Interpreting change scores of tests and measures used in physical therapy.

Over the past decade, the methods and science used to describe changes in outcomes of physical therapy services have become more refined. Recently, emphasis has been placed not only on changes beyond expected measurement error, but also on the identification of changes that make a real difference in...

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Publicado en:Physical Therapy Vol. 86; no. 5; pp. 735 - 744
Autores principales: Haley SM, Fragala-Pinkham MA
Formato: case study equations & formulas tables/charts Journal Article
Publicado: Oxford University Press / USA May2006
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Interpreting change scores of tests and measures used in physical therapy.
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        au:
          Haley SM
          Fragala-Pinkham MA
        affil: Health and Disability Research Institute, Boston University, 53 Bay State Road, Boston, MA 02215, USA. smhaley@bu.edu
      sug:
        subj:
          Physical Therapy
          Outcome Assessment
          Children with Disabilities
          Measurement Issues and Assessments
          Health Status
          Models, Theoretical
      ab: Over the past decade, the methods and science used to describe changes in outcomes of physical therapy services have become more refined. Recently, emphasis has been placed not only on changes beyond expected measurement error, but also on the identification of changes that make a real difference in the lives of patients and families. This article will highlight a case example of how to determine and interpret 'clinically significant change' from both of these perspectives. The authors also examine how to use item maps within an item response theory model to enhance the interpretation of change at a content level. Recommendations are provided for physical therapists who are interpreting changes in the context of clinical practice, case reports, and intervention research. These recommendations include a greater application of indexes that help interpret the meaning of clinically significant change to multiple clinical, research, consumer, and payer communities.
      pubtype: Academic Journal
      doctype:
        case study
        equations & formulas
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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