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Equating Rehabilitation Outcome Scales: Developing Common Metrics

机译:等同于康复成果量表:制定通用指标

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摘要

Transparency with regard to measuring devices is one of the fundamental requirements for progress in science. The ability to derive comparable measures from different measuring devices is the cornerstone of transparency. To this end, progress in measuring and understanding rehabilitation outcomes requires that there is a method of measuring outcomes that is independent of the particular collection of items that is used to assess the outcomes. The purpose of this study is to develop a equivalence between the PECS Motor Skills and Cognition and Communication LifeScales with the FIM Motor Skills and Cognitive items. However, only the results of the Motor Skills Scale are reported here in the interest of brevity. This equating is based on approximately 500 simultaneous evaluations using bout the PECS and FIM scales on admission and discharge. The patients in this study were consecutive admissions to a free-standing rehabilitation hospital in early 1998. Patients from five diagnostic groups were included in this study, Brain Injury, Spinal Cord Injury, Stroke, Neuromuscular, and Musceloskeletal. The results indicate that it is possible to construct a common equal interval translation between the PECS and FIM for the two scales. Measures on the common metric can be based to either scale and are independent of the number of items completed. This use of these anchored scales will allow institutions using either the PECS and FIM to make direct comparisons of clinical outcomes with other institutions, independent of the particular outcome tool used to evaluate patients.
机译:测量设备的透明性是科学进步的基本要求之一。从不同的测量设备中获得可比度量的能力是透明度的基石。为此,测量和理解康复结果的进步要求有一种测量结果的方法,该方法独立于用于评估结果的特定项目集合。这项研究的目的是发展PECS运动技能与FIM运动技能和认知项目的认知和沟通生活量表之间的等价关系。但是,为了简洁起见,此处仅报告运动技能量表的结果。该等式基于使用入场和出场时使用PECS和FIM量表进行的大约500次同时评估。该研究的患者于1998年初连续入院一家独立的康复医院。该研究包括五个诊断组的患者:脑损伤,脊髓损伤,中风,神经肌肉和肌肉骨骼。结果表明,有可能在两种尺度下在PECS和FIM之间构建共同的等间隔转换。通用度量标准可以根据两个比例进行选择,并且与完成的项目数无关。这些固定量表的使用将允许使用PECS和FIM的机构与其他机构进行临床结果的直接比较,而与用于评估患者的特定结果工具无关。

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