Assessment of Patient-Reported Physical Function in Persons With Upper Extremity Amputation: Comparison of Short Form Instruments.
Assessment of Patient-Reported Physical Function in Persons With Upper Extremity Amputation: Comparison of Short Form Instruments.
复制标题
上肢截肢患者报告的身体功能评估：简短仪器的比较。
DOI：
10.1097/phm.0000000000002044
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发表时间：
2023
影响因子：
3
通讯作者：
Clark,MelissaA
中科院分区：
文献类型：
--
作者：
Resnik,LindaJ;Stevens,PhillipM;Ni,Pengsheng;Borgia,MatthewL;Clark,MelissaA
该研究的目的是比较患者报告的结果测量信息系统上肢措施（PROMIS UE）7项短形式与6和13项版本的人上肢amplitude.DesignThe研究采用了681人上肢截肢的电话调查的心理测量特性。采用两种方式对版本进行评分：PROMIS健康测量评分（PROMIS UE HMSS）和样本特定校准（PROMIS UE AMP）。因素分析和Rasch分析评价了单维性、单调性、项目拟合、差异项目功能和可靠性。已知的组效度进行了比较，为所有versions.ResultsModel拟合是可以接受的PROMIS-6 UE AMP和勉强可以接受的PROMIS-13 UE AMP和PROMIS-7 UE AMP。项目反应类别被折叠，因为无序的类别。共有91.4%的参与者的PROMIS-13 UE AMP评分的可靠性大于0.8，而PROMIS-7 UE AMP的可靠性为70.4%，PROMIS-6 UE AMP的可靠性为72.1%。未观察到假体使用的差异。除了HMSS评分13-和7-item versions.ConclusionsThe PROMIS-13 UE AMP短形式截肢得分不同的所有措施是上级健康措施评分系统评分PROMIS-7 UE或PROMIS-6 UE，和PROMIS-7 UE AMP和PROMIS-6 UE AMP。已知组验证的问题表明，需要一个特定人群的上肢功能上肢截肢的人的措施。
ObjectiveThe aim of the study was to compare psychometric properties of the Patient-Reported Outcomes Measurement Information System upper extremity measure (PROMIS UE) 7-item short form with 6-and 13-item versions for persons with upper limb amputation.DesignThe study used a telephone survey of 681 persons with upper limb amputation. Versions were scored two ways: PROMIS health measure scoring (PROMIS UE HMSS) and sample-specific calibration (PROMIS UE AMP). Factor analyses and Rasch analyses evaluated unidimensionality, monotonicity, item fit, differential item functioning, and reliability. Known group validity was compared for all versions.ResultsModel fit was acceptable for PROMIS-6 UE AMP and marginally acceptable for PROMIS-13 UE AMP and PROMIS-7 UE AMP. Item response categories were collapsed because of disordered categories. A total of 91.4% of participants had PROMIS-13 UE AMP scores with reliability greater than 0.8, compared with 70.4% for PROMIS-7 UE AMP, and 72.1% for PROMIS-6 UE AMP versions. No differences were observed by prosthesis use. Scores differed by amputation for all measures except the HMSS scored 13-and 7-item versions.ConclusionsThe PROMIS-13 UE AMP short form was superior to the health measures scoring system scored PROMIS-7 UE or PROMIS-6 UE, and to the PROMIS-7 UE AMP and PROMIS-6 UE AMP. Issues with known group validation suggest a need for a population-specific measure of upper extremity function for persons with upper limb amputation.