Telerehabilitation assessment using the Functioning Everyday with a Wheelchair-Capacity instrument.

Telerehabilitation assessment using the Functioning Everyday with a Wheelchair-Capacity instrument.
复制标题

使用轮椅能力日常功能仪器进行远程康复评估。

DOI:
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发表时间:
2011
影响因子:
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通讯作者:
D. Brienza
D. Brienza
中科院分区:
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文献类型:
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作者:
Richard M. Schein;M. Schmeler;M. Holm;M. Pramuka;Andi Saptono;D. Brienza

文献摘要

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这项研究探索了一名全科医生和一名远程专家医生之间的可靠性,前者亲自使用轮椅能力(Low-C)亲自(IP)管理日常功能,后者通过远程康复(Tr)从100多英里外观察。46名参与者中的每一位都同时由IP和TR从业者进行评分,他们相互掩盖了对方的结果。IP-tr评分器表现出极好的评分者间信度,对总的少数-C的组内相关系数为0.91,对独立性、安全性和质量的结构分别为0.96、0.88和0.90。总体Low-C工具的内部一致性(Cronbachα)为0.94,独立性、安全性和质量的内部一致性分别为0.91、0.83和0.82,这表明没有冗余的内部一致性良好。100英里以外的一位专家通过使用TR和Non-C,能够准确地评估正在评估新轮式移动设备的客户的功能移动需求。
This study explored the interrater reliability between a generalist practitioner administering the Functioning Everyday with a Wheelchair-Capacity (FEW-C) in person (IP) and a remote expert practitioner observing via telerehabilitation (TR) from more than 100 miles away. Each of the 46 participants was simultaneously rated by both the IP and TR practitioner, who were masked to each other's results. The IP-TR raters demonstrated excellent interrater reliability, with an intraclass correlation coefficient of 0.91 for the total FEW-C and 0.96, 0.88, and 0.90 for the constructs of independence, safety, and quality, respectively. Internal consistency (Cronbach alpha) was 0.94 for the total FEW-C tool and 0.91, 0.83, and 0.82 for independence, safety, and quality, respectively, indicating good internal consistency without redundancy. Using TR and the FEW-C, an expert practitioner more than 100 miles away was able to accurately assess the functional mobility needs of clients being assessed for new wheeled mobility devices.