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工作限制问卷在中风后重返工作岗位个体中的重测信度、临床实用性及电话应用

Test-Retest Reliability, Clinical Usefulness, and Telephone Application of the Work Limitation Questionnaire in Individuals Who Returned to Work After Stroke.

作者信息

Avance Janayna, de Menezes Kênia K P, Boening Augusto, Pereira Natalia D, Nascimento Lucas R

机构信息

Center of Health Sciences, Discipline of Physiotherapy, Universidade Federal do Espírito Santo, Vitória, ES, Brazil.

NeuroGroup, Discipline of Physiotherapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.

出版信息

J Occup Rehabil. 2024 Oct 5. doi: 10.1007/s10926-024-10240-9.

DOI:10.1007/s10926-024-10240-9
PMID:39369167
Abstract

PURPOSES

To measure the test-retest reliability and the clinical usefulness of the Work Limitation Questionnaire, and to compare the in-person with the telephone application.

METHODS

Cross-sectional, exploratory study. The Work Limitation Questionnaire was answered three times: twice in person, to measure test-retest reliability and clinical usefulness, and once, by telephone, to measure the validity of the telephone application.

RESULTS

Fifty-six individuals (32 men) with mild to moderate disabilities after stroke were included. Test-retest reliability was very high (ICC 0.96; 95% CI 0.94 to 0.98; p < 0.01), the clinical usefulness was high (9 out of 12 points), and the correlation between in-person and telephone applications was high (ρ = 0.7; 95% CI 0.5 to 0.9; p < 0.01). The average productivity loss was 4% (SD 5, min-max 0 to 15%).

CONCLUSIONS

The Work Limitation Questionnaire showed adequate test-retest reliability and clinical usefulness in individuals with stroke. The telephone application produced comparable results to in-person applications. The participants reported low productivity loss, which may be related to the mild impairments of the included sample.

摘要

目的

测量工作限制问卷的重测信度和临床实用性,并比较当面应用与电话应用的情况。

方法

横断面探索性研究。工作限制问卷共进行三次作答:两次当面作答,用于测量重测信度和临床实用性;一次通过电话作答,用于测量电话应用的有效性。

结果

纳入了56名中风后有轻度至中度残疾的个体(32名男性)。重测信度非常高(组内相关系数ICC为0.96;95%置信区间为0.94至0.98;p < 0.01),临床实用性高(12分中得9分),当面应用与电话应用之间的相关性高(ρ = 0.7;95%置信区间为0.5至0.9;p < 0.01)。平均生产力损失为4%(标准差为5,最小值 - 最大值为0至15%)。

结论

工作限制问卷在中风个体中显示出足够的重测信度和临床实用性。电话应用产生的结果与当面应用相当。参与者报告的生产力损失较低,这可能与所纳入样本的轻度损伤有关。

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本文引用的文献

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Determinants of Return to Work After a Stroke: A Systematic Review and Meta-analysis.中风后重返工作岗位的决定因素:系统评价与荟萃分析
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Validation of the telephone-based assessment of locomotion ability after stroke.
基于电话的脑卒中后运动能力评估的验证。
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Validation of the Telephone-Based Application of the ABILHAND for Assessment of Manual Ability After Stroke.基于电话的 ABILHAND 应用程序评估脑卒中后手的手动能力的验证。
J Neurol Phys Ther. 2020 Oct;44(4):256-260. doi: 10.1097/NPT.0000000000000326.
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Predictors of return to work after stroke: a prospective, observational cohort study with 6 months follow-up.卒中后重返工作岗位的预测因素:一项前瞻性、观察性队列研究,随访 6 个月。
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