The responsiveness and validity of the Rotator Cuff Quality of Life (RC-QOL) index in a 2-year follow-up study.

Autor: Richards CD; Lecturer, Department of Health & Physical Education, Faculty of Health, Community, and Education, Mount Royal University, Calgary, AB, Canada., Eubank BHF; Assistant Professor, Department of Health & Physical Education, Faculty of Health, Community, and Education, Mount Royal University, Calgary, AB, Canada., Lafave MR; Professor & Athletic Therapy Program Coordinator, Department of Health and Physical Education, Faculty of Health, Community, and Education, Mount Royal University, Calgary, AB, Canada., Wiley JP; Professor, Sport Medicine Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada., Bois AJ; Clinical Assistant Professor, Division of Shoulder and Elbow Surgery, Section of Orthopaedic Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada., Mohtadi NG; Clinical Professor, Department of Surgery, Cumming School of Medicine, Medical Director, Sport Medicine Centre, Faculty of Kinesiology, McCaig Institute for Bone and Joint Health, University of Calgary, Calgary, AB, Canada.
Jazyk: angličtina
Zdroj: JSES international [JSES Int] 2022 May 16; Vol. 6 (4), pp. 604-614. Date of Electronic Publication: 2022 May 16 (Print Publication: 2022).
DOI: 10.1016/j.jseint.2022.04.012
Abstrakt: Background: The Rotator Cuff Quality of Life (RC-QOL) index was developed to evaluate quality of life in patients with rotator cuff disease. This study provides additional psychometric testing in accordance with the Consensus-Based Standards for the Selection of Health Measurement Instruments guidelines.
Methods: This was a 2-year follow-up study on 66 patients (mean age, 59 ± 10 years) originally presenting with chronic full-thickness rotator cuff tears to a tertiary care center. The methodology involved testing internal consistency, content validity, and criterion validity. Responsiveness was evaluated using 3 strategies: 1) standardized response mean of the raw change scores; 2) Guyatt's Responsiveness Index; and 3) Global Rating Scales of improvement correlated to a quality of life measure.
Results: Content validity was confirmed with a Cronbach α of 0.92 (95% confidence interval, 0.92-0.95) and absence of floor and ceiling effects. Criterion validity was confirmed using the Western Ontario Rotator Cuff Index as a reference standard ( r  = 0.87, P  < .001). The effect size of distribution-based methods of determining responsiveness was large (0.99-1.09) compared to that of mixed- and anchor-based methods (0.47-0.89). All responsiveness calculations met minimum requirements for acceptable thresholds.
Conclusion: The RC-QOL is a valid and responsive measure of health-related quality of life in patients with chronic rotator cuff pathology. The results of this study added to the methodologic quality assessment of the RC-QOL, completing 7 of 10 Consensus-Based Standards for the Selection of Health Measurement Instruments criteria.
(© 2022 The Author(s).)
Databáze: MEDLINE