Fioratti Iuri, Santos Verônica S, Fernandes Lívia G, Rodrigues Karina A, Soares Renato J, Saragiotto Bruno T
Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil.
Department of Physical Therapy, Universidade de Taubaté, São Paulo, Brazil.
Arch Physiother. 2023 Mar 27;13(1):7. doi: 10.1186/s40945-023-00160-x.
To translate and cross-culturally adapt into Brazilian-Portuguese, and to test the measurement properties of the following items of implementation outcome measures: Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM) and Feasibility of Intervention Measure (FIM).
This was a measurement properties study in accordance with the Consensus-based Standards for the selection of health status Measurement Instruments (COSMIN). We conducted a translation and cross-cultural adaptation of three implementation measures according to guidelines for translation and cross-cultural adaptation, then we collected information from patients who had participated in remotely delivered physical therapy treatment for musculoskeletal condition. The patients answered the translated versions of the implementation outcome measures. The measurement properties of the three implementation outcome measures were collected in a test-retest assessment, with an interval of 7 to 14 days.. The measurement properties evaluated in this study were interpretability, measured using Ceiling and Floor Effects, reliability in test-retest evaluation, measured using Cronbach's Alpha Coefficient, internal consistency, measured using Intraclass Correlation Coefficient and construct validity, measured using Pearson Correlation.
We included 104 participants (76 female). The average age of the sample was 56.8 (SD 14.8) years old. The items of implementation outcome measures (AIM, IAM, and FIM) showed 66.39%, 63.11%, and 63.93% of ceiling effects. The items of implementation outcome measures showed adequate internal consistency measured using Cronbach's Alpha Coefficient (AIM: 0.89, IAM: 0.91, FIM: 0.93) and values of Standard Error of Measurement between 5 and 10%, showing good measurement error. The results of AIM and IAM was classified as moderate reliability and the FIM as substantial reliability. In a total 96 correlations, > 75% of correlations met our prior hypothesis.
The three Brazilian-Portuguese versions of items of implementation outcome measures had adequate internal consistency, measurement error and construct validity. The three implementation outcome measures showed moderate to substantial reliability values. The Ceiling Effect was observed in the three measures, showing maximum values in more than 15% of the evaluations.
将以下实施效果测量项目翻译成巴西葡萄牙语并进行跨文化调适，同时测试这些项目的测量属性：干预措施可接受性测量（AIM）、干预措施适宜性测量（IAM）和干预措施可行性测量（FIM）。
这是一项依据基于共识的健康状况测量工具选择标准（COSMIN）进行的测量属性研究。我们根据翻译和跨文化调适指南对三项实施措施进行了翻译和跨文化调适，然后收集了参与远程肌肉骨骼疾病物理治疗的患者的信息。患者回答了实施效果测量的翻译版本。三项实施效果测量的测量属性在重测评估中收集，间隔时间为7至14天。本研究中评估的测量属性包括可解释性（使用天花板效应和地板效应进行测量）、重测评估中的信度（使用克朗巴哈α系数进行测量）、内部一致性（使用组内相关系数进行测量）以及结构效度（使用皮尔逊相关进行测量）。
我们纳入了104名参与者（76名女性）。样本的平均年龄为56.8（标准差14.8）岁。实施效果测量项目（AIM、IAM和FIM）显示出66.39%、63.11%和63.93%的天花板效应。实施效果测量项目使用克朗巴哈α系数测量显示出足够的内部一致性（AIM：0.89，IAM：0.91，FIM：0.93），测量标准误的值在5%至10%之间，显示出良好的测量误差。AIM和IAM的结果分类为中等信度，FIM为高信度。在总共96个相关性中，超过75%的相关性符合我们先前的假设。
三项实施效果测量项目的巴西葡萄牙语版本具有足够的内部一致性、测量误差和结构效度。三项实施效果测量显示出中等至高的信度值。在三项测量中均观察到天花板效应，在超过15%的评估中显示出最大值。
