van der Maas Nico Arie, Ferchichi-Barbey Sylvie
Institute for Physiotherapy Research, Brügg, Bern, Switzerland.
Haute École de Santé Vaud, Lausanne, Switzerland.
Physiother Can. 2021 Summer;73(3):226-234. doi: 10.3138/ptc-2019-0096.
The aim of this study was to evaluate the responsiveness and minimal important difference (MID) of the French version of the Multiple Sclerosis Questionnaire for Physiotherapists (MSQPT). A distribution-based approach was used. Patients (32) were recruited from inpatient and outpatient settings; they completed both the MSQPT and the Hamburg Quality of Life Questionnaire in Multiple Sclerosis (HAQUAMS) at baseline and again at 6 months or discharge. Responsiveness was evaluated using effect size (ES), standardized response mean (SRM), and modified SRM (MSRM), and the relative efficiency between the MSQPT and HAQUAMS was calculated. Distribution-based MID estimates were calculated for 0.33 standard error of measurement, and minimal detectable change. The main ES ranged from 0.41 (low) to 1.23 (high). The SRM (-0.89 to 2.69) was generally higher than the ES. The main MSRMs were acceptably low (-0.03 to 0.19). Although the MSQPT seemed more efficient than the HAQUAMS in detecting improved activity and participation, it was less efficient at identifying their deterioration. In a comparison of responsiveness and MID between the German and French versions of the MSQPT, the differences between estimates were small. The available evidence indicates that the French MSQPT is a responsive questionnaire with MIDs that are similar to those of the original German version.
本研究的目的是评估法语版物理治疗师多发性硬化症问卷（MSQPT）的反应度和最小重要差异（MID）。采用了基于分布的方法。从住院和门诊环境中招募了32名患者；他们在基线时以及6个月后或出院时分别完成了MSQPT和汉堡多发性硬化症生活质量问卷（HAQUAMS）。使用效应量（ES）、标准化反应均值（SRM）和修正SRM（MSRM）评估反应度，并计算MSQPT和HAQUAMS之间的相对效率。计算基于分布的MID估计值，用于测量0.33的标准误差和最小可检测变化。主要的ES范围从0.41（低）到1.23（高）。SRM（-0.89至2.69）一般高于ES。主要的MSRMs低至可接受水平（-0.03至0.19）。尽管在检测活动和参与度改善方面，MSQPT似乎比HAQUAMS更有效，但在识别其恶化情况方面效率较低。在比较德语版和法语版MSQPT的反应度和MID时，估计值之间的差异很小。现有证据表明，法语版MSQPT是一个反应灵敏的问卷，其MID与原始德语版相似。
