Important-performance analysis to conceptualize goal priorities in community dwelling stroke survivors.
Important-performance analysis to conceptualize goal priorities in community dwelling stroke survivors.
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DOI：
10.1080/10749357.2021.1928838
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发表时间：
2022-05
影响因子：
2.2
通讯作者：
Reistetter TA
中科院分区：
文献类型：
--
作者：
Hay CC;Pappadis MR;Sander AM;Weller SC;Wang W;Reistetter TA
对临床医生来说，更好地了解中风幸存者的目标是很重要的。重要绩效分析（IPA）是一种可用于确定康复目标优先级的工具。检查IPA方法在不同社区居住中风幸存者群体中确定目标优先级的效用。38名中风幸存者完成了私人结构化访谈，并被要求对37个目标领域的重要性和表现进行评级。使用重要性能分析（IPA）来确定整个样本的目标优先级。比较了用于确定目标优先级的不同IPA方法。目标优先级还按年龄（分为<65岁和≥65岁）和性别（男性或女性）进行比较。IPA方法有效地将目标划分为四个象限，并区分哪些目标是脑卒中幸存者样本的优先目标。五个目标一直被认为是一个重点领域：手功能、驾驶、平衡、记忆和手臂力量。男性认为情绪控制比女性更重要（p= 0.046）。对于65岁以上的老年人来说，更重要的两个目标是家庭无障碍（p= 0.008）和皮肤健康（p< 0.001）。中风幸存者在中风后的几年里仍然有与中风恢复有关的目标。在与中风幸存者讨论目标时，应考虑当前的表现以及感知到的重要性。IPA可以帮助确定这一人群的目标优先事项。
It is important for clinicians to have a better understanding of stroke survivor’s goals. Important performance analysis (IPA) is a tool that could be utilized to identify goal priorities in rehabilitation. To examine the utility of the IPA method to identify goal priorities in a diverse group of community dwelling stroke survivors. Thirty-eight stroke survivors completed private structured interviews and were asked to rate their perceived importance and performance of 37 goal areas. Important-performance analysis (IPA) was utilized to determine goal priorities for the overall sample. Different IPA methods used to identify goal priorities were compared. Goal priorities were also compared by age (dichotomized as <65 and ≥65 years) and sex (male or female). The IPA method effectively separated the goals into the four quadrants, and distinguished which goals were a priority for the sample of stroke survivors. The five goals that were consistently identified as a focus area were: hand function, driving, balance, memory, and arm strength. Men rated mood control as more important than women (p=.046). The two goals rated as being more important for those older than 65 were home accessibility (p=.008) and skin health (p<.001). Stroke survivors continue to have goals related to their stroke recovery in the years after their stroke. Both current performance as well as perceived importance should be considered during goal discussions with stroke survivors. IPA can help identify goal priorities in this population.
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影响因子：
2.2
作者：
Brown, Melanie;Levack, William;Taylor, William J.
通讯作者：
Taylor, William J.
影响因子：
4.4
作者：
Dong, YanHong;Sharma, Vijay Kumar;Chen, Christopher
通讯作者：
Chen, Christopher
影响因子：
2.2
作者：
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通讯作者：
Haines, Terrence
影响因子：
2.2
作者：
Krishnan, Shilpa;Pappadis, Monique R.;Reistetter, Timothy A.
通讯作者：
Reistetter, Timothy A.
影响因子：
1.3
作者：
Kautz, Donald D.
通讯作者：
Kautz, Donald D.