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Addressing Diabetes in Primary Care: Hybrid Effectiveness--Implementation Study of Lifestyle Redesign® Occupational Therapy. / Elizabeth Pyatak in American journal of occupational therapy, Vol. 73, n° 5 (September/October 2019)
Titre : Addressing Diabetes in Primary Care: Hybrid Effectiveness--Implementation Study of Lifestyle Redesign® Occupational Therapy. Type de document : Article Auteurs : Elizabeth Pyatak ; Maggie King ; Cheryl L. P. Vigen ; Elia Salazar ; Jesus Diaz ; Stacey Schepens Niemiec ; Jeanine Blanchard ; Katie Jordan ; Josh Banerjee ; Jagruti Shukla Année de publication : 2019 Article en page(s) : p. 1-12 Note générale : doi:10.5014/ajot.2019.037317 Langues : Anglais (eng) Descripteurs : HE Vinci
Comportement en matière de santé ; Diabète ; Ergothérapie ; Évaluation de résultat (soins) ; Gestion de soi ; Soins de santé primaires ; Thérapeutique
Résumé : Importance:Primary health care is rapidly developing as an occupational therapy practice area. Yet, to date, little evidencesupports occupational therapys feasibility and efficacy in primary care settings.
Objective:To report on the implementation and preliminary clinical outcomes of a Lifestyle Redesign®(LR)occupational therapy(LROT) diabetes management intervention in a primary care clinic.
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in American journal of occupational therapy > Vol. 73, n° 5 (September/October 2019) . - p. 1-12[article]An Evaluation of the Wolf Motor Function Test in Motor Trials Early After Stroke / Dorothy F. EDWARDS in Archives of Physical Medicine and Rehabilitation, 2012/4 (2012)
Titre : An Evaluation of the Wolf Motor Function Test in Motor Trials Early After Stroke Type de document : Article Auteurs : Dorothy F. EDWARDS ; C.E. Lang ; J.M. Wagner ; [et al.] Article en page(s) : pp 660-668 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Rééducation et réadaptation
Mots-clés : Outcome assessment (health care) Paresis Treatment outcome Parésie Résultat thérapeutique Résumé : Objective
To examine the internal consistency, validity, responsiveness, and advantages of the Wolf Motor Function Test (WMFT) and compare these results to the Action Research Arm Test (ARAT) in participants with mild to moderate hemiparesis within the first few months after stroke.
Data were collected as part of the Very Early Constraint-Induced Therapy for Recovery from Stroke (VECTORS) trial, an acute, single-blind randomized controlled trial of constraint-induced movement therapy. Subjects were studied at baseline (day 0), after treatment (day 14), and after 90 days (day 90) poststroke.
Inpatient rehabilitation hospital; follow-up 3 months poststroke.
Hemiparetic subjects (N=51) enrolled in the VECTORS trial.
Main Outcome Measures
At each time point, subjects were tested on (1) the WMFT and ARAT, (2) clinical measures of sensorimotor impairments, (3) reach and grasp movements performed in the kinematics laboratory, and (4) clinical measures of disability. Blinded raters performed all evaluations. Analyses at each time point included calculating effect size as indicators of responsiveness, and correlation analyses to examine relationships between WMFT scores and other measures.
The WMFT is internally consistent, valid, and responsive in the early stages of stroke recovery. Sensorimotor and kinematic measures of reach and grasp support the construct validity of the WMFT.
In an acute stroke population, the WMFT has acceptable reliability, validity, and responsiveness to change over time. However, when compared with the ARAT, the higher training and testing burdens may not be offset by the relatively small psychometric advantages.
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in Archives of Physical Medicine and Rehabilitation > 2012/4 (2012) . - pp 660-668[article]Another Look at the PART-O Using the Traumatic Brain Injury Model Systems National Database: Scoring to Optimize Psychometrics / James F. Malec in Archives of Physical Medicine and Rehabilitation, 2016/2 (2016)
Titre : Another Look at the PART-O Using the Traumatic Brain Injury Model Systems National Database: Scoring to Optimize Psychometrics Type de document : Article Auteurs : James F. Malec ; Gale G. Whiteneck ; Jennifer A. Bogner Article en page(s) : pp. 211217 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Rééducation et réadaptation
Mots-clés : Community participation Participation communautaire Outcome assessment (health care) Résumé : Objective
To integrate previous approaches to scoring the Participation Assessment with Recombined Tools-Objective (PART-O) in a unidimensional scale.
Retrospective analysis of PART-O data from the Traumatic Brain Injury Model Systems.
Data from individuals (N=469) selected randomly from participants who completed 1-year follow-up in the Traumatic Brain Injury Model Systems were used in Rasch model development. The model was subsequently tested on data from additional random samples of similar size at 1-, 2-, 5-, 10-, and >15-year follow-ups.
Main Outcome Measure
After combining items for productivity and social interaction, the initial analysis at 1-year follow-up indicated relatively good fit to the Rasch model (person reliability=.80) but also suggested item misfit and that the 0-to-5 scale used for most items did not consistently show clear separation between rating levels. Reducing item rating scales to 3 levels (except combined and dichotomous items) resolved these issues and demonstrated good item level discrimination, fit, and person reliability (.81), with no evidence of multidimensionality. These results replicated in analyses at each additional follow-up period.
Modifications to item scoring for the PART-O resulted in a unidimensional parametric equivalent measure that addresses previous concerns about competing item relations, and it fit the Rasch model consistently across follow-up periods. The person-item map shows a progression toward greater community participation from solitary and dyadic activities, such as leaving the house and having a friend through social and productivity activities, to group activities with others who share interests or beliefs.
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in Archives of Physical Medicine and Rehabilitation > 2016/2 (2016) . - pp. 211217[article]Application of Rasch Analysis to the Evaluation of the Measurement Properties of the Hearing Handicap Inventory for the Elderly / Eithne Heffernan in Ear and hearing, Vol. 41, n°5 (Septembre-octobre 2020)
Titre : Application of Rasch Analysis to the Evaluation of the Measurement Properties of the Hearing Handicap Inventory for the Elderly Type de document : Article Auteurs : Eithne Heffernan ; Barbara E. Weinstein ; Melanie A. Ferguson Année de publication : 2020 Article en page(s) : p. 1125-1134 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Perte d'audition ; Psychométrie ; Sujet âgé
Mots-clés : Rasch analysis Résumé : Objectives: The aim of this research was to evaluate the measurement properties of the Hearing Handicap Inventory for the Elderly (HHIE). The HHIE is one of the most widely used patient-reported outcome measures in audiology. It was originally developed in the United States in the 1980s as a measure of the social and emotional impact of hearing loss in older adults. It contains 25 items that are accompanied by a 3-point response scale. To date, the measurement properties of the HHIE have primarily been assessed via traditional psychometric analysis techniques (e.g., Cronbach's alpha and Principal Components Analysis). However, traditional techniques are now known to have several limitations in comparison to more modern approaches. Therefore, this research used a modern psychometric analysis technique, namely Rasch analysis, to evaluate the HHIE.
Design: Rasch analysis was performed on HHIE data collected from 380 adults with hearing loss. The participants were principally recruited from the participant database of the National Institute for Health Research Nottingham Biomedical Research Centre in the United Kingdom. Additional participants were recruited from two UK audiology clinics and the online forum of a UK hearing loss charity. Rasch analysis was used to assess the measurement properties of the HHIE (i.e., fit to the Rasch model, unidimensionality, targeting, and person separation reliability) and its individual items (i.e., response dependency, fit, Differential Item Functioning, and threshold ordering).
Results: The HHIE was found to have several strong measurement properties. Specifically, it was well-targeted and had high person separation reliability. However, it displayed poor fit to the Rasch model and was not unidimensional. The majority of the items were free of response dependency (i.e., redundancy) and were suited to the 3-point response scale. However, two items were found to be better suited to a dichotomous response scale. Furthermore, nine items were identified as being candidates for removal from the questionnaire, as they exhibited poor fit and/or Differential Item Functioning (i.e., item bias) associated with gender. The measurement properties of the HHIE could be improved by removing these items and adjusting the scores of the two items that require a dichotomous response scale. These amendments resulted in a 16-item version of the HHIE that had good fit to the Rasch model and that was unidimensional.
Conclusions: It is vital to ensure that high-quality outcome measures are used in audiology research and practice. This study evaluated one of the foremost outcome measures in this field: the HHIE. The results demonstrated that the HHIE had several strong measurement properties. Amending the HHIE, such as by removing items exhibiting poor fit, could further enhance its quality. A unique aspect of this study was the application of Rasch analysis to the evaluation of the HHIE. It is recommended that future studies use modern techniques to develop and identify high-quality, hearing-specific outcome measures.
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in Ear and hearing > Vol. 41, n°5 (Septembre-octobre 2020) . - p. 1125-1134[article]
Titre : Apprendre à chercher Type de document : Livre Auteurs : Luc Albarello ; Etienne Bourgeois ; Guy Bajoit Mention d'édition : 4e éd. - Editeur : Louvain-la-Neuve : De Boeck Année de publication : 2012.- Collection : Méthodes en sciences humaines Importance : 190 p. Format : 24 cm.- ISBN/ISSN/EAN : 978-2-8041-6925-1 Prix : 30,50 Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Méthodologie ; METHODOLOGIE DE LA RECHERCHE ; Recherche scientifique
Approche qualitative ; Approche quantitative ; Construction de l'objet
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