Department of Occupational Therapy, Pará State University, Belém, Brazil.
Disabil Rehabil. 2013 Aug;35(18):1527-33. doi: 10.3109/09638288.2012.745624. Epub 2013 Jan 17.
To develop, implement and validate an instrument for assessing the functional and social performance of young male adults with lower limb amputees based on the international classification of functionality, incapacity, and health.
Developed the instrument, the items were grouped into domains (organic aspects - OA, daily activities - DA, performance components - PC, social participation - SP and environmental factors - EF) for statistical analysis. The implementation of the instrument was filmed for validation. Four assessors watched the films on two occasions and gave scores. Intra-class correlation was used to evaluate intra- and inter-rater reproducibility and to the internal consistency was calculated by Cronbach's alpha and the criterion validity was assessed by Student's t-test and the Mann-Whitney U-test.
The results showed good reliability in the scores for OA, DA, PC and SP domains and a reasonable reliability for the EF domain. The differences between assessors performed by the analysis of variance were not significant. The reliability intra-rater, performed through the test-retest method, showed in all domains high levels of intra-rater correspondence.
The results show the validity and reliability of DSF-84 to young male adults with amputation of the lower limb, being useful for this population.
In this study have been developed, implemented, and validated an instrument (DSF-84) for assessing the functional and social performance of young male adults with lower limb amputees based on the ICF. The results show the validity and reliability of DSF-84 to young male adults with amputation of the lower limb, being useful for this population.
根据国际功能、残疾和健康分类,开发、实施和验证一种评估年轻男性下肢截肢者功能和社会表现的工具。
开发了该工具,将项目分为(有机方面 - OA、日常活动 - DA、表现成分 - PC、社会参与 - SP 和环境因素 - EF)领域进行统计分析。为了验证,对工具的实施过程进行了拍摄。四名评估员分两次观看电影并打分。采用组内相关系数评估内部和内部评估者的再现性,采用 Cronbach's alpha 计算内部一致性,采用学生 t 检验和 Mann-Whitney U 检验评估标准有效性。
结果显示,OA、DA、PC 和 SP 领域的评分具有良好的可靠性,EF 领域的可靠性合理。方差分析评估的评估者之间的差异不显著。通过测试-重测方法进行的内部评估者可靠性显示,所有领域的内部评估者对应性都很高。
结果表明,DSF-84 对年轻男性下肢截肢者的功能和社会表现具有有效性和可靠性,对该人群有用。
本研究基于 ICF 开发、实施和验证了一种评估年轻男性下肢截肢者功能和社会表现的工具(DSF-84)。结果表明,DSF-84 对年轻男性下肢截肢者的功能和社会表现具有有效性和可靠性,对该人群有用。