Do PROMIS Fatigue and Self-Efficacy Measures Show Similar Responsiveness to Pain Interference and Physical Function in Musculoskeletal Physical Therapy Patients?
Background and Purpose: Measuring patient-rated levels of pain and physical function is a standard in musculoskeletal practice. Objectively appraising change following intervention across a broader range of physical and psychosocial attributes might be possible in this population. This analysis was...
| Publicado en: | Orthopedic Physical Therapy Practice Vol. 34; no. 4; pp. 215 - 227 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Orthopaedic Section, APTA, Inc.
2022
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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=159649663&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159649663 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15320871 YTT jtl: Orthopedic Physical Therapy Practice issn: 15320871 maglogo: N pubinfo: dt: 2022 vid: 34 iid: 4 pid: 38232 pub: Orthopaedic Section, APTA, Inc. place: La Crosse, Wisconsin artinfo: ui: 159649663 159649663 159649663 159649663 ppf: 215 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Do PROMIS Fatigue and Self-Efficacy Measures Show Similar Responsiveness to Pain Interference and Physical Function in Musculoskeletal Physical Therapy Patients? aug: au: Jacobson, Ryan P. Philbrook, Li-Zandre Kang, Dan Houck, Jeff affil: College of Physical Therapy, George Fox University, Newberg, OR sug: subj: Patient-Reported Outcomes Fatigue Self-Efficacy Pain Functional Status Physical Therapy Musculoskeletal Diseases Pain Measurement Human Adult Middle Age Male Female Effect Size Prospective Studies Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background and Purpose: Measuring patient-rated levels of pain and physical function is a standard in musculoskeletal practice. Objectively appraising change following intervention across a broader range of physical and psychosocial attributes might be possible in this population. This analysis was to determine if Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference (PI), Physical Function (PF), Fatigue, and Self-Efficacy for Managing Symptoms (SE) measures are responsive in musculoskeletal physical therapy patients. Methods: This study comprised 105 consecutive patients (48.3±18.8 years; 60% female). All PROMIS measures were completed at evaluation and at discharge. Change scores and effect sizes were calculated for the total sample and subgroups. Results: All measures showed significant mean T-score improvement overall. Effect sizes were moderate for PI (0.66-0.68) and PF (0.60-0.68), smaller for Fatigue and SE (both 0.38-0.42). Initial T-scores worse than published cut-off scores showed large effect sizes (≥0.80) for all four measures. Fourteen percent of patients only showed meaningful improvement in Fatigue and/or SE measures. Clinical Relevance: All 4 PROMIS measures are responsive across musculoskeletal diagnoses. Tracking changes in Fatigue and SE measures may provide clinicians with additional insight into patient response to treatment, particularly when not seeing improvements in pain complaints and or physical functioning. pubtype: Periodical doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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