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首页> 外文期刊>Journal of rehabilitation medicine : >VALIDATION OF OUTCOME MEASUREMENT INSTRUMENTS USED IN A MULTIDISCIPLINARY REHABILITATION INTERVENTION FOR PATIENTS WITH CHRONIC INFLAMMATORY ARTHRITIS: LINKING TO THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH, CONSTRUCT VALIDITY AND RESPONSIVENESS TO CHANGE
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VALIDATION OF OUTCOME MEASUREMENT INSTRUMENTS USED IN A MULTIDISCIPLINARY REHABILITATION INTERVENTION FOR PATIENTS WITH CHRONIC INFLAMMATORY ARTHRITIS: LINKING TO THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH, CONSTRUCT VALIDITY AND RESPONSIVENESS TO CHANGE

机译：慢性炎症性关节炎患者多学科康复干预中使用的结果测量仪器的验证：与功能，残疾和健康状况，结构有效性和反应性的国际分类联系起来

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Objective: To determine the validity of 15 standardized instruments frequently used to measure the outcome of chronic arthritis treatment.Methods: Analyses were performed on data collected at a rehabilitation programme (n=216). The outcome measures evaluated were health-related quality of life, global health, pain, physical function and aerobic capacity. The instrument items were linked to the International Classification of Functioning, Disability and Health (ICF) (content validity), construct validity was analysed based on predetermined hypothesis (Spearman's correlations, r_s), and responsiveness (after 18 days and 12 months) by the standardized response mean. Results: Most instruments covered the ICF component body function and/or activity-participation, only a few covered the environmental component. The short Euroqol-5 Dimensions performed as well as the longer health-related quality of life instruments in covering the ICF and in responsiveness. The health-related quality of life instruments did not measure similar constructs as hypothesized, neither did pain measures. The Bath Ankylosing Spondylitis indices covered several components of the ICF often exhibiting a large responsiveness. Aerobic capacity had the largest responsiveness of all measures.Conclusion: Many instruments are not highly correlated, although at face value they appear to measure the same construct, information also applying to content validity and responsiveness. Results from this study can assist in choosing outcome measures in the clinic and in research.
机译：目的：确定常用于衡量慢性关节炎治疗结果的15种标准化工具的有效性。方法：对在康复计划（n = 216）中收集的数据进行分析。评估的结果指标是与健康相关的生活质量，整体健康，疼痛，身体功能和有氧运动能力。仪器项目与国际功能，残疾和健康分类（ICF）（内容有效性）相关联，根据预先确定的假设（Spearman's相关系数r_s）来分析构建体有效性，并通过（18天和12个月后）反应标准化响应平均值。结果：大多数仪器涵盖了ICF组件的身体功能和/或活动参与，只有少数涵盖了环境组件。在涵盖ICF和响应能力方面，较短的Euroqol-5尺寸以及较长的与健康相关的生活质量工具的性能。与健康相关的生活质量工具没有像假设的那样测量类似的构造，也没有测量疼痛。巴斯强直性脊柱炎指数涵盖了ICF的多个组成部分，这些部分通常表现出较大的反应性。有氧运动能力是所有措施中反应力最大的结论。结论：许多仪器之间没有很高的相关性，尽管从表面上看它们似乎可以测量相同的结构，信息也适用于内容的有效性和反应性。这项研究的结果可以帮助选择临床和研究中的结果指标。

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