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功能性认知——患者报告结局简表及关键形式能力图谱

Functional Cognition-Patient Reported Outcomes Short Forms and Keyform Ability Maps.

作者信息

Wen Pey-Shan, Waid-Ebbs Julia Kay, Velozo Craig A

机构信息

Department of Occupational Therapy, Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, Atlanta, GA.

Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL.

出版信息

Arch Rehabil Res Clin Transl. 2025 Jan 7;7(1):100421. doi: 10.1016/j.arrct.2024.100421. eCollection 2025 Mar.

DOI:10.1016/j.arrct.2024.100421
PMID:40463786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12128589/
Abstract

OBJECTIVE

To develop and demonstrate the item-level psychometrics of the Functional Cognition-Patient Reported Outcome (FC-PRO) short forms and keyform ability maps that promote measurement efficiency and provide collaborative goal setting opportunities between therapists and patients.

DESIGN

Using the Rasch model, FC-PRO data from a previous cross-sectional study of persons with traumatic brain injury (TBI) were analyzed to develop short forms of 13 to 15 items and keyform ability maps for the following FC-PRO domains: Attention, Memory, Processing Speed, and Emotional Management.

SETTING

Outpatient clinics and community locations.

PARTICIPANTS

Persons 18 to 85 years of age who self-reported a moderate to severe TBI and who completed the FC-PRO (n=90).

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

FC-PRO long forms and short forms for Attention, Memory, Processing Speed, and Emotional Management domains.

RESULTS

For the short forms, person separation reliability ranged from 0.77 to 0.82. Person measures for the short forms and long form correlated strongly (0.91-0.97). For each domain, a keyform ability map indicated functional cognitive challenges that matched the patient, that is, that would be at a level neither too hard nor too easy for patients.

CONCLUSIONS

The FC-PRO short forms can provide efficient measures of the effect of cognition challenges in everyday life. Keyform ability maps of the cognitive domains can serve as a tool for goal setting and treatment planning by patients and rehabilitation therapists. By superimposing short-form response patterns onto response patterns of the long forms, patients can be empowered to identify preferences and priorities for rehabilitation goals.

摘要

目的

开发并展示功能性认知-患者报告结局(FC-PRO)简表及关键形式能力图的项目级心理测量学特征,以提高测量效率,并为治疗师和患者提供共同设定目标的机会。

设计

使用拉施模型,对先前一项创伤性脑损伤(TBI)患者横断面研究中的FC-PRO数据进行分析,以开发13至15项的简表以及针对以下FC-PRO领域的关键形式能力图:注意力、记忆力、处理速度和情绪管理。

设置

门诊诊所和社区场所。

参与者

年龄在18至85岁之间、自我报告有中度至重度TBI且完成FC-PRO的患者(n = 90)。

干预措施

不适用。

主要结局指标

注意力、记忆力、处理速度和情绪管理领域的FC-PRO长表和简表。

结果

对于简表,人员分离信度范围为0.77至0.82。简表和长表的人员测量结果高度相关(0.91 - 0.97)。对于每个领域,关键形式能力图显示了与患者相匹配的功能性认知挑战,即对患者来说既不过于困难也不过于容易的水平。

结论

FC-PRO简表可有效测量日常生活中认知挑战的影响。认知领域的关键形式能力图可作为患者和康复治疗师设定目标和制定治疗计划的工具。通过将简表反应模式叠加到长表反应模式上,患者能够确定康复目标的偏好和优先级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53fd/12128589/b30701e0a63b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53fd/12128589/b86478618dcd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53fd/12128589/b30701e0a63b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53fd/12128589/b86478618dcd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53fd/12128589/b30701e0a63b/gr2.jpg

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