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告别骨关节炎:一种自我管理工具的开发与初步验证,该工具旨在促进髋或膝骨关节炎患者坚持锻炼和进行体育活动

OA Go Away: Development and Preliminary Validation of a Self-Management Tool to Promote Adherence to Exercise and Physical Activity for People with Osteoarthritis of the Hip or Knee.

作者信息

Paterson Gail, Toupin April Karine, Backman Catherine, Tugwell Peter

机构信息

The Arthritis Society, Eastern Region.

Children's Hospital of Eastern Ontario Research Institute; Department of Pediatrics.

出版信息

Physiother Can. 2016;68(2):124-132. doi: 10.3138/ptc.2014-68.

Abstract

To determine the face and content validity, construct validity, and test-retest reliability of the OA Go Away (OGA), a personalized self-management tool to promote adherence to exercise and physical activity for people with osteoarthritis (OA) of the hip or knee. The face and content validity of OGA version 1.0 were determined via interviews with 10 people with OA of the hip or knee and 10 clinicians. A revised OGA version 2.0 was then tested for construct validity and test-retest reliability with a new sample of 50 people with OA of the hip or knee by comparing key items in the OGA journal with validated outcome measures assessing similar health outcomes and comparing scores on key items of the journal 4-7 days apart. Face and content validity were then confirmed with a new sample of 5 people with OA of the hip or knee and 5 clinicians. Eighteen of 30 items from the OGA version 1.0 and 41 of 43 items from the OGA version 2.0 journal, goals and action plan, and exercise log had adequate content validity. Construct validity and test-retest reliability were acceptable for the main items of the OGA version 2.0 journal. The OGA underwent modifications based on results and participant feedback. The OGA is a novel self-management intervention and assessment tool for people with OA of the hip or knee that shows adequate preliminary measurement properties.

摘要

为确定“OA 走开”(OGA)这一个性化自我管理工具的表面效度、内容效度、结构效度和重测信度,该工具旨在促进髋部或膝部骨关节炎(OA)患者坚持锻炼和进行体育活动。通过对 10 名髋部或膝部 OA 患者和 10 名临床医生进行访谈,确定了 OGA 1.0 版本的表面效度和内容效度。然后,通过将 OGA 日志中的关键项目与评估类似健康结果的经过验证的结局指标进行比较,并比较相隔 4 - 7 天的日志关键项目得分,对 50 名髋部或膝部 OA 患者的新样本测试了修订后的 OGA 2.0 版本的结构效度和重测信度。随后,通过 5 名髋部或膝部 OA 患者和 5 名临床医生的新样本确认了表面效度和内容效度。OGA 1.0 版本的 30 个项目中有 18 个以及 OGA 2.0 版本日志、目标和行动计划及锻炼日志的 43 个项目中有 41 个具有足够的内容效度。OGA 2.0 版本日志的主要项目的结构效度和重测信度是可接受的。根据结果和参与者反馈对 OGA 进行了修改。OGA 是一种针对髋部或膝部 OA 患者的新型自我管理干预和评估工具,显示出足够的初步测量特性。

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