Patient-Determined Important Change for the Neck Disability Index With Application of Credibility Analysis: An Exploratory Study.
The purposes of this study were to preliminarily report patient-identified change for the neck disability index (NDI) as either important or not important with time between follow-up of approximately 7 to 10 days and assess the credibility of the preliminary results with the use of a recently establ...
| Publicado en: | Journal of Manipulative & Physiological Therapeutics Vol. 47; no. 1-4; pp. 77 - 85 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Jan2024
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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=181489376&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181489376 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01614754 8GE jtl: Journal of Manipulative & Physiological Therapeutics issn: 01614754 maglogo: N pubinfo: dt: Jan2024 vid: 47 iid: 1-4 pid: 1265 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 181489376 181489376 181489376 10.1016/j.jmpt.2024.08.016 181489376 ppf: 77 ppct: 8 formats: tig: atl: Patient-Determined Important Change for the Neck Disability Index With Application of Credibility Analysis: An Exploratory Study. aug: au: Young, Brian A. Boland, David M. Koppenhaver, Shane L. Puentedura, Emilio J. Cleland, Joshua A. affil: Department of Physical Therapy, Baylor University, Waco, Texas sug: subj: Neck Pain Diagnosis Neck Pain Therapy Disability Evaluation Methods After Care Patient-Reported Outcomes Evaluation Questionnaires Instrument Validation Credibility (Research) Human Exploratory Research Validation Studies Secondary Analysis Treatment Duration Physical Therapy Evaluation Pain Management Manipulation, Chiropractic Methods Thoracic Vertebrae Physiopathology Dry Needling Methods ROC Curve Measurement Error Evaluation Confidence Intervals Descriptive Statistics Pain Threshold Evaluation Patient Centered Care Pain Measurement ab: The purposes of this study were to preliminarily report patient-identified change for the neck disability index (NDI) as either important or not important with time between follow-up of approximately 7 to 10 days and assess the credibility of the preliminary results with the use of a recently established credibility instrument. This study was a secondary analysis from a primary randomized clinical trial assessing short-term physical therapist care for individuals with mechanical neck pain. Neck disability index scores and participant-reported importance of global rating of change scores from 42 participants were analyzed from a randomized clinical trial assessing short-term responses to thoracic manipulation and dry needling for neck pain. Patient-important change was computed using receiver operating characteristic curves, and statistical error of the measurement was calculated using (SD × [1 − r]1/2) × 1.96 to assess measurement error at the 95% CI. Thirty-six participants rated global rating of change as important, and 6 rated it as not important. Patient-important change was calculated at 3.5 NDI points on a 0 to 50 NDI scoring scale. This value exceeded the statistical error, which was calculated at 2.16 NDI points. The credibility analysis revealed that 4 of 5 criteria showed strong credibility for the patient-important change estimate. Using patient-determined importance to dichotomize improvement may yield a lower threshold than current researcher-defined methods. Clinically, these results may be more responsive to patient-centric change than using previously reported minimal clinically important difference data. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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