Validity of the AM-PAC "6-Clicks" inpatient daily activity and basic mobility short forms.
Phys Ther
; 94(3): 379-91, 2014 Mar.
Article
em En
| MEDLINE
| ID: mdl-24231229
ABSTRACT
BACKGROUND:
Standardized assessment of patients' activity limitations in acute care settings can provide valuable information. Existing measures have not been widely implemented.OBJECTIVES:
The aim of this study was to provide evidence for validity of scores on Activity Measure for Post-Acute Care (AM-PAC) "6-Clicks" measures of basic mobility and daily activity in acute care.DESIGN:
A retrospective measurement study was conducted.METHODS:
The study used a database from one health system containing "6-Clicks" scores from first and last physical therapist and occupational therapist visits for 84,446 patients. Validity was analyzed by examining differences in "6-Clicks" scores across categories of patient characteristics; the ability of "6-Clicks" scores to predict patients' having more than one therapy visit; correlation of "6-Clicks" scores with Functional Independence Measure (FIM) scores; and internal responsiveness over the episode of care. Internal consistency reliability also was determined.RESULTS:
The "6-Clicks" scores differed across patients' age, preadmission living situation, and number of therapy visits. The areas under receiver operating characteristic curves derived using "6-Clicks" scores at the first visit to predict patients receiving more than one visit were 0.703 and 0.652 using basic mobility and daily activity scores, respectively. The "6-Clicks" scores at the final visit were correlated with scores on subscales of the FIM completed on admission to inpatient rehabilitation facilities (r=.65 and .69). Standardized response means were 1.06 and 0.95 and minimal detectable changes with 90% confidence level (MDC90) were 4.72 and 5.49 for basic mobility and daily activity scores, respectively. Internal consistency reliability of basic mobility and daily activity scores was .96 and .91, respectively.LIMITATIONS:
Using clinical databases for research purposes has limitations, including missing data, misclassifications, and selection bias. Rater reliability is not known.CONCLUSIONS:
This study provides evidence for the validity of "6-Clicks" scores for assessing patients' activity limitations in acute care settings.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atividades Cotidianas
/
Prontuários Médicos
/
Pessoas com Deficiência
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article