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首页> 外文期刊>Journal of athletic training >The Relationship Among 3 Generic Patient-Reported Outcome Instruments in Patients With Lower Extremity Health Conditions
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The Relationship Among 3 Generic Patient-Reported Outcome Instruments in Patients With Lower Extremity Health Conditions

机译：下肢健康状况患者中三种通用的患者报告结果仪器之间的关系

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Context Generic patient-reported outcome (PRO) instruments are designed to capture health-related quality-of-life outcomes and to determine treatment effectiveness from the patient's perspective. Multiple generic PROs are used in clinical practice, and an investigation of the psychometric properties of these instruments in a high-functioning, physically active population is important for the future use of these instruments. Objective To determine the relationship among 3 generic PROs: the modified Disablement in the Physically Active (mDPA) Scale, the Patient-Reported Outcome Measurement Information System Physical Function (PROMIS-PF), and the Short Form 12 (SF-12) in physically active patients seeking treatment for a lower extremity health condition. Design Cross-sectional study. Setting Athletic training clinical facility, physical therapy clinic. Patients or Other Participants One hundred patients seeking rehabilitation services for a lower extremity health condition. Main Outcome Measure(s) All patients completed a demographic questionnaire and the 3 generic PROs at 1 time point during their rehabilitation: the mDPA-Total, mDPA-physical summary component (mDPA-PSC), mDPA-mental summary component (mDPA-MSC), the PROMIS-PF, and SF-12 mental component summary (SF-MCS) and physical component summary (SF-PCS). Separate Spearman rank (r) correlations were performed to assess the strength of the relationship among PRO instruments. The floor and ceiling effects were also examined. Results A strong relationship was present between the SF-12 PCS and the mDPA-Total (r = ?0.65), the mDPA-PSC (r = ?0.64), and the PROMIS-PF (r = 0.65). Significant moderate relationships were identified between the mDPA-MSC and the SF-12 PCS (r = ?0.43) and MCS (r = ?0.53). Weak relationships were noted between the mDPA-Total and SF-12 MCS (r = ?0.21) and the SF-12 MCS and mDPA-PSC (r = ?0.10) and PROMIS-PF (r = 0.20). Conclusions The PROMIS-PF and mDPA had good convergent and divergent validity. Clinicians treating physically active patients should consider these instruments for use in clinical practice. Future researchers should examine additional psychometric properties of these instruments in physically active patients.
机译：背景技术通用的患者报告结局（PRO）仪器旨在捕获与健康相关的生活质量结局，并从患者的角度确定治疗效果。在临床实践中使用了多个通用PRO，对这些仪器在高功能，身体活跃人群中的心理计量学特性的研究对于将来使用这些仪器很重要。目的确定3种通用PRO之间的关系：经修订的身体活动量表（mDPA）残疾，患者报告的结果测量信息系统身体功能（PROMIS-PF）和身体上的简式12（SF-12）寻求治疗下肢健康状况的活跃患者。设计横断面研究。设置运动训练临床设施，理疗诊所。患者或其他参与者一百名寻求下肢健康状况康复服务的患者。主要指标：所有患者在康复过程中的某个时间点完成了一项人口统计学调查表和3个通用PRO：mDPA-总计，mDPA-物理摘要成分（mDPA-PSC），mDPA-精神摘要成分（mDPA-MSC） ），PROMIS-PF和SF-12心理组件摘要（SF-MCS）和物理组件摘要（SF-PCS）。进行单独的Spearman等级（r）相关性以评估PRO工具之间关系的强度。还检查了地板和天花板的影响。结果SF-12 PCS与mDPA-Total（r = 0.65），mDPA-PSC（r = 0.64）和PROMIS-PF（r = 0.65）之间存在很强的关系。在mDPA-MSC与SF-12 PCS（r = 0.43）和MCS（r = 0.53）之间发现了显着的适度关系。注意到mDPA-Total和SF-12 MCS（r = 0.21）与SF-12 MCS和mDPA-PSC（r = 0.10）和PROMIS-PF（r = 0.20）之间存在弱关系。结论PROMIS-PF和mDPA具有良好的收敛性和发散性。治疗体力活动患者的临床医生应考虑将这些仪器用于临床实践。未来的研究人员应该在体育锻炼患者中检查这些仪器的其他心理测量特性。

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