Measuring physical function in patients with complex medical and postsurgical conditions: a computer adaptive approach.
OBJECTIVE: To examine whether the range of disability in the medically complex and postsurgical populations receiving rehabilitation is adequately sampled by the new Activity Measure--Post-Acute Care (AM-PAC), and to assess whether computer adaptive testing (CAT) can derive valid patient scores usin...
| Publicado en: | American Journal of Physical Medicine & Rehabilitation Vol. 84; no. 10; pp. 741 - 749 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Oct2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106397088&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106397088 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08949115 44N jtl: American Journal of Physical Medicine & Rehabilitation issn: 08949115 maglogo: N pubinfo: dt: Oct2005 vid: 84 iid: 10 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 106397088 106397088 2009056064 10.1097/01.phm.0000186274.08468.35 NLM16205429 106397088 ppf: 741 ppct: 8 formats: tig: atl: Measuring physical function in patients with complex medical and postsurgical conditions: a computer adaptive approach. aug: au: Siebens H Andres PL Pengsheng N Coster WJ Haley SM affil: Department of Physical Medicine and Rehabilitation, University of Virginia, Charlottesville, VA sug: subj: Rehabilitation Standards Postoperative Care Rehabilitation Outcome Assessment Disability Evaluation Rehabilitation Centers Computerized Adaptive Testing Activities of Daily Living Classification Clinical Assessment Tools Health Services Research Recovery Sensitivity and Specificity Nonexperimental Studies Intraclass Correlation Coefficient Aged Funding Source Human Aged: 65+ years ab: OBJECTIVE: To examine whether the range of disability in the medically complex and postsurgical populations receiving rehabilitation is adequately sampled by the new Activity Measure--Post-Acute Care (AM-PAC), and to assess whether computer adaptive testing (CAT) can derive valid patient scores using fewer questions. DESIGN: Observational study of 158 subjects (mean age 67.2 yrs) receiving skilled rehabilitation services in inpatient (acute rehabilitation hospitals, skilled nursing facility units) and community (home health services, outpatient departments) settings for recent-onset or worsening disability from medical (excluding neurological) and surgical (excluding orthopedic) conditions. Measures were interviewer-administered activity questions (all patients) and physical functioning portion of the SF-36 (outpatients) and standardized chart items (11 Functional Independence Measure (FIM), 19 Standardized Outcome and Assessment Information Set (OASIS) items, and 22 Minimum Data Set (MDS) items). Rasch modeling analyzed all data and the relationship between person ability estimates and average item difficulty. CAT assessed the ability to derive accurate patient scores using a sample of questions. RESULTS: The 163-item activity item pool covered the range of physical movement and personal and instrumental activities. CAT analysis showed comparable scores between estimates using 10 items or the total item pool. CONCLUSION: The AM-PAC can assess a broad range of function in patients with complex medical illness. CAT achieves valid patient scores using fewer questions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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