澳大利亚口腔健康效用测量量表（AusTOM）的效度：AusTOM量表与欧洲五维健康量表（EuroQol-5D）的比较

Validity of the AusTOM scales: a comparison of the AusTOMs and EuroQol-5D.

作者信息

Unsworth Carolyn A, Duckett Stephen J, Duncombe Dianne, Perry Alison, Skeat Jemma, Taylor Nicholas

机构信息

School of Public Health, La Trobe University, Melbourne, Vic 3086, Australia.

出版信息

Health Qual Life Outcomes. 2004 Nov 13;2:64. doi: 10.1186/1477-7525-2-64.

DOI:10.1186/1477-7525-2-64

PMID:15541181

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC543469/

Abstract

BACKGROUND

Clinicians require brief outcome measures in their busy daily practice to document global client outcomes. Based on the UK Therapy Outcome Measure, the Australian Therapy Outcome Measures were designed to capture global therapy outcomes of occupational therapy, physiotherapy and speech pathology in the Australian clinical context. The aim of this study was to investigate the construct (convergent) validity of the Australian Therapy Outcome Measures (AusTOMs) by comparing it with the EuroQuol-5D (EQ-5D).

METHODS

The research was a prospective, longitudinal cohort study, with data collected over a seven month time period. The study was conducted at a total of 13 metropolitan and rural health-care sites including acute, sub-acute and community facilities. Two-hundred and five clients were asked to score themselves on the EQ-5D, and the same clients were scored by approximately 115 therapists (physiotherapists, speech pathologists and occupational therapists) using the AusTOMs at admission and discharge. Clients were consecutive admissions who agreed to participate in the study. Clients of all diagnoses, aged 18 years and over (a criteria of the EQ-5D), and able to give informed consent were scored on the measures. Spearman rank order correlation coefficients were used to analyze the relationships between scores from the two tools. The clients were scored on the AusTOMs and EQ-5D.

RESULTS

There were many health care areas where correlations were expected and found between scores on the AusTOMs and the EQ-5D.

CONCLUSION

In the quest to measure the effectiveness of therapy services, managers, health care founders and clinicians are urgently seeking to undertake the first step by identifying tools that can measure therapy outcome. AusTOMs is one tool that can measure global client outcomes following therapy. In this study, it was found that on the whole, the AusTOMs and the EQ-5D measure similar constructs. Hence, although the validity of a tool is never 'proven', this study offers preliminary support for the construct validity of AusTOMs.

摘要

背景

临床医生在繁忙的日常工作中需要简短的疗效评估指标来记录患者的整体治疗效果。基于英国治疗效果评估指标，澳大利亚治疗效果评估指标旨在反映澳大利亚临床环境下职业治疗、物理治疗和言语病理学的整体治疗效果。本研究的目的是通过将澳大利亚治疗效果评估指标（AusTOMs）与欧洲五维健康量表（EQ-5D）进行比较，来调查其结构（收敛）效度。

方法

本研究为前瞻性纵向队列研究，数据收集时间为七个月。研究在13个城市和农村医疗保健机构进行，包括急症、亚急症和社区医疗机构。205名患者被要求对自己的EQ-5D进行评分，同时约115名治疗师（物理治疗师、言语病理学家和职业治疗师）在患者入院和出院时使用AusTOMs对同一批患者进行评分。患者为同意参与研究的连续入院患者。所有诊断明确、年龄在18岁及以上（EQ-5D的标准）且能够给予知情同意的患者均接受这些评估指标的评分。采用Spearman等级相关系数分析两种工具评分之间的关系。对患者的AusTOMs和EQ-5D进行评分。

结果

在许多医疗保健领域，AusTOMs和EQ-5D的评分之间预期并发现了相关性。

结论

在寻求衡量治疗服务效果的过程中，管理人员、医疗保健机构创办者和临床医生迫切希望通过识别能够衡量治疗效果的工具来迈出第一步。AusTOMs是一种能够衡量治疗后患者整体治疗效果的工具。在本研究中，发现总体而言，AusTOMs和EQ-5D衡量的是相似的结构。因此，尽管工具的效度永远无法“被证明”，但本研究为AusTOMs结构效度提供了初步支持。