Validity and reliability of the Australian Therapy Outcome Measures – Physiotherapy, for podiatry (AusTOMs-PT for use in podiatry)
| Autor: | Jessica Kolic, Antoni Caserta, Alicia M. James, Carolyn A. Unsworth, Nina Davies, Cylie Williams |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Physical Therapy Specialty Occupational therapy 030506 rehabilitation medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Adolescent Functional measures Intraclass correlation medicine.medical_treatment Validity Assessment Young Adult 03 medical and health sciences Outcome measure Outcome Assessment Health Care medicine Humans Orthopedics and Sports Medicine Podiatry Child Physical Therapy Modalities Face validity 030505 public health Rehabilitation business.industry Research Australia Reproducibility of Results Middle Aged Musculoskeletal movement Podiatrist Physical therapy Female lcsh:RC925-935 0305 other medical science business |
| Zdroj: | Journal of Foot and Ankle Research, Vol 13, Iss 1, Pp 1-7 (2020) Journal of Foot and Ankle Research |
| ISSN: | 1757-1146 |
| DOI: | 10.1186/s13047-020-00385-0 |
| Popis: | Background Valid and reliable outcome measure enable measurement of health care service impact. There are limited valid and reliable outcome measures for use in podiatry practice to measure the impact of treatment. This research aimed to test the face validity of the AusTOMs for Physiotherapy (AusTOMs-PT), it’s adaptability to podiatry clinical practice and the reliability of its use with podiatrists. Methods Stage 1 used a nominal group technique with podiatrists who worked in public and/or private settings. All podiatrists underwent self-directed training in the AusTOMs framework and measures prior to interviews or focus group discussion. Discussion was centred about transferability of the core scales of the AusTOMs-PT and an adjunct measure, AusTOMs for Occupational Therapy (AusTOMs-OT) to podiatry practice. Stage 2 used 10 case studies representative of people who had foot or ankle concerns. Podiatrists were recruited and trained in the use of the relevant AusTOMs-PT scales. Podiatrists individually scored the cases at two timepoints (1 month apart) using the six scales from the AusTOMs-PT deemed by stage 1 as relevant to podiatry. Intra and inter-rater reliability of scales were determined using intraclass correlation coefficients (ICCs). Results Thirteen podiatrists participated in individual or focus group interviews in Stage 1. Consensus was gained on six of the nine core scales adopted from the AusTOMs-PT. These were 1. Balance and Postural Control, 3. Musculoskeletal Movement Related Functions, 4. Neurological Movement Related Functions, 5. Pain, 7. Sensory Functions, 8. Skin Functions. Each core scale rated the functional domains of Impairment, Activity Limitation, Participation Restriction and Wellbeing/Distress relating to that presentation of goals of the person in the case study. There were 22 podiatrists complete training and scored two rounds of case studies using the six scales in Stage 2. There were 91%(n = 20) participants with an intra-rater ICC > 0.5 (moderate or greater). Each domain had an inter-rater reliability of > 0.9 (excellent) during the first round. Conclusions The AusTOMs-PT for use in podiatry may be implemented to record change in impairment, function, participation and wellbeing of people receiving podiatry treatment. Podiatry specific training and mentoring, together with repeated use could be expected to improve intra-reliability. |
| Databáze: | OpenAIRE |
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