Development and initial psychometric evaluation of the participation measure for post-acute care (PM-PAC)
Development and initial psychometric evaluation of the participation measure for post-acute care (PM-PAC)
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DOI：
10.1097/01.phm.0000233200.43822.21
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发表时间：
2007-01-01
影响因子：
3
通讯作者：
Ware, John E., Jr.
中科院分区：
文献类型：
--
作者：
Gandek, Barbara;Sinclair, Samuel J.;Ware, John E., Jr.
目的：设计：急性期后护理参与度（PM-PAC）包含51个项目，评估9个领域的参与：活动性;角色功能;社区、社会和公民生活;家庭生活/自我护理;经济生活;人际关系;沟通;工作;和教育自我报告的数据收集了395名非机构化康复患者的访谈。进行心理测量学分析，以测试假设的缩放和评分的PM-PAC量表，并评估信度和效度。结果：在一般情况下，分析支持分配的项目，以假设的规模。然而，社区，社会和公民生活，人际关系和沟通领域高度相关。项目反应理论模型表明，项目主要针对的人比平均水平的限制参与比平均患者在这个康复样本。测试和重测量表得分没有显着差异（组内相关系数范围，0.61-0.86）。组更严重的条件下得分更差的PM-PAC量表，作为hypothesized.Conclusions：PM-PAC是一个有前途的新措施，患者报告的参与定义的国际功能，残疾和健康分类。本研究中有关PM-PAC项目的信息将有助于开发计算机化的自适应参与措施。
Objective: To evaluate a patient-reported participation measure constructed within the framework of the International Classification of Functioning, Disability, and Health.Design: The Participation Measure for Post-Acute Care (PM-PAC) contains 51 items that assess participation in nine domains: mobility; role functioning; community, social, and civic life; domestic life/self-care; economic life; interpersonal relationships; communication; work; and education. Self-reported data were collected by interview with 395 non-institutionalized rehabilitation patients. Psychometric analyses were conducted to test assumptions underlying the scaling and scoring of PM-PAC scales and to evaluate reliability and validity.Results: In general, analyses supported assignment of items to hypothesized scales. However, the community, social, and civic life, interpersonal relationships, and communication domains were highly correlated. Item response theory models indicated that items were directed primarily at people with worse than average limitations in participation than the average patient in this rehabilitation sample. Test and retest scale scores did not differ significantly (intraclass correlation coefficient range, 0.61-0.86). Groups with more severe conditions scored worse on PM-PAC scales, as hypothesized.Conclusions: PM-PAC is a promising new measure of patient-reported participation as defined by the International Classification of Functioning, Disability, and Health. Information about PM-PAC items from this study will be useful in developing a computerized, adaptive measure of participation.