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创建和验证选择性医疗患者报告的物理治疗和职业治疗门诊体验衡量标准。

Creation and Validation of the Select Medical Patient Reported Experience Measure for Physical and Occupational Therapy Outpatient Clinics.

机构信息

Department of Orthopedic Surgery, Duke University, Durham, NC; Department of Population Health Sciences, Duke University, Durham, NC; Duke Clinical Research Institute, Duke University, Durham, NC.

Select Medical, ReVital Cancer Rehabilitation, Mechanicsburg, PA; Department of Health Sciences, University of North Carolina, Chapel Hill, NC.

出版信息

Arch Phys Med Rehabil. 2023 Nov;104(11):1767-1774. doi: 10.1016/j.apmr.2023.04.016. Epub 2023 May 6.

DOI:10.1016/j.apmr.2023.04.016
PMID:37150428
Abstract

OBJECTIVE

This study describes the creation and examination of the internal consistency, content validity, construct/structural validity, and criterion/concurrent validity of the Select Medical Patient Reported Experience Measure (SM-PREM).

DESIGN

Observational study design.

SETTING

1054 Outpatient physical and occupational therapy locations in North America.

PARTICIPANTS

The study included 89,205 patients with various musculoskeletal disorders (N=89,205).

INTERVENTION

Not applicable.

MAIN OUTCOME MEASURES

Content validity was described, and internal consistency, construct/structural validity (factor analysis), and criterion/concurrent validity were analyzed, with concurrent validity compared against patient reported outcomes (PROM), the Net Promoter Scale, and the Orebro Musculoskeletal Screening Questionnaire-12.

RESULTS

Exploratory and confirmatory factor analysis of the SM-PREM yielded 3 dimensions, each with a very strong internal consistency (>.850). The SM-PREM yielded statistically significant results in all areas, with values that reflected minimal to fair association with PROMs.

CONCLUSION

The SM-PREM appears to capture a unique construct compared to PROMs. The 11-item tool has 3 definitive dimensions and exhibits strong internal consistency. The tool may be useful in examining patient experience in patients with musculoskeletal injuries seen by physical and occupational therapists.

摘要

目的

本研究描述了 Select Medical 患者报告体验量表(SM-PREM)的内部一致性、内容效度、结构/建构效度和效标/同时效度的创建和检验。

设计

观察性研究设计。

地点

北美 1054 个门诊物理治疗和职业治疗场所。

参与者

该研究纳入了 89205 名患有各种肌肉骨骼疾病的患者(N=89205)。

干预措施

不适用。

主要观察指标

描述内容效度,并分析内部一致性、结构/建构效度(因子分析)以及效标/同时效度,同时效标与患者报告的结果(PROM)、净推荐值(Net Promoter Scale)和 Orebro 肌肉骨骼筛查问卷-12 进行比较。

结果

SM-PREM 的探索性和验证性因子分析得出 3 个维度,每个维度的内部一致性都非常强(>.850)。SM-PREM 在所有领域均得出具有统计学意义的结果,其值反映了与 PROM 之间存在最小至适度的关联。

结论

与 PROM 相比,SM-PREM 似乎可以捕捉到一个独特的构念。该 11 项工具具有 3 个明确的维度,表现出较强的内部一致性。该工具可能有助于检查物理治疗师和职业治疗师治疗的肌肉骨骼损伤患者的患者体验。

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