The Upper Extremity Functional Scale for Prosthesis Users (UEFS-P): subscales for one and two-handed tasks.
To develop a self-report measure of activity performance for upper limb prosthesis users that quantifies outcomes by level of amputation and prosthesis type. Telephone survey of 423 adults with major upper limb amputation (ULA) who used a prosthesis. Item generation, cognitive, and pilot testing wer...
| Publicado en: | Disability & Rehabilitation Vol. 45; no. 22; pp. 3768 - 3779 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Nov2023
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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=173179947&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173179947 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Nov2023 vid: 45 iid: 22 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 173179947 160128084 173179947 173179947 10.1080/09638288.2022.2138572 173179947 ppf: 3768 ppct: 11 formats: tig: atl: The Upper Extremity Functional Scale for Prosthesis Users (UEFS-P): subscales for one and two-handed tasks. aug: au: Resnik, Linda Borgia, Matthew Heinemann, Allen W. Stevens, Phillip Clark, Melissa A. Ni, Pengsheng affil: Providence VA Medical Center, Providence, RI, USA sug: subj: Instrument Validation Psychometrics Evaluation Scales Prostheses and Implants Utilization Upper Extremity Physiology Arm Physiology Functional Assessment Methods Task Performance and Analysis Methods Amputation Rehabilitation Self Report Disability Evaluation Outcome Assessment Methods Human Male Female Middle Age Aged Validation Studies Test-Retest Reliability Factor Analysis Algorithms Limb Prosthesis Grip Strength Telephone Cognition Activities of Daily Living Intraclass Correlation Coefficient Analysis of Variance Middle Aged: 45-64 years Aged: 65+ years Male Female ab: To develop a self-report measure of activity performance for upper limb prosthesis users that quantifies outcomes by level of amputation and prosthesis type. Telephone survey of 423 adults with major upper limb amputation (ULA) who used a prosthesis. Item generation, cognitive, and pilot testing were followed by field testing. Items were categorized as one- or two-handed. Factor and Rasch analyses evaluated unidimensionality, monotonicity, item fit, differential item functioning (DIF), and reliability. Test–retest reliability was evaluated with intraclass correlation coefficients (ICCs). Known group validity was assessed with ANOVAs. Respondents with unilateral ULA utilized prosthesis for 24% of unilateral and 38% of bilateral tasks. Those with bilateral ULA utilized prostheses for 64% of unilateral and 46% of bilateral tasks. Factor analyses identified a One-handed Task factor (CFI = 0.963, TLI = 0.950, and RMSEA = 0.064) and a Two-Handed Task factor (CFI = 0.958, TLI = 0.953, and RMSEA = 0.053). Response categories were collapsed to address monotonicity. After DIF adjustment, person reliability was 0.49 and 0.82 for One-handed and Two-handed Task scales, respectively, and ICCs were 0.88 and 0.91. Both scales differed by amputation level (p < 0.001). The Upper Extremity Functional Scale for Prosthesis Users (UEFS-P) measure of upper limb function of prosthesis users has promising psychometric properties. Measurement of upper limb function in persons with amputation is challenging, given currently available measures which do not explicitly grade activity performance with a prosthesis. The Upper Extremity Functional Scale for Prosthesis Users (UEFS-P) builds upon the original Orthotics and Prosthetics User Survey (OPUS) UEFS Scale with modified instructions, a revised item set, response categories and scoring algorithm. The UEFS-P consists of two unidimensional scales, the One-handed Tasks scale and the Two-handed Tasks scale. The UEFS-P scales have clear advantages over existing self-report measures of upper limb function that ask about difficulty with performing functional activities without accounting for prosthesis use, and do not differentiate persons who use and do not use a prosthesis. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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