Prospective evaluation of the AM-PAC-CAT in outpatient rehabilitation settings [corrected] [published erratum appears in PHYS THER 2007 May;87(5):617].

BACKGROUND AND PURPOSE: The purpose of this study was to prospectively evaluate the practical and psychometric adequacy of the Activity Measure for Post-Acute Care (AM-PAC) 'item bank' and computerized adaptive testing (CAT) assessment platform (AM-PAC-CAT) when applied within orthopedic outpatient...

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Publicado en:Physical Therapy Vol. 87; no. 4; pp. 385 - 399
Autores principales: Jette AM, Haley SM, Tao W, Ni P, Moed R, Meyers D, Zurek M
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Apr2007
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Prospective evaluation of the AM-PAC-CAT in outpatient rehabilitation settings [corrected] [published erratum appears in PHYS THER 2007 May;87(5):617].
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        au:
          Jette AM
          Haley SM
          Tao W
          Ni P
          Moed R
          Meyers D
          Zurek M
        affil: Director, Health and Disability Research Institute, School of Public Health, Boston University, 580 Harrison Ave, 4th Floor, Boston, MA 02218; ajette@bu.edu
      sug:
        subj:
          Clinical Assessment Tools Evaluation
          Instrument Validation
          Spinal Injuries Therapy
          Activities of Daily Living
          Adult
          Clinical Assessment Tools
          Computerized Adaptive Testing
          Construct Validity
          Convenience Sample
          Female
          Funding Source
          Male
          Middle Age
          Prospective Studies
          Psychometrics
          Scales
          T-Tests
          Validation Studies
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: BACKGROUND AND PURPOSE: The purpose of this study was to prospectively evaluate the practical and psychometric adequacy of the Activity Measure for Post-Acute Care (AM-PAC) 'item bank' and computerized adaptive testing (CAT) assessment platform (AM-PAC-CAT) when applied within orthopedic outpatient physical therapy settings. METHOD: This was a prospective study with a convenience sample of 1,815 patients with spine, lower-extremity, or upper-extremity impairments who received outpatient physical therapy in 1 of 20 outpatient clinics across 5 states. The authors conducted an evaluation of the number of items used and amount of time needed to complete the CAT assessment; evaluation of breadth of content coverage, item exposure rate, and test precision; as well as an assessment of the validity and sensitivity to change of the score estimates. RESULTS: Overall, the AM-PAC-CAT's Basic Mobility scale demonstrated excellent psychometric properties while the Daily Activity scale demonstrated less adequate psychometric properties when applied in this outpatient sample. The mean length of time to complete the Basic Mobility scale was 1.9 minutes, using, on average, 6.6 items per CAT session, and the mean length of time to complete the Daily Activity scale was 1.01 minutes, using on average, 6.8 items. BACKGROUND AND CONCLUSION: Overall, the findings are encouraging, yet they do reveal several areas where the AM-PAC-CAT scales can be improved to best suit the needs of patients who are receiving outpatient orthopedic physical therapy of the type included in this study.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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