Ability of Patient-Reported Outcomes to Characterize Patient Acceptable Symptom State (PASS) After Attending a Primary Care Physical Therapist and Medical Doctor Collaborative Service: A Cross-Sectional Study.
Arch Phys Med Rehabil
; 100(1): 60-66, 2019 01.
Article
em En
| MEDLINE
| ID: mdl-30218641
ABSTRACT
OBJECTIVES:
To determine if the Patient-Reported Outcome Measurement Information System (PROMIS) physical function, pain interference, self-efficacy, and global rating of normal function (GRNF) scales are able to accurately characterize a patient's acceptable symptom state (PASS).DESIGN:
A cross-sectional analysis, using receiver operator curves and chi-square analysis to explore criteria to determine thresholds (80% and 95% sensitivity/specificity) for PASS that are applicable to PROMIS and GRNF scales.SETTING:
Phone survey after primary care.PARTICIPANTS:
Patients (N=94) attending primary care for musculoskeletal problems.INTERVENTIONS:
Not applicable. MAIN OUTCOMESMEASURES:
Accuracy and proportion of patients classified as PASS Yes or No.RESULTS:
Receiver operator curve analysis showed significant area under the curve (AUC) values for each PROMIS scale (AUC>.72) and the GRNF rating (AUC=.74). Identified PROMIS thresholds suggested PASS was achieved when scores were at or slightly worse than the US population average. A score of ≥7 and ≤4 characterized patients that were PASS Yes and No, respectively, on the GRNF rating. A moderate (80%) specificity/sensitivity criteria yielded 72.3%-73.5% accuracy for a majority of participants (>69.9%).CONCLUSION:
This analysis suggests the PROMIS and GRNF scales are able to characterize PASS status with moderate accuracy (â¼70%) for a large portion of patients (â¼70%). New to this study is the association of self-efficacy with PASS status. PROMIS scales at or slightly worse than the US population average characterized PASS status.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
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Aceitação pelo Paciente de Cuidados de Saúde
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Doenças Musculoesqueléticas
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Avaliação de Sintomas
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Medidas de Resultados Relatados pelo Paciente
Tipo de estudo:
Diagnostic_studies
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Evaluation_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Qualitative_research
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Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article