New York Chiropractic College, 2360 State Route 89, Seneca Falls, NY 13148, United States.
New York Chiropractic College, 2360 State Route 89, Seneca Falls, NY 13148, United States.
Complement Ther Clin Pract. 2018 May;31:85-90. doi: 10.1016/j.ctcp.2018.02.001. Epub 2018 Feb 3.
The inefficiency associated with collecting standard validated instruments has been a barrier to routine use. We utilized computer adaptive testing (CAT) instruments available through Patient-Reported Outcomes Measurement Information System (PROMIS) and correlated these with the Oswestry Disability Index (ODI).
All measurements were collected at a routine chiropractic visit. The ODI assessment was used for comparison as a widely used patient reported outcomes instrument.
The average time to complete all questions during an office visit was 170 ± 67 s (average ± Stdev) to answer 25 ± 6 questions. Regression analysis revealed a good linear fit between ODI and both PROMIS pain behavior and physical function with R values of 0.5219 and 0.6754 respectively, and a good linear fit between anxiety and depression with R values of 0.5236.
PROMIS CAT instruments can be efficiently administered during routine clinical visits and correlations values found validate the utility when compared to ODI.
收集标准验证工具的效率低下一直是常规使用的障碍。我们利用了患者报告结果测量信息系统(PROMIS)提供的计算机自适应测试(CAT)工具,并将其与 Oswestry 残疾指数(ODI)相关联。
所有测量均在常规脊医就诊时收集。ODI 评估被用作比较,因为它是一种广泛使用的患者报告结果工具。
在办公室就诊期间完成所有问题的平均时间为 170±67 秒(平均值±标准差),回答 25±6 个问题。回归分析显示,ODI 与 PROMIS 疼痛行为和身体功能之间具有良好的线性拟合,R 值分别为 0.5219 和 0.6754,焦虑和抑郁之间具有良好的线性拟合,R 值为 0.5236。
PROMIS CAT 工具可以在常规临床就诊期间有效地进行管理,并且与 ODI 相比,发现的相关性值验证了其效用。