examinations. Rater reliability was analyzed by using the percent observed agreement and the weighted kappa for each category. Results Based on the kappa coefficients and respective confidence intervals, the results revealed that of 166 categories of the eICFCS-stroke, 123 (74.1%) and 119 (71.7%) had intra- and interrater reliability, respectively. Conclusion Most categories of the eICFCS-stroke had rater reliability when assessing within the context of Thai community. However, reduction of some categories which were difficult to make a judgment in the community as well as reduction the number of qualifiers and simplification of the “environmental factors” categories should be considered to improve the efficient use of this core set. Keywords ICF core set; Reliability; Stroke Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1269 ISPR8-0681
The effect of educational level in the comparison of pre-injury health-related quality of life (HRQoL) with HRQoL of a Dutch reference population N. Kruithof 1,∗ , J. Haagsma 2 , L. de Munter 1 , S. Polinder 2 , M. de Jongh 3 1 ETZ Tilburg, Trauma TopCare, Tilburg, The Netherlands 2 Erasmus Medical Center, Public Health, Rotterdam, The Netherlands 3 Brabant Trauma Registry, Network Emergency Care Brabant, Tilburg, The Netherlands