基于连续施测的脑震荡临床特征筛查工具的可靠变化指数。
Reliable Change Indices for the Serial Administration of the Concussion Clinical Profiles Screening Tool.
机构信息
Department of Health, Human Performance and Recreation/Office for Sport Concussion Research, University of Arkansas, Fayetteville.
Department of Psychology, Saint Joseph's University, Philadelphia, PA.
出版信息
J Athl Train. 2024 Sep 1;59(9):934-940. doi: 10.4085/1062-6050-0325.23.
CONTEXT
The Concussion Clinical Profiles Screening Tool (CP Screen) self-report concussion symptom inventory is often administered at weekly intervals. However, 1-week reliable change indices (RCIs) for clinical cutoffs and the test-retest reliability of the CP Screen are unknown.
OBJECTIVE
To document RCI cutoff scores and 1-week test-retest reliability for each profile and modifier of the CP Screen for men and women.
DESIGN
Case series.
SETTING
A large US university.
PATIENTS OR OTHER PARTICIPANTS
One hundred seventy-three healthy college students.
MAIN OUTCOME MEASURE(S): Participants completed 2 administrations of the CP Screen 7 days apart. The CP Screen items yielded 5 clinical profiles and 2 modifiers. Spearman ρ coefficients (rs), intraclass correlation coefficients (ICCs), single measures, and unbiased estimates of reliability (UERs) were used to assess test-retest reliability. Wilcoxon signed-rank tests assessed differences across time. Reliable change index values and cutoff scores are provided at 90%/95% CIs. All analyses were performed for the total sample and separately for men and women.
RESULTS
Reliable change index cutoffs for clinically significant change (increase/decrease) at a 90% CI for men were as follows: ocular, vestibular >2/>4; anxiety/mood, cognitive/fatigue, and migraine >3/>3; sleep >4/>6; and neck >2/>2. Reliable change index cutoffs for clinically significant change (increase/decrease) at a 90% CI for women were as follows: anxiety/mood ≥2/≥4; cognitive/fatigue, migraine, ocular, vestibular, and sleep ≥3/≥3; and neck ≥1/≥1. Correlations for the CP Screen ranged from 0.51 (migraine) to 0.79 (anxiety/mood) for the total sample, from 0.48 (migraine) to 0.84 (vestibular) for men, and from 0.51 (migraine) to 0.77 (ocular) for women. Test-retest indices for each profile and modifier were moderate to good for the total sample (ICC, 0.64-0.82; UER, 0.79-0.90), men (ICC, 0.60-0.87; UER, 0.76-0.94), and women (ICC, 0.64-0.80; UER, 0.78-0.89).
CONCLUSION
The CP Screen is reliable and stable across a 1-week interval, and established RCIs for men and women can help identify meaningful change throughout recovery.
背景
脑震荡临床特征筛查工具（CP Screen）的自我报告脑震荡症状清单通常以每周一次的间隔进行。然而，目前尚不清楚用于临床临界值的 1 周可靠变化指数（RCI）以及 CP Screen 的测试-再测试信度。
目的
记录 CP Screen 中每个特征和修饰符的男性和女性的 RCI 临界值分数和 1 周的测试-再测试信度。
设计
病例系列。
设置
美国一所大型大学。
患者或其他参与者
173 名健康大学生。
主要观察指标
参与者在相隔 7 天的时间内完成了 2 次 CP Screen 测试。CP Screen 的项目产生了 5 个临床特征和 2 个修饰符。采用斯皮尔曼 ρ系数（rs）、组内相关系数（ICC）、单测和可靠性的无偏估计值（UER）来评估测试-再测试的可靠性。Wilcoxon 符号秩检验评估了时间上的差异。在 90%/95%CI 下提供可靠变化指数值和临界值分数。所有分析均针对总样本进行，并分别针对男性和女性进行。
结果
男性 90%CI 时用于临床显著变化（增加/减少）的可靠变化指数临界值如下：眼震，前庭 >2/>4；焦虑/情绪，认知/疲劳和偏头痛 >3/>3；睡眠 >4/>6；颈部 >2/>2。女性 90%CI 时用于临床显著变化（增加/减少）的可靠变化指数临界值如下：焦虑/情绪≥2/≥4；认知/疲劳，偏头痛，眼震，前庭和睡眠≥3/≥3；颈部≥1/≥1。CP Screen 的相关性范围从总样本的 0.51（偏头痛）到 0.79（焦虑/情绪），男性为 0.48（偏头痛）到 0.84（前庭），女性为 0.51（偏头痛）到 0.77（眼震）。对于总样本，每个特征和修饰符的测试-再测试指标为中等至良好（ICC，0.64-0.82；UER，0.79-0.90），男性为（ICC，0.60-0.87；UER，0.76-0.94），女性为（ICC，0.64-0.80；UER，0.78-0.89）。
结论
CP Screen 在 1 周的时间内是可靠且稳定的，为男性和女性建立的可靠变化指数（RCI）可以帮助识别整个恢复期的有意义变化。
Zotero 插件