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Auteur Christine Chen
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Advancing Rehabilitation Practice Through Improved Specification of Interventions / Jeanne M. Zanca in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 1 (2019)
Titre : Advancing Rehabilitation Practice Through Improved Specification of Interventions Type de document : Article Auteurs : Jeanne M. Zanca ; Lyn S. Turkstra ; Christine Chen Année de publication : 2019 Article en page(s) : p. 164-171 Langues : Anglais (eng) Descripteurs : HE Vinci
Classification ; Participation des patients ; Rééducation et réadaptation ; Thérapeutique
Mots-clés : Patient outcome assessment Évaluation des résultats des patients Patient participation Therapeutics Volition Résumé : Rehabilitation clinicians strive to provide cost-effective, patient-centered care that optimizes outcomes. A barrier to this ideal is the lack of a universal system for describing, or specifying, rehabilitation interventions. Current methods of description vary across disciplines and settings, creating barriers to collaboration, and tend to focus mostly on functional deficits and anticipated outcomes, obscuring connections between clinician behaviors and changes in functioning. The Rehabilitation Treatment Specification System (RTSS) is the result of more than a decade of effort by a multidisciplinary group of rehabilitation clinicians and researchers to develop a theory-based framework to specify rehabilitation interventions. The RTSS describes interventions for treatment components, which consist of a target (functional change brought about as a direct result of treatment), ingredients (actions taken by clinicians to change the target), and a hypothesized mechanism of action, as stated in a treatment theory. The RTSS makes explicit the connections between functional change and clinician behavior, and recognizes the role of patient effort in treatment implementation. In so doing, the RTSS supports clinicians efforts to work with their patients to set achievable goals, select appropriate treatments, adjust treatment plans as needed, encourage patient participation in the treatment process, communicate with team members, and translate research findings to clinical care. The RTSS may help both expert and novice clinicians articulate their clinical reasoning processes in ways that benefit treatment planning and clinical education, and may improve the design of clinical documentation systems, leading to more effective justification and reimbursement for services. Interested clinicians are invited to apply the RTSS in their local settings. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink :
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 1 (2019) . - p. 164-171[article]Smallest Real Difference of 2 Instrumental Activities of Daily Living Measures in Patients With Chronic Stroke / Wen-Shian Lu in Archives of Physical Medicine and Rehabilitation, 2012/6 (2012)
Titre : Smallest Real Difference of 2 Instrumental Activities of Daily Living Measures in Patients With Chronic Stroke Type de document : Article Auteurs : Wen-Shian Lu ; Christine Chen ; Sheau-Ling Huang ; [et al.] Article en page(s) : pp. 1097-1100 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Rééducation et réadaptation
Mots-clés : Activities of daily living Bias (Epidemiology) Cerebrovascular accident Stroke Reproducibility of results Biais (épidémiologie) Reproductibilité des résultats Résumé : Objective
To estimate the smallest real difference (SRD) values of 2 instrumental activities of daily living measures (the Nottingham Extended Activities of Daily Living [NEADL] and the Frenchay Activities Index [FAI]) in patients with chronic stroke.
Test-retest reliability study.
Physical rehabilitation units of 5 hospitals.
Chronic stroke patients (N=52; 37 men, 15 women) who were discharged from the hospital for more than 6 months.
Main Outcome Measures
Both measures were administered twice about 2 weeks apart to participants. The SRD was calculated on the basis of standard error of measurement: SRD = 1.96 * √2 * Standard error of measurement. SRD% (the value of SRD divided by total score of a measure) was used to compare measurement errors across both measures. Reproducibility between successive measurements of the measures was investigated with intraclass correlation coefficients (ICCs).
The SRD (SRD%) values of the NEADL and the FAI were 12.0 (21.1%) and 6.7 (14.9%), respectively. Test-retest reproducibility of both measures was high (ICC: NEADL=.89, FAI=.89).
Because of substantial SRD values of the NEADL and the FAI, prospective users should be cautious in using both measures to detect real change for a single subject.
Disponible en ligne : Oui En ligne : http://www.archives-pmr.org/article/S0003-9993%2812%2900079-2/abstract Permalink :
in Archives of Physical Medicine and Rehabilitation > 2012/6 (2012) . - pp. 1097-1100[article]