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首页> 外文期刊>Journal of athletic training >The Disablement in the Physically Active Scale, part II: the psychometric properties of an outcomes scale for musculoskeletal injuries.
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The Disablement in the Physically Active Scale, part II: the psychometric properties of an outcomes scale for musculoskeletal injuries.

机译：物理活跃量表的禁用，第二部分：肌肉骨骼损伤的结果规模的心理学特性。

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CONTEXT: Outcomes assessment is an integral part of ensuring quality in athletic training, but few generic instruments have been specifically designed to measure disablement in the physically active. OBJECTIVE: To assess the psychometric properties of the Disablement in the Physically Active Scale (DPA), a patient-report, generic outcomes instrument. DESIGN: Observational study. SETTING: We collected data in 5 settings with competitive and recreational athletes. Participants entered into the study at 3 distinct points: (1) when healthy and (2) after an acute injury, or (3) after a persistent injury. PATIENTS OR OTHER PARTICIPANTS: Measures were obtained from 368 baseline participants (202 females, 166 males; age = 20.1 +/- 3.8 years), 54 persistent participants (32 females, 22 males; age = 22.0 +/- 8.3 years), and 28 acutely injured participants (8 females, 20 males; age = 19.8 +/- 1.90 years). MAIN OUTCOME MEASURE(S): We assessed internal consistency with a Cronbach alpha and test-retest reliability with intraclass correlation (2,1) values. The scale's factor structure was assessed with a hierarchical confirmatory factor analysis. Concurrent validity was assessed with a Pearson correlation. Responsiveness was calculated using a receiver operating characteristic curve and a minimal clinically important difference value. RESULTS: The Cronbach alpha scores for the DPA were 0.908 and 0.890 in acute and persistent groups, respectively. The intraclass correlation (2,1) value of the DPA was 0.943 (95% confidence interval = 0.885, 0.972). The fit indices values were 1.89, 0.852, 0.924, 0.937, and 0.085 (90% confidence interval = 0.066, 0.103) for the minimum sample discrepancy divided by degrees of freedom, goodness-of-fit index, Tucker-Lewis Index, comparative fit index, and root mean square error of approximation, respectively. The DPA scores accounted for 51% to 56.4% of the variation in global functioning scores. The area under the curve was statistically significant, and the minimally clinically important difference values were established. CONCLUSIONS: The DPA is a reliable, valid, and responsive instrument.
机译：背景信息：结果评估是确保运动训练中质量的一个组成部分，但很少的通用仪器专门设计用于测量物理活跃的禁用。目的：评估物理主动秤（DPA），患者报告，通用结果仪器的禁用心理学性质。设计：观察研究。设置：我们在5种设置中收集数据，竞争和娱乐运动员。参与者在3个不同的点进入研究：（1）当健康和（2）急性损伤后（3）持续伤害后。患者或其他参与者：从368个基线参与者获得措施（202名女性，166名男性;年龄= 20.1 +/- 3.8岁），54名持久参与者（32名女性，22名男性;年龄= 22.0 +/- 8.3岁），和28名急性受伤的参与者（8名女性，20名男性;年龄= 19.8 +/- 1.90年）。主要结果措施：我们评估了与Cronbach Alpha的内部一致性，并通过脑内相关性（2,1）值进行测试 - 保持性可靠性。评估规模的因子结构，评估了分层验证因子分析。通过Pearson相关评估并发有效性。使用接收器操作特征曲线和最小临床重要差值值计算响应能力。结果：DPA的Cronbachα分别分别为0.908和0.890，分别为急性和持续基团。 DPA的脑内相关性（2,1）值为0.943（95％置信区间= 0.885,0.972）。拟合指数值为1.89,0.852,0.924,0.937和0.085（90％置信区间= 0.066,0.103），用于最小的样本差异除以自由度，良好的拟合指数，Tucker-Lewis指数，比较适合索引和近似的均方根误差。 DPA分数占全球运作分数变化的51％至56.4％。曲线下的区域具有统计学意义，并且建立了微小临床重要的差值。结论：DPA是可靠，有效和响应性的仪器。

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