Department of Physical Therapy (Dr Denlinger and Ms Quinn), Johns Hopkins Children's Center, Baltimore, Maryland; Departments of Physical Medicine and Rehabilitation (Drs Young, Beier, Hoyer, and Kudchadkar and Mr Friedman), Division of General Internal Medicine, Department of Medicine (Dr Hoyer), Outcome After Critical Illness and Surgery (OACIS) Group (Drs Hoyer and Kudchadkar), Anesthesiology and Critical Care Medicine (Dr Kudchadkar), and Pediatrics (Dr Kudchadkar), Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Physical Therapy (Dr Young), University of Nevada Las Vegas, Las Vegas, Nevada.
Pediatr Phys Ther. 2021 Jul 1;33(3):149-154. doi: 10.1097/PEP.0000000000000807.
To determine interrater reliability and construct validity of the Activity Measure for Post-Acute Care (AM-PAC) Inpatient "6-clicks" Short Forms for children in acute care.
Eight physical therapists (PTs) scored the AM-PAC Basic Mobility, 30-second walk test (30SWT), and Timed Up and Go (TUG) for 54 patients (4-17 years); 6 occupational therapists (OTs) scored the AM-PAC Daily Activity and handgrip dynamometry for 50 patients (5-17 years). Correlations between the AM-PAC Basic Mobility, 30SWT, and TUG and between the Daily Activity AM-PAC and handgrip dynamometry were calculated for evidence of construct validity.
Interrater reliability for the AM-PAC was excellent for PTs and OTs. Validity was strong to moderate for Basic Mobility when compared with the 30SWT and TUG. Daily Activity had weak correlation with mean left handgrip strength and no correlation with mean right handgrip strength.
AM-PAC Short Forms have acceptable psychometrics for use among children in acute care.
确定急性护理后活动测量（AM-PAC）住院患者“6 次点击”简体中文短表在儿童中的评定者间信度和结构效度。
8 名物理治疗师（PT）对 54 名患者（4-17 岁）的 AM-PAC 基本移动能力、30 秒步行测试（30SWT）和计时起立行走测试（TUG）进行评分；6 名作业治疗师（OT）对 50 名患者（5-17 岁）的 AM-PAC 日常活动和握力动态测定进行评分。为了证明结构效度，计算了 AM-PAC 基本移动能力、30SWT 和 TUG 之间以及日常活动 AM-PAC 和握力动态测定之间的相关性。
PT 和 OT 的 AM-PAC 评定者间信度极好。与 30SWT 和 TUG 相比，基本移动能力具有较强至中度的效度。日常活动与左手平均握力有弱相关，与右手平均握力无相关。
AM-PAC 简体中文短表在急性护理中的儿童中具有可接受的心理计量学特性。
