Development and validation of Patient Reported Impact of Spasticity Measure (PRISM)

被引：32
|
作者：
Cook, Karon F. [1 ]
Teal, Cayla R.
Engebretson, Joan C.
Hart, Karen A.
Mahoney, Jane S.
Robinson-Whelen, Susan
Sherwood, Arthur M.
机构：
[1] Dept Vet Affairs VA Measurement Excellence, Houston, TX USA
[2] Training Resource Informat Ctr, Houston, TX USA
[3] Univ Washington, Dept Rehabil Med, Seattle, WA 98195 USA
[4] Evanston NW Healthcare Ctr Outcomes Res & Educ, Chicago, IL USA
[5] Vet Affairs Med Ctr, Houston Ctr Qual Care & Utilizat Studies, Houston, TX USA
[6] Baylor Coll Med, Dept Med, Houston, TX 77030 USA
[7] Univ Texas, Hlth Sci Ctr, Sch Nursing, Houston, TX USA
[8] Baylor Coll Med, Dept Phys Med & Rehabil Med, Houston, TX 77030 USA
来源：
JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT | 2007年 / 44卷 / 03期
关键词：
abnormal muscle control; factor analysis; involuntary; muscle movement; motor control; outcome assessment; psychometrics; quality of life; rehabilitation; spasticity; spinal cord injury; SPINAL-CORD-INJURY; NUMBER;
D O I：
10.1682/JRRD.2006.04.0036
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
Persons with spinal cord injury (SCI) may experience a range of symptoms typically labeled "spasticity." Previous efforts to develop assessment tools that measure spasticity have failed to represent the experiences of persons who live with the condition. The purpose of this multicenter study was to develop an instrument that measures the impact of spasticity on quality of life. Based on 24 semistructured interviews, a developmental form of the Patient Reported Impact of Spasticity Measure (PRISM) was constructed. The developmental PRISM was administered to 180 persons at five sites. Subscales were developed based on factor analytic results. Evidence for the reliability and validity of the scores was evaluated. Seven subscales were developed, including one that measures the positive effects of spasticity. Results of reliability and validity assessments indicate that the PRISM subscale scores effectively measure the impact of spasticity in the population of veterans with SCI.
引用
收藏
页码：363 / 371
页数：9
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