就小儿上肢功能评估达成专家共识。
Establishing expert consensus on the evaluation of pediatric upper extremity function.
作者信息
Hao Yumiko, Bala Katie, McRae Matthew, Carnahan Heather, Borschel Gregory H, Ho Emily S
机构信息
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada; Department of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada.
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada.
出版信息
J Hand Ther. 2015 Apr-Jun;28(2):151-6; quiz 157. doi: 10.1016/j.jht.2014.09.004. Epub 2014 Sep 28.
STUDY DESIGN
Consensus statement.
INTRODUCTION
There is a lack of consensus in the literature on the measures of pediatric upper extremity (UE) function for musculoskeletal conditions.
PURPOSE
To establish expert consensus on utility, satisfaction and importance of functional outcome measures in children with UE musculoskeletal conditions, across International Classification of Functioning, Disability and Health (ICF) domains.
METHODS
Using Delphi Consensus Methodology, expert panelists completed three rounds of questionnaires.
RESULTS
Agreement on Body Functions and Structure, Activity, and Participation outcome measures was determined (α, ICC range = 0.86-0.96). Mean satisfaction of measures in the respective domains was between 6.93 and 7.94. The Activity domain had lowest satisfaction, however there was consensus it was the most important.
DISCUSSION
Consensus on relative importance, but low satisfaction in the Activity domain suggests a need for better outcomes in this domain.
CONCLUSIONS
Findings report the status of outcome measure utility and use in pediatric UE function.
LEVEL OF EVIDENCE
研究设计
共识声明。
引言
关于肌肉骨骼疾病患儿上肢（UE）功能测量方法，文献中缺乏共识。
目的
就国际功能、残疾和健康分类（ICF）各领域中，UE肌肉骨骼疾病患儿功能结局测量指标的效用、满意度及重要性达成专家共识。
方法
采用德尔菲共识方法，专家小组成员完成三轮问卷调查。
结果
确定了关于身体功能与结构、活动及参与结局测量指标的一致性（α，组内相关系数范围=0.86 - 0.96）。各领域测量指标的平均满意度在6.93至7.94之间。活动领域的满意度最低，但大家一致认为该领域最重要。
讨论
对相对重要性达成共识，但活动领域满意度较低，这表明该领域需要更好的结局指标。
结论
研究结果报告了结局测量指标在儿科UE功能中的效用及使用情况。
证据级别
5级。
Zotero 插件