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Patient Versus Clinician Proxy Reliability of the AM-PAC "6-Clicks" Basic Mobility and Daily Activity Short Forms.
- Source :
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PTJ: Physical Therapy & Rehabilitation Journal . Jun2022, Vol. 102 Issue 6, p1-8. 8p. - Publication Year :
- 2022
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Abstract
- Objective The purpose of this study was to test the reliability of the Activity Measure for Post-Acute Care (AM-PAC) "6-Clicks" mobility and activity short forms between patients and therapist proxies. As a secondary aim, reliability was examined when patients completed their self-report before versus after the therapist evaluation. Methods Patients being seen for an initial physical therapist (N = 70) or occupational therapist (N = 71) evaluation in the acute care hospital completed the "6-Clicks" mobility short form (if a physical therapist evaluation) or activity short form (if an occupational therapist evaluation). Whether patients completed their self-assessment before or after the evaluation was randomized. Patient- and therapist-rated "6-Clicks" raw scores were converted to AM-PAC T-scores for comparison. Reliability was assessed with intraclass correlation coefficients (ICCs) and Bland–Altman plots, and agreement was assessed with weighted kappa values. Results The ICCs for the "6-Clicks" mobility and daily activity short forms were 0.57 (95% CI = 0.42–0.69) and 0.45 (95% CI = 0.28–0.59), respectively. For both short forms, reliability was higher when the patient completed the self-assessment after versus before the therapist evaluation (ICC = 0.67, 95% CI = 0.47–0.80 vs ICC = 0.50, 95% CI = 0.26–0.67 for the mobility short form; and ICC = 0.52, 95% CI = 0.29–0.70 vs ICC = 0.34, 95% CI = 0.06–0.56 for the activity short form). Conclusion Reliability of the "6-Clicks" total scores was moderate for both the mobility and activity short forms, though higher for the mobility short form and when patients' self-report occurred after the therapist evaluation. Impact Reliability of the AM-PAC "6-Clicks" short forms is moderate when comparing scores from patients with those of therapists responding as proxies. The short forms are useful for measuring participants' function in the acute care hospital; however, it is critical to recognize limitations in reliability between clinician- and patient-reported AM-PAC scores when evaluating longitudinal change and recovery. [ABSTRACT FROM AUTHOR]
- Subjects :
- *RELIABILITY (Personality trait)
*PHYSICAL therapy
*SELF-evaluation
*PHYSICIAN-patient relations
*FUNCTIONAL status
*ACTIVITIES of daily living
*PHYSICIANS' attitudes
*PATIENTS' attitudes
*OCCUPATIONAL therapy
*INTER-observer reliability
*PHYSICAL mobility
*CRITICAL care medicine
*QUESTIONNAIRES
*PROXY
*LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 15386724
- Volume :
- 102
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- PTJ: Physical Therapy & Rehabilitation Journal
- Publication Type :
- Academic Journal
- Accession number :
- 157843571
- Full Text :
- https://doi.org/10.1093/ptj/pzac035