Y. Røe, Associate Professor, PhD, M. Grotle, Professor, PhD, S. Østensjø, Professor, PhD, Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway;
R. Buchbinder, Professor, PhD, Department of Epidemiology and Preventive Medicine, Monash University, Sydney, Australia.
J Rheumatol. 2020 Oct 1;47(10):1557-1564. doi: 10.3899/jrheum.190832. Epub 2020 Feb 15.
The objective of this paper is to assess the content and measurement constructs of the candidate instruments for the domains of "pain" and "physical function/activity" in the Outcome Measures in Rheumatology (OMERACT) shoulder core set. The results of this International Classification of Functioning, Disability, and Health (ICF)-based analysis may inform further decisions on which instruments should ultimately be included in the core set.
The materials for the analysis were the 13 candidate measurement instruments within pain and physical function/activity in the shoulder core domain set, which either passed or received amber ratings (meaning there were some issues with the instrument) in the OMERACT filtering process. The content of the candidate instruments was extracted and linked to the ICF using the refined linking rules. The linking rules enhance the comparability of instruments by providing a comprehensive overview of the content of the instruments, the context in which the measurements take place, the perspectives adopted, and the types of response options.
The ICF content analysis showed a large variation in content and measurement constructs in the candidate instruments for the shoulder core outcome measurement set.
Two of 6 pain instruments include constructs other than pain. Within the physical function/activity domain, 2 candidate instruments matched the domain, 3 included additional content, and 2 included meaningful concepts in the response options, suggesting that they should be omitted as candidate instruments. The analyses show that the content in most existing instruments of shoulder pain and functioning extends across core set domains.
本文旨在评估候选工具在“疼痛”和“身体功能/活动”领域的内容和测量结构，这些候选工具用于制定《关节炎疗效评价指标（OMERACT）》肩部核心评价集。这项基于国际功能、残疾和健康分类（ICF）的分析结果可能为进一步决定哪些工具最终应纳入核心评价集提供信息。
分析的材料是在 OMERACT 筛选过程中通过或获得琥珀评级（表示仪器存在一些问题）的肩部核心域集中的 13 种候选测量仪器，涉及疼痛和身体功能/活动领域。候选仪器的内容被提取出来，并使用精炼的链接规则与 ICF 相关联。链接规则通过提供对仪器内容、测量发生的背景、采用的观点以及响应选项类型的全面概述，增强了仪器的可比性。
ICF 内容分析显示肩部核心结局测量集的候选仪器在内容和测量结构方面存在很大差异。
6 种疼痛仪器中有 2 种包含了除疼痛以外的结构。在身体功能/活动领域，有 2 种候选仪器与该领域匹配，3 种仪器包含了额外的内容，2 种仪器在响应选项中包含了有意义的概念，这表明它们应作为候选仪器被排除。分析表明，大多数肩部疼痛和功能的现有仪器的内容涵盖了核心评价集的多个领域。
