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Titre : | Responsiveness and Predictive Validity of the Participation Measure3 Domains, 4 Dimensions in Survivors of Stroke (2019) |
Auteurs : | Feng-Hang Chang ; Pengsheng Ni |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 12, 2019) |
Article en page(s) : | p. 2283-2292 |
Note générale : | https://doi.org/10.1016/j.apmr.2019.06.018 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Participation sociale ; Patients en consultation externe ; Psychométrie ; Réadaptation |
Résumé : |
To examine the responsiveness and predictive validity of the Participation Measure3 Domains, 4 Dimensions (PM-3D4D) in people receiving outpatient rehabilitation following stroke.
Design Prospective cohort observational study. Setting Outpatient rehabilitation settings. Participants Volunteer patients (N=269) with stroke (mean age ± SD [y], 55.36±12.46; 70.26% male). Interventions Not applicable. Main Outcome Measures The PM-3D4D was designed to measure 3 domains (Productivity, Social, and Community) and 4 dimensions (Diversity, Frequency, Desire for change, and Difficulty) of participation in individuals with rehabilitation needs. All participants completed the PM-3D4D, the Participation Assessment with Recombined Tools-Objective (PART-O), the Participation Measure for Post-Acute Care (PM-PAC), and the EuroQol-5-Dimension (EQ-5D) at the baseline assessment and again following 3 months of outpatient rehabilitation. Results Significant mean changes in scores were observed for most of the PM-3D4D subscales, with the largest score change observed in the Difficulty subscale (standardized response mean=0.57∼0.88). The minimal detectable change and meaningful clinically important differences were calculated for each subscale. The Frequency and Difficulty dimensions of the PM-3D4D demonstrated significantly greater responsiveness than the PART-O and PM-PAC, respectively. The baseline PM-3D4D scores, except for Desire for change subscales, were significantly correlated with the PART-O, PM-PAC, and EQ-5D scores after 3 months of rehabilitation. Conclusions This study provides evidence supporting the responsiveness and predictive validity of the PM-3D4D in survivors of stroke. Among all subscales of the PM-3D4D, the Difficulty dimensional scale demonstrated the greatest responsiveness. The Desire for change dimension of the PM-3D4D showed less responsiveness, and we recommend that it be used as a goal-setting tool rather than an outcome measure. The PM-3D4D can potentially be used to predict participation outcomes and the health-related quality of life following rehabilitation interventions. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999319309785 |