Asunto(s)
Tutoría , Humanos , Masculino , Femenino , Adulto , Enfermedades Musculoesqueléticas/terapia , Mentores , Ortopedia/educación , Persona de Mediana EdadAsunto(s)
Betacoronavirus , Telemedicina , COVID-19 , Infecciones por Coronavirus , Humanos , Pandemias , Neumonía Viral , SARS-CoV-2 , IncertidumbreAsunto(s)
Actitud del Personal de Salud , Betacoronavirus , Conducta Cooperativa , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/psicología , Personal de Salud/psicología , Cooperación Internacional , Pandemias/prevención & control , Neumonía Viral/prevención & control , Neumonía Viral/psicología , Adulto , Actitud Frente a la Salud , COVID-19 , Femenino , Humanos , Masculino , Persona de Mediana Edad , SARS-CoV-2Asunto(s)
Enfermedades Musculoesqueléticas/terapia , Dolor Musculoesquelético/terapia , Modalidades de Fisioterapia , Medicina Física y Rehabilitación/estadística & datos numéricos , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Resultado del TratamientoRESUMEN
BACKGROUND: In response for the need of a freely available, stand-alone, validated outcome measure for use within musculoskeletal (MSK) physiotherapy practice, sensitive enough to measure clinical effectiveness, we developed an MSK patient reported outcome measure. OBJECTIVES: This study examined the validity and reliability of the newly developed Brighton musculoskeletal Patient-Reported Outcome Measure (BmPROM) within physiotherapy outpatient settings. METHODS: Two hundred twenty-four patients attending physiotherapy outpatient departments in South East England with an MSK condition participated in this study. The BmPROM was assessed for user friendliness (rated feedback, N = 224), reliability (internal consistency and test-retest reliability, n = 42), validity (internal and external construct validity, N = 224), and responsiveness (internal, n = 25). RESULTS: Exploratory factor analysis indicated that a two-factor model provides a good fit to the data. Factors were representative of "Functionality" and "Wellbeing". Correlations observed between the BmPROM and SF-36 domains provided evidence of convergent validity. Reliability results indicated that both subscales were internally consistent with alphas above the acceptable limits for both "Functionality" (α = .85, 95% CI [.81, .88]) and 'Wellbeing' (α = .80, 95% CI [.75, .84]). Test-retest analyses (n = 42) demonstrated a high degree of reliability between "Functionality" (ICC = .84; 95% CI [.72, .91]) and "Wellbeing" scores (ICC = .84; 95% CI [.72, .91]). Further examination of test-retest reliability through the Bland-Altman analysis demonstrated that the difference between "Functionality" and "Wellbeing" test scores did not vary as a function of absolute test score. Large treatment effect sizes were found for both subscales (Functionality d = 1.10; Wellbeing 1.03). CONCLUSION: The BmPROM is a reliable and valid outcome measure for use in evaluating physiotherapy treatment of MSK conditions.