Reliability and Validity Evidence of the STarT-Lower Extremity Screening Tool for Patients With Lower Extremity Fracture: A Prospective Study.
To determine whether a modified version of the STarT Back Screening Tool in its current structure has adequate properties for use in patients with lower extremity fracture. Single-center, prospective study. Level I trauma center. Patients with lower extremity fracture without a history of chronic pa...
| Published in: | Archives of Physical Medicine & Rehabilitation Vol. 102; no. 2; pp. 261 - 270 |
|---|---|
| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
W B Saunders
Feb2021
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148283434&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148283434 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039993 1XL jtl: Archives of Physical Medicine & Rehabilitation issn: 00039993 maglogo: N pubinfo: dt: Feb2021 vid: 102 iid: 2 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 148283434 148283434 148283434 10.1016/j.apmr.2020.08.023 148283434 ppf: 261 ppct: 9 formats: tig: atl: Reliability and Validity Evidence of the STarT-Lower Extremity Screening Tool for Patients With Lower Extremity Fracture: A Prospective Study. aug: au: Van Wyngaarden, Joshua J. Noehren, Brian Pennings, Jacquelyn S. Jacobs, Cale Matuszewski, Paul E. Archer, Kristin R. affil: Army-Baylor University, Doctoral Program of Physical Therapy, Baylor University, San Antonio, TX sug: subj: Reliability Validity Lower Extremity Injuries Fractures Human Clinical Assessment Tools Prospective Studies Questionnaires ab: To determine whether a modified version of the STarT Back Screening Tool in its current structure has adequate properties for use in patients with lower extremity fracture. Single-center, prospective study. Level I trauma center. Patients with lower extremity fracture without a history of chronic pain (N=114), with 93% follow-up. Not applicable. Six weeks after surgical fixation, individuals completed the Subgroups for Targeted Treatment of Lower Extremity Screening Tool (STarT-LE). A subsample completed the STarT-LE again 1 week later. The following questionnaires were completed at 6 weeks and 6 months: Pain Catastrophizing Scale, Tampa Scale of Kinesiophobia, Brief Pain Inventory pain intensity subscale, and PROMIS Depression and Pain Interference computer adaptive testing modules. Reliability was evaluated using intraclass correlation coefficients (ICC) and Cronbach's alpha (α). Convergent validity evidence was measured concurrently using the Spearman ρ correlation between the 6-week STarT-LE and established questionnaires. Predictive validity evidence was evaluated by area under the curve analysis (AUC) using the 6-week STarT-LE total and psychosocial scores and 6-month criterion physical and psychosocial reference standards. The STarT-LE has good test-retest reliability (ICC, 0.85; 95% confidence interval, 0.78-0.91) and acceptable internal consistency (α=0.74). The convergent validity evidence was fair to moderate (ρ, 0.53-0.68; P <.001) and the predictive validity evidence was acceptable to excellent (AUC, 0.73-0.84). The STarT-LE has adequate properties for use in patients with lower extremity fracture. Future larger scale studies are needed to validate risk cutoffs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|