Validity of the Utrecht scale for evaluation of rehabilitation-participation restrictions scale in a hospital-based stroke population 3 months after stroke
| Autor: | Johanna M A Visser-Meily, Vera P. M. Schepers, Marcel W M Post, Eline J. Volkers, Joris A de Graaf |
|---|---|
| Přispěvatelé: | Extremities Pain and Disability (EXPAND) |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Patient-Reported Outcomes Measurement Information System social participation Psychometrics medicine.medical_treatment Population GLOBAL HEALTH RESPONSIVENESS PROMIS MODIFIED RANKIN SCALE Modified Rankin Scale Surveys and Questionnaires Medicine Humans education Stroke Community and Home Care SURVIVORS education.field_of_study Rehabilitation business.industry Reproducibility of Results quality indicators medicine.disease Hospitals Cross-Sectional Studies EQ-5D-5L Telephone interview Convergent validity patient reported outcome measures RELIABILITY Physical therapy Quality of Life Ceiling effect Neurology (clinical) community participation business |
| Zdroj: | Topics in stroke rehabilitation, 29(7), 516-525. TAYLOR & FRANCIS LTD |
| ISSN: | 1074-9357 |
| Popis: | Background:The Utrecht Scale for Evaluation of Rehabilitation-Participation Restrictions scale (USER-P-R) is a promising patient-reported outcome measure, but has currently not been validated in a hospital-based stroke population. Objective:To examine psychometric properties of the USER-P-R in a hospital-based stroke population 3 months after stroke onset. Methods:Cross-sectional study including 359 individuals with stroke recruited through 6 Dutch hospitals. The USER-P-R, EuroQol 5-dimensional 5-level questionnaire (EQ-5D-5 L), Patient Reported Outcomes Measurement Information System 10-Question Global Health Short Form (PROMIS-10), modified Rankin Scale (mRS) and two items on perceived decrease in health and activities post-stroke were administered in a telephone interview 3 months after stroke. The internal consistency, distribution, floor/ceiling effects, convergent validity and discriminant ability of the USER-P-R were calculated. Results:Of all participants, 96.9% were living at home and 50.9% experienced no or minimal disabilities (mRS 0-1). The USER-P-R showed high internal consistency (alpha = 0.90) and a non-normal left-skewed distribution with a ceiling effect (21.4% maximum scores). A substantial proportion of participants with minimal disabilities (mRS 1) experienced restrictions on USER-P-R items (range 11.9-48.5%). The USER-P-R correlated strongly with the EQ-5D-5 L, PROMIS-10 and mRS. The USER-P-R showed excellent discriminant ability in more severely affected individuals with stroke, whereas its discriminant ability in less affected individuals was moderate. Conclusions:The USER-P-R shows good measurement properties and provides additional patient-reported information, proving its usefulness as an instrument to evaluate participation after 3 months in a hospital-based stroke population. |
| Databáze: | OpenAIRE |
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