American shoulder and elbow surgeons standardized shoulder assessment form patient self-report section: Reliability, validity, and responsiveness

American shoulder and elbow surgeons standardized shoulder assessment form patient self-report section: Reliability, validity, and responsiveness
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DOI:
10.1067/mse.2002.127096
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发表时间:
2002-11-01
影响因子:
3
通讯作者:
Sennett, BJ
Sennett, BJ
中科院分区:
医学2区
文献类型:
--
作者:
Michener, LA;McClure, PW;Sennett, BJ

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本研究的目的是检查美国肩肘外科医生标准化肩部评估表 (ASES) 患者自我报告部分的心理测量特性。肩部功能障碍患者 (n = 63) 在初次评估期间、初次就诊后 24 至 72 小时以及物理治疗 3 至 4 周后完成了 ASES、宾夕法尼亚大学肩部评分和 Short Form-36。重测信度(组内相关系数[单向随机效应],0.84;95% CI 下限,0.75)和内部一致性(Cronbach alpha,0.86)值是可接受的。该测量的标准误差为 6.7 ASES 点(90% CI,11.0)。证明了结构效度和判别效度。响应性以 1.5 的标准化响应平均值和 1.4 的效应大小来证明。最小可检测变化为 9.7 ASES 点(90% CI,16),最小临床重要差异为 6.4 ASES 点。结果表明,ASES 是一种可靠、有效且响应迅速的结果工具。
The purpose of this study was to examine the psychometric properties of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), patient self report section. Patients with shoulder dysfunction (n = 63) completed the ASES, The University of Pennsylvania Shoulder Score, and the Short Form-36 during the initial evaluation, 24 to 72 hours after the initial visit, and after 3 to 4 weeks of physical therapy. The test-retest reliability (intraclass correlation coefficient [1-way random-effects], 0.84; 95% Cl lower limit, 0.75) and internal consistency (Cronbach alpha, 0.86) values were acceptable. The standard error of the measure was 6.7 ASES points (90% CI, 11.0). Construct and discriminant validity was demonstrated. Responsiveness was demonstrated with a standardized response mean of 1.5 and an effect size of 1.4. The minimal detectable change was 9.7 ASES points (90% CI, 16), and the minimal clinically important difference was 6.4 ASES points. The results indicate that the ASES is a reliable, valid, and responsive outcome tool.