Developing a responsive measure of change for paediatric brain injury inpatient rehabilitation.

Developing a responsive measure of change for paediatric brain injury inpatient rehabilitation.
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为儿科脑损伤住院患者康复制定变化的响应措施。

DOI:
10.1080/02699050210128924
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发表时间:
2002
期刊:
影响因子:
1.9
通讯作者:
Smith,KevinW
Smith,KevinW
中科院分区:
医学4区
文献类型:
--
作者:
Bedell,GaryM;Haley,StephenM;Coster,WendyJ;Smith,KevinW

文献摘要

相似文献

主要目的描述在制定儿科脑损伤住院康复的反应性临床表现指标时要解决的概念和方法学问题。选择的统计方法来检查两个功能活动量表(日常和社会行为活动)的原型measurement.Research designRetrospective图表review.Methods和proceduresData的反应,65名儿童,年龄6个月至18岁(X酒吧= 9.5年),收集在1998年和1999年从8个网站在美国。反应性用效应量和一些参数和非参数检验来检验。主要结果和结果从入院到出院,所有项目和量表评分都有显著改善(p < 0.001)。中度显着的关系被发现之间的活动规模的变化分数和外部ratings of changes.ConclusionsFindings提供证据表明,活动规模有可能是响应和点的问题,将需要在未来的测量发展中加以解决。
Primary objectiveTo describe conceptual and methodological issues to be addressed in developing a responsive clinical performance measure for paediatric brain injury inpatient rehabilitation. Selected statistical approaches used to examine responsiveness of two functional activity scales (daily and social behavioural activity) of a prototype measure are presented to illustrate these issues.Research designRetrospective chart review.Methods and proceduresData on 65 children, aged 6 months to 18 years (X bar = 9.5 years) were collected during 1998 and 1999 from eight sites in the USA. Responsiveness was examined using effect sizes and a number of parametric and non-parametric tests.Main outcomes and resultsSignificant improvements from admission to discharge were found on all item and scale scores ( p < 0.001). Moderate significant relationships were found between activity scale change scores and external ratings of change.ConclusionsFindings provide evidence that the activity scales have the potential to be responsive and point to issues that will need to be addressed in future measurement development.