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首页> 外文学位 >The development and validation of the vestibular activities and participation (VAP) measure for people with vestibular disorders based on the international classification of functioning, disability and health (ICF).
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The development and validation of the vestibular activities and participation (VAP) measure for people with vestibular disorders based on the international classification of functioning, disability and health (ICF).

机译：根据功能，残疾和健康的国际分类（ICF），开发和验证前庭疾病患者的前庭活动和参与（VAP）措施。

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摘要

Background. Activities and participation domains are affected in people with vestibular disorders; however, specialized outcome measures for evaluating activities and participation according to the International Classification of Functioning, Disability and Health (ICF) do not exist.;Purpose. To develop and validate the Vestibular Activities and Participation (VAP) measure for people with vestibular disorders according to the ICF.;Methods. A list of activities and participation candidate items were generated and included in a survey. The survey was then sent to a panel of vestibular experts and agreement was obtained on the items to include in the VAP using the Delphi technique. The psychometric properties of the VAP were established including test-retest reliability; minimum detectable change at 95% confidence level (MDC95), concurrent validity with the World Health Organization Disability Assessment Schedule II (WHODAS II); convergent validity with the Dizziness Handicap Inventory (DHI), and discriminant validity. The test-retest reliability of the VAP total score was estimated using the Intra Class Correlation Coefficient (ICC), model (3,1) and the 95% confidence interval (CI). Agreement per-item was estimated using Cohen's kappa statistics. Concurrent and convergent validity were examined using the Spearman correlation coefficient (rho). Discriminant validity was established using a generalized linear model (GLM).;Results. Fifty five activities and participation items were generated in which 32 of them had 70% or greater agreement for inclusion in the VAP. The test-retest reliability of the VAP total score was excellent (ICC=.95), (CI=.91--.97). Un-weighted kappa (.41--.80) and weighted kappa (.58--.94) were good to excellent. The VAP had strong correlation (rho=.7, p<.05) with the WHODAS II and moderate to strong correlations (rho=.54--.74) with the DHI subscale and total scores. The MDC95 was .58. After adjustment for age, gender and self-reported imbalance were independent predictors of the transformed VAP total score.;Conclusion. The VAP measure was developed to examine the disabling effect of vestibular disorders on people's activities and participation based on the ICF. The VAP demonstrated excellent reliability and was validated with external instruments.
机译：背景。活动和参与领域在前庭疾病患者中受到影响；但是，尚不存在根据国际功能，残疾与健康分类（ICF）评估活动和参与的专门结果指标。根据ICF开发和验证前庭疾病患者的前庭活动和参与（VAP）措施。生成了活动和参与候选项目的列表，并将其包括在调查中。然后将调查发送给前庭专家小组，并使用Delphi技术就将这些项目纳入VAP达成了协议。建立了VAP的心理测量特性，包括重测信度；在95％置信水平（MDC95）上可检测到的最小变化，与世界卫生组织残疾评估表II（WHODAS II）同时有效；与头晕障碍清单（DHI）的收敛效度和判别效度。使用类内相关系数（ICC），模型（3,1）和95％置信区间（CI）评估VAP总分的重测信度。使用Cohen的kappa统计数据估算达成协议的每个项目。使用Spearman相关系数（rho）检验并发和收敛效度。使用广义线性模型（GLM）建立判别效度。生成了55个活动和参与项目，其中32个具有70％或更高的同意纳入VAP。 VAP总分的重测信度极好（ICC = .95），（CI = .91-。97）。未加权的Kappa（.41-。80）和加权的Kappa（.58-。94）非常好。 VAP与WHODAS II有很强的相关性（rho = .7，p <.05），与DHI分量表和总分具有中度到强相关性（rho = .54-。74）。 MDC95为0.58。调整年龄后，性别和自我报告的失衡是转化后的VAP总得分的独立预测因素。制定了VAP措施，以基于ICF检验前庭疾病对人们活动和参与的致残作用。 VAP具有出色的可靠性，并已通过外部仪器进行了验证。

著录项

  • 作者

    Alghwiri, Alia A.;

  • 作者单位

    University of Pittsburgh.;

  • 授予单位 University of Pittsburgh.;
  • 学科 Health Sciences Rehabilitation and Therapy.
  • 学位 Ph.D.
  • 年度 2011
  • 页码 132 p.
  • 总页数 132
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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