University Network for the Care sector Zuid-Holland, Leiden University Medical Center, Leiden, the Netherlands.
Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands.
Clin Rehabil. 2024 Jan;38(1):98-108. doi: 10.1177/02692155231203095. Epub 2023 Sep 25.
The Utrecht Scale for Evaluation of Rehabilitation is a multi-domain measurement with good content validity, structural validity and reliability for measuring physical functioning (mobility, selfcare) and cognitive functioning in geriatric rehabilitation. We aimed to determine the construct validity of both Utrecht Scale for Evaluation of Rehabilitation scales and the responsiveness and interpretability of the scale for physical functioning in geriatric rehabilitation.
Prospective follow-up study embedded in routine care.
Four care organisations in The Netherlands.
Patients admitted for inpatient geriatric rehabilitation (2021-2022).
Data collection included the Utrecht Scale for Evaluation of Rehabilitation, Mini-Mental State Examination, Barthel index, and a global rating scale anchor on recovery. Hypothesis testing was used to determine construct validity and responsiveness. For interpretability, minimal important change and floor and ceiling effects were determined.
The mean age of participants ( = 211) was 77 (SD 10.4). Their mean length of stay was 38.6 days (SD 26.3), and 81% returned home. The Utrecht Scale for Evaluation of Rehabilitation showed adequate construct validity, as all three hypotheses were confirmed for both scales. The Utrecht Scale for Evaluation of Rehabilitation-physical function scale showed adequate responsiveness, with all five hypotheses confirmed. The mean change for physical function (scale range 0-70) was 15.5 points (SD 17.1). The minimal important change for Utrecht Scale for Evaluation of Rehabilitation-physical function was 14.5 points difference for improvement. This scale showed no floor (2%) and ceiling effects (14%) at admission and discharge.
The Utrecht Scale for Evaluation of Rehabilitation showed to be effective for evaluating physical functioning during geriatric rehabilitation as well as screening cognitive functioning. In total, 14.5 points difference has been established as a minimal important change for physical functioning.
乌得勒支康复评定量表是一种多领域测量工具，具有良好的内容效度、结构效度和可靠性，可用于测量老年康复中的身体功能（移动能力、自理能力）和认知功能。我们旨在确定乌得勒支康复评定量表的两个分量表的结构效度，以及老年康复中身体功能分量表的反应度和可解释性。
前瞻性随访研究，嵌入常规护理中。
荷兰的四个护理机构。
因住院老年康复而入院的患者（2021-2022 年）。
数据收集包括乌得勒支康复评定量表、简易精神状态检查、巴氏指数和一个关于康复的整体评分锚。假设检验用于确定结构效度和反应度。为了可解释性，确定了最小重要变化和地板和天花板效应。
参与者（n=211）的平均年龄为 77（SD 10.4）。他们的平均住院时间为 38.6 天（SD 26.3），81%的人返回家中。乌得勒支康复评定量表显示出足够的结构效度，因为两个分量表的所有三个假设都得到了验证。乌得勒支康复评定量表-身体功能分量表显示出足够的反应度，所有五个假设都得到了验证。身体功能的平均变化（量表范围 0-70）为 15.5 分（SD 17.1）。乌得勒支康复评定量表-身体功能的最小重要变化为改善 14.5 分的差异。该量表在入院和出院时没有地板（2%）和天花板（14%）效应。
乌得勒支康复评定量表在评估老年康复期间的身体功能以及筛查认知功能方面是有效的。总的来说，身体功能的最小重要变化为 14.5 分的差异。
