Gandek Barbara, Sinclair Samuel J, Jette Alan M, Ware John E
All correspondence and requests for reprints should be addressed to Barbara Gandek, MS, Health Assessment Lab, 275 Wyman Street, Suite 120, Waltham, MA 02451, USA.
Am J Phys Med Rehabil. 2007 Jan;86(1):57-71. doi: 10.1097/01.phm.0000233200.43822.21.
To evaluate a patient-reported participation measure constructed within the framework of the International Classification of Functioning, Disability, and Health.
The Participation Measure for Post-Acute Care (PM-PAC) contains 51 items that assess participation in nine domains: mobility; role functioning; community, social, and civic life; domestic life/self-care; economic life; interpersonal relationships; communication; work; and education. Self-reported data were collected by interview with 395 noninstitutionalized rehabilitation patients. Psychometric analyses were conducted to test assumptions underlying the scaling and scoring of PM-PAC scales and to evaluate reliability and validity.
In general, analyses supported assignment of items to hypothesized scales. However, the community, social, and civic life, interpersonal relationships, and communication domains were highly correlated. Item response theory models indicated that items were directed primarily at people with worse than average limitations in participation than the average patient in this rehabilitation sample. Test and retest scale scores did not differ significantly (intraclass correlation coefficient range, 0.61-0.86). Groups with more severe conditions scored worse on PM-PAC scales, as hypothesized.
PM-PAC is a promising new measure of patient-reported participation as defined by the International Classification of Functioning, Disability, and Health. Information about PM-PAC items from this study will be useful in developing a computerized, adaptive measure of participation.
评估在《国际功能、残疾和健康分类》框架内构建的患者报告的参与度测量工具。
急性后期护理参与度测量工具（PM-PAC）包含51个项目，用于评估九个领域的参与情况：活动能力；角色功能；社区、社会和公民生活；家庭生活/自我护理；经济生活；人际关系；沟通；工作；以及教育。通过对395名非机构化康复患者进行访谈收集自我报告数据。进行了心理测量分析，以检验PM-PAC量表的量表编制和评分所依据的假设，并评估其信度和效度。
总体而言，分析支持将项目分配到假设的量表中。然而，社区、社会和公民生活、人际关系和沟通领域高度相关。项目反应理论模型表明，这些项目主要针对参与受限程度比该康复样本中的平均患者更差的人群。重测量表得分差异不显著（组内相关系数范围为0.61 - 0.86）。如假设的那样，病情更严重的组在PM-PAC量表上得分更低。
PM-PAC是一种很有前景的新工具，用于测量《国际功能、残疾和健康分类》所定义的患者报告的参与度。本研究中关于PM-PAC项目的信息将有助于开发一种计算机化的、适应性的参与度测量工具。
