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世界卫生组织残疾评定量表2.0在慢性肌肉骨骼疼痛患者中的地板效应和天花板效应

Floor and ceiling effects of the World Health Organization Disability Assessment Schedule 2.0 among patients with chronic musculoskeletal pain.

作者信息

Katajapuu Niina, Laimi Katri, Heinonen Ari, Saltychev Mikhail

机构信息

Faculty of Health and Sport Sciences, University of Jyväskylä, Jyväskylä.

Department of Physical and Rehabilitation Medicine, Turku University Hospital and University of Turku, Turku, Finland.

出版信息

Int J Rehabil Res. 2019 Jun;42(2):190-192. doi: 10.1097/MRR.0000000000000339.

Abstract

The aim of this study was to investigate the floor and ceiling effects of 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS). This was a cross-sectional survey study at a university's physical and rehabilitation medicine outpatient clinic of 1988 patients with chronic musculoskeletal pain. Floor and ceiling effects were calculated as relative frequencies of the lowest or the highest possible scores for each item. The probit plotting method was used to detect the non-normality of distribution of the total score graphically. A significant floor effect of 15-79% was observed in all 12 WHODAS 2.0 items. A substantial floor effect for total score was also detected graphically. No ceiling effects were observed. In this study, a significant floor effect was found for all WHODAS 2.0 items among patients with chronic musculoskeletal pain associated with mild or no disability.

摘要

本研究旨在调查世界卫生组织残疾评定量表2.0版(WHODAS 2.0)12个条目的地板效应和天花板效应。这是一项在某大学物理医学与康复门诊进行的横断面调查研究,纳入了1988例慢性肌肉骨骼疼痛患者。地板效应和天花板效应通过计算每个条目的最低或最高可能得分的相对频率来确定。采用概率单位绘图法以图形方式检测总分分布的非正态性。在WHODAS 2.0的所有12个条目中均观察到显著的地板效应,范围为15%至79%。通过图形方式也检测到总分存在显著的地板效应。未观察到天花板效应。在本研究中,对于伴有轻度残疾或无残疾的慢性肌肉骨骼疼痛患者,WHODAS 2.0的所有条目均发现有显著的地板效应。

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