A Self-administered version of the functioning assessment short test for use in population-based studies: A pilot study
Autor: | Klaus Berger, Eduard Vieta, Silke Wiedmann, Bernhard T. Baune, Christoph Riegler, Henning Teismann, Viktoria Rücker, Peter U. Heuschmann, Stefan Störk, Hermann Faller |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Epidemiology Intraclass correlation Population Population-based Psychiatric diagnosis 03 medical and health sciences 0302 clinical medicine Quality of life Linear regression FAST medicine Alemanya (República Federal) Psiquiatria education Psychiatry education.field_of_study business.industry Germany (West) Construct validity German Explained variation 030227 psychiatry Psychiatry and Mental health Quartile Diagnòstic psiquiàtric Clinical Practice Epidemiology in Mental Health Physical therapy Anxiety medicine.symptom business Functional Assessment Short Test Self-administered 030217 neurology & neurosurgery |
Zdroj: | Dipòsit Digital de la UB Universidad de Barcelona Clinical Practice and Epidemiology in Mental Health : CP & EMH |
Popis: | Background: The Functioning Assessment Short Test (FAST) is an interviewer-administered scale assessing functional impairment originally developed for psychiatric patients. Objectives: To adapt the FAST for the general population, we developed a self-administered version of the scale and assessed its properties in a pilot study. Methods: The original FAST scale was translated into German via forward and backward translation. Afterwards, we adjusted the scale for self-administered application and inquired participants from two ongoing studies in Germany, ‘STAAB’ (Würzburg) and ‘BiDirect’ (Münster), both recruiting subjects from the general population across a wide age range (STAAB: 30-79 years, BiDirect: 35-65 years). To assess reliability, agreement of self-assessment with proxy-assessment by partners was measured via intraclass correlation coefficient (ICC) over the FAST score. Construct validity was estimated by conducting correlations with validated scales of depression (PHQ-9), anxiety (GAD-7), and health-related quality of life (SF-12) and regression analyses using these scales besides potentially disabling comorbidities (e.g. Chronic Back Pain (CBP)). Results: Participants (n=54) had a median age of 57.0 years (quartiles: 49.8, 65.3), 46.3% were female. Reliability was moderate: ICC 0.50 (95% CI 0.46-0.54). The FAST score significantly correlated with PHQ-9, GAD-7, and the mental sub-scale of SF-12. In univariable linear regression, all three scales and chronic back pain explained variance of the FAST score. In multivariable analysis, only CBP and the SF-12 remained significant predictors. Conclusion: The German self-administered version of the FAST yielded moderate psychometric properties in this pilot study, indicating its applicability to assess functional impairment in the general population. |
Databáze: | OpenAIRE |
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