scholarly journals The Six-Minute Walk Test in Chronic Pediatric Conditions: A Systematic Review of Measurement Properties

2013 ◽  
Vol 93 (4) ◽  
pp. 529-541 ◽  
Author(s):  
Bart Bartels ◽  
Janke F. de Groot ◽  
Caroline B. Terwee
Keyword(s):  
Systematic Review ◽  
Strong Evidence ◽  
Methodological Quality ◽  
Measurement Properties ◽  
Walk Test ◽  
Test Procedures ◽  
Six Minute Walk Test ◽  
Patient Groups ◽  
Minute Walk

Background The Six-Minute Walk Test (6MWT) is increasingly being used as a functional outcome measure for chronic pediatric conditions. Knowledge about its measurement properties is needed to determine whether it is an appropriate test to use. Purpose The purpose of this study was to systematically review all published clinimetric studies on the 6MWT in chronic pediatric conditions. Data Sources The databases MEDLINE, EMBASE, CINAHL, PEDro, and SPORTDiscus were searched up to February 2012. Study Selection Studies designed to evaluate measurement properties of the 6MWT in a chronic pediatric condition were included in the systematic review. Data Extraction The methodological quality of the included studies and the measurement properties of the 6MWT were examined. Data Synthesis A best evidence synthesis was performed on 15 studies, including 9 different chronic pediatric conditions. Limited evidence to strong evidence was found for reliability in various chronic conditions. Strong evidence was found for positive criterion validity of the 6MWT with peak oxygen uptake in some populations, but negative criterion validity was found in other populations. Construct validity remained unclear in most patient groups because of methodological flaws. Little evidence was available for responsiveness and measurement error. Studies showed large variability in test procedures despite existing guidelines for the performance of the 6MWT. Limitations Unavailability of a specific checklist to evaluate the methodological quality of clinimetric studies on performance measures was a limitation of the study. Conclusions Evidence for measurement properties of the 6MWT varies largely among chronic pediatric conditions. Further research is needed in all patient groups to explore the ability of the 6MWT to measure significant and clinically important changes. Until then, changes measured with the 6MWT should be interpreted with caution. Future studies or consensus regarding modified test procedures in the pediatric population is recommended.

scholarly journals EXERCISE CAPACITY IN CHILDREN AND ADOLESCENTS WITH POST-INFECTIOUS BRONCHIOLITIS OBLITERANS: A SYSTEMATIC REVIEW

2019 ◽  
Vol 37 (2) ◽  
pp. 234-240
Author(s):  
Camila Menna Barros Rodrigues ◽  
Daniele Schiwe ◽  
Natália Evangelista de Campos ◽  
Fabiana Niederauer ◽  
João Paulo Heinzmann-Filho
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
Exercise Capacity ◽  
Bronchiolitis Obliterans ◽  
Methodological Quality ◽  
Walk Test ◽  
Cardiopulmonary Exercise ◽  
Six Minute Walk Test ◽  
Minute Walk ◽  
Post Infectious

ABSTRACT Objective: To evaluate exercise capacity in children and adolescents with post-infectious bronchiolitis obliterans. Data source: This is a systematic review based on data from PubMed, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Scientific Electronic Library Online (SciELO), and Physiotherapy Evidence Database (PEDro). We used the following search strategy: “Exercise capacity OR Exercise Test OR Physical fitness OR Functional capacity OR Six-minute walk test OR Shuttle walk test OR Cardiopulmonary exercise test AND Bronchiolitis obliterans.” We selected studies that evaluated exercise capacity through maximal/submaximal testing in children and adolescents with post-infectious bronchiolitis obliterans, and no other associated disease. We searched articles in English, Portuguese, and Spanish, without restrictions regarding the period of publication. The methodological quality was assessed by the Agency for Healthcare Research and Quality (AHRQ) protocol. Data synthesis: Out of the 81 articles found, only 4 were included in this review. The studies totaled 135 participants (121 with post-infectious bronchiolitis obliterans and 14 healthy), with sample sizes between 14 and 58 subjects. All patients underwent spirometry to evaluate pulmonary function, indicating an obstructive ventilatory pattern. Among them, 3/4 had their physical performance assessed by the six-minute walk test and 2/4 by the cardiopulmonary exercise testing. These test results were compared to those of a control group (1/4) and presented as percentage of predicted and/or in meters (3/4). Lastly, 3/4 of the studies showed reduced exercise capacity in this population. The studies included were classified as having high methodological quality. Conclusions: Findings of the study demonstrate that children and adolescents with post-infectious bronchiolitis obliterans have reduced exercise capacity.

scholarly journals Measuring Instruments In Cardiology Adapted Into Portuguese Language Of Brazil: A Systematic Review

2014 ◽  
Vol 48 (2) ◽  
pp. 368-376 ◽  
Author(s):  
Marilia Estevam Cornélio ◽  
Neusa Maria Costa Alexandre ◽  
Thaís Moreira São-João
Keyword(s):  
Systematic Review ◽  
Cultural Adaptation ◽  
Methodological Quality ◽  
Scientific Community ◽  
Health Knowledge ◽  
Critical Evaluation ◽  
Measurement Properties ◽  
Measuring Instruments ◽  
Adaptation Process

This was a systematic review aimed at identifying and characterizing measuring instruments, developed in the context of cardiology, which were adapted into Portuguese language of Brazil. Systematic searches were performed in six databases. Information extracted included cultural adaptation process and measurement properties. To assess the methodological quality of studies, criteria based on international guidelines for cultural adaptation of instruments were used. Among the 114 articles found, 14 were eligible for review. Of these, most evaluated quality of life (35.7%) and health knowledge/learning (28.6%). Most studies followed all stages of the adaptation process recommended in the literature. With respect to measurement properties, internal consistency, verified by Cronbach’s alpha, was the property reported in the majority of the studies, as well as construct and criterion validity. This study is expected to provide to the scientific community a critical evaluation of adapted questionnaires available in the context of cardiology.


scholarly journals Six-minute walk test as a determinant of the functional capacity of children and adolescents with cystic fibrosis: A systematic review

2018 ◽  
Vol 137 ◽  
pp. 83-88 ◽  
Author(s):  
Cibelle Andrade Lima ◽  
Armèle Dornelas de Andrade ◽  
Shirley Lima Campos ◽  
Daniella Cunha Brandão ◽  
Ianny Pereira Mourato ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cystic Fibrosis ◽  
Children And Adolescents ◽  
Functional Capacity ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Minute Walk

scholarly journals How Well can Your Smartphone Measure What you eat, Drink and Smoke? A Systematic Review of the Measurement Properties of Smartphone Approaches to Assess Diet, Alcohol use and Tobacco use. (Preprint)

2021 ◽  
Author(s):  
Louise Thornton
Keyword(s):  
Systematic Review ◽  
Chronic Disease ◽  
Alcohol Use ◽  
Tobacco Use ◽  
Methodological Quality ◽  
Measurement Techniques ◽  
Health Behaviours ◽  
Measurement Properties ◽  
Measurement Approach

BACKGROUND Poor diet, alcohol use and tobacco smoking have been identified as strong determinants of chronic disease, such as cardiovascular disease, diabetes and cancers. Smartphones have the potential to provide a real-time, pervasive, unobtrusive and cost-effective way to measure these health behaviours and deliver instant feedback to users. Despite this, the validity of using smartphones to measure these behaviours is largely unknown. OBJECTIVE The aim of our review was to identify existing smartphone—based approaches to measure these health behaviours and critically appraise the quality of their measurement properties. METHODS We conducted a systematic search of the Ovid MEDLINE, Embase (Elsevier), Cochrane Library (Wiley), PsychINFO (EBSCOhost), CINAHL (EBSCOHost), Web of Science (Clarivate), SPORTDiscus (EBSCOhost), and IEEE Xplore Digital Library databases in March 2020. Studies that were written in English, reported measuring diet, alcohol use and/or tobacco use via a smartphone, and reported on at least one measurement property (eg validity, reliability and/or responsiveness) were eligible. Outcomes were summarised in a narrative synthesis. This systematic review is registered with PROSPERO, identifier CRD42019122242. RESULTS Of 12,261 records, 72 studies describing the measurement properties of smartphone—based approaches to measure diet (n=48), alcohol use (n=16) and tobacco use (n=8) were identified and included in the current review. Across the health behaviours, 18 different measurement techniques were used within smartphones. The measurement properties most commonly examined were construct validity, measurement error and criterion validity. Results varied by behaviour and measurement approach and the methodological quality of studies varied widely. Most studies investigating the measurement of diet and alcohol received ‘very good’ or ‘adequate’ methodological quality ratings (72.9%, 35/48, and 68.8%, 11/16, respectively), while only one study (12.5%, 1/8) investigating the measurement of tobacco use received a ‘very good’ or ‘adequate’ rating. CONCLUSIONS This review is the first to bring together evidence regarding the different types of smartphone—based approaches currently used to measure key behavioural risk factors for chronic disease (diet, alcohol use and tobacco use) and the quality of their measurement properties. Nineteen measurement techniques were identified, the majority of which assessed dietary behaviours (67%, n=48/72). Some evidence exists to support the reliability and validity of using smartphones to assess these behaviours, however results varied by behaviour and measurement approach. The methodological quality of included studies also varied. Overall, more high-quality studies validating smartphone based approaches against criterion measures are needed. More research investigating the use of smartphones to assess alcohol and tobacco use, and objective measurement approaches is also needed. INTERNATIONAL REGISTERED REPORT RR2-https://doi.org/10.1186/s13643-020-01375-w

Abstract 17469: Comparing the Effect of CRT Implantation on Quality of Life in Older Patients Compared With Younger Patients: Systematic Review and Meta-Analysis

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Praveen Ponnamreddy ◽  
Saeed Juggan ◽  
Lauren Gilstrap
Keyword(s):  
Quality Of Life ◽  
Older Patients ◽  
Meta Analysis ◽  
Nyha Class ◽  
Age Group ◽  
Walk Test ◽  
Younger Patients ◽  
Six Minute Walk Test ◽  
Minute Walk

Background: CRT had been accepted as standard of care for patients with HFrEF who qualify for the therapy. The pivotal CRT trials enrolled patients significantly younger than the typical HFrEF patients seen in the community. Benefits of CRT in older HFrEF patients is largely unknown. We sought to evaluate the change in quality of life in older patients undergoing CRT in comparison to younger patients. Hypothesis: CRT implantation is associated with comparable improvements in quality of life in younger patients (age <70) and older patients (age 70 and above). Methods: PubMed, The Cochrane Library, Scopus, and Web of Science were queried for comparative effectiveness studies of CRT in older HFrEF patients. We gathered data for Quality of life measurements including improvement in NYHA class, MLHFQ, Six minute walk test. MLHFQ, Six minute walk test data was analyzed qualitatively as data was insufficient to impute Standard deviation for mean change. Changes in NYHA class was analyzed quantitatively. Random effects meta-analysis of improvement in NYHA class and relative risk (RR) is reported along with estimates of heterogeneity Results: Seven studies [n=2494 for younger group and n=1035 for older group] were included in changes in NYHA class meta-analysis. Older age group patients had similar improvement in NYHA class compared to younger age group patients. Relative risk 0.99 with 95%CI 0.93-1.06 (figure). Five studies reported Baseline and follow up MLHFQ scores for both the groups. All the five studies reported improvements in MLHFQ in both the groups. Three studies reported change in six minute walk test in meters before and after CRT implantation. All the studies reported improvement in six minute walk test both in younger and older group. Conclusions: People older than 70 years of age with heart failure with reduced ejection fraction who qualify for CRT derive similar benefits with improvement in quality of life compared to patients aged less than 70 years of age.

scholarly journals Measuring patient satisfaction with video consultation: a systematic review of assessment tools and their measurement properties

2020 ◽  
Vol 36 (4) ◽  
pp. 356-362
Author(s):  
Esther Z. Barsom ◽  
Ewout van Hees ◽  
Willem A. Bemelman ◽  
Marlies P. Schijven
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Methodological Quality ◽  
Assessment Tools ◽  
Measurement Properties ◽  
Outcome Analysis ◽  
Large Sample Size ◽  
Healthcare Settings ◽  
Video Consultation

BackgroundVideo consultation (VC) is considered promising in delivering healthcare closer to the patient and improving patient satisfaction. Indeed, providing care-at-distance via VC is believed to be promising for some situations and patients, serving their needs without associated concomitant costs. In order to assess implementation and perceived benefits, patient satisfaction is frequently measured. Measuring patient satisfaction with VC in healthcare is often performed using quantitative and qualitative outcome analysis. As studies employ different surveys, pooling of data on the topic is troublesome. This systematic review critically appraises, summarizes, and compares available questionnaires in order to identify the most suitable questionnaire for qualitative outcome research using VC in clinical outpatient care.MethodsPubMed, Embase, and Cochrane were searched for relevant articles using predefined inclusion criteria. Methodological quality appraisal of yielded questionnaires to assess VC was performed using the validated COSMIN guideline.ResultsThis systematic search identified twelve studies that used ten different patient satisfaction questionnaires. The overall quality of nine questionnaires was rated as “inadequate” to “doubtful” according to the COSMIN criteria. None of the questionnaires retrieved completed a robust validation process for the purpose of use.Conclusion and recommendationsAlthough high-quality studies on measurement properties of these questionnaires are scarce, the questionnaire developed by Mekhjian has the highest methodological quality achieving validity on internal consistency and the use of a large sample size. Moreover, this questionnaire can be used across healthcare settings. This finding may be instrumental in further studies measuring patient satisfaction with VC.

scholarly journals Psychometric properties of the Jefferson Scale of Empathy: a COSMIN systematic review protocol

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Brett Williams ◽  
Bronwyn Beovich
Keyword(s):  
Systematic Review ◽  
Psychometric Properties ◽  
Methodological Quality ◽  
Grey Literature ◽  
Risk Of Bias ◽  
Measurement Properties ◽  
Future Research ◽  
Health Measurement ◽  
Jefferson Scale Of Empathy

Abstract Background Empathy is an important characteristic to possess for healthcare professionals. It has been found to improve communication between professionals and patients and to improve clinical health outcomes. The Jefferson Scale of Empathy (JSE) was developed to measure this quality and has been used extensively, and psychometrically appraised, with a variety of cohorts and in different cultural environments. However, no study has been undertaken to systematically examine the methodological quality of studies which have assessed psychometric factors of the JSE. This systematic review will examine the quality of published papers that have reported on psychometric factors of the JSE. Methods A systematic review of studies which report on the psychometric properties of the JSE will be conducted. We will use a predefined search strategy to identify studies meeting the following eligibility criteria: original data is reported on for at least one of the psychometric measurement properties described in the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) Risk of Bias checklist, examines the JSE in a healthcare cohort (using the student, physician or health profession versions of the JSE), and is published from January 2001 and in the English language. Conference abstracts, editorials and grey literature will be excluded. Six electronic databases (Medline, EMBASE, PsychInfo, PubMed, Web of Science and CINAHL) will be systematically searched for articles meeting these criteria and studies will be assessed for eligibility by two review authors. The methodological quality of included papers will be examined using the COSMIN Risk of Bias checklist. Discussion A narrative description of the findings will be presented along with summary tables. Recommendations for use of the JSE with various cohorts and circumstances will be offered which may inform future research in this field. Systematic review registration PROSPERO CRD42018111412

1112: THE SIX-MINUTE WALK TEST AFTER CRITICAL ILLNESS: A SYSTEMATIC REVIEW AND META-ANALYSIS

2020 ◽  
Vol 48 (1) ◽  
pp. 535-535
Author(s):  
Swaroopa Nalamalapu ◽  
Selina Parry ◽  
Krishidhar Nunna ◽  
Anahita Rabiee ◽  
Lisa Friedman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Critical Illness ◽  
Meta Analysis ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Minute Walk

scholarly journals Systematic review of the psychometric properties of patient-reported outcome measures for rheumatoid arthritis in the foot and ankle

2019 ◽  
Vol 33 (11) ◽  
pp. 1788-1799 ◽  
Author(s):  
Ana Belen Ortega-Avila ◽  
Laura Ramos-Petersen ◽  
Pablo Cervera-Garvi ◽  
Christopher J Nester ◽  
José Miguel Morales-Asencio ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Systematic Review ◽  
Psychometric Properties ◽  
Outcome Measures ◽  
Methodological Quality ◽  
Measurement Properties ◽  
Foot And Ankle ◽  
Inclusion Criteria ◽  
Patient Reported

Objective: To identify self-reported outcome measures specific to the foot and ankle in patients with rheumatoid arthritis and to investigate the methodological quality and psychometric properties of these measures. Method: A systematic review focusing on patients with rheumatoid arthritis. Setting: The search was conducted in the PubMed, SCOPUS, CINAHL, PEDro and Google Scholar databases, based on the following inclusion criteria: population (with rheumatoid arthritis) > 18 years; psychometric or clinimetric validation studies of patient-reported outcomes specific to the foot and ankle, in different languages, with no time limit. Two of the present authors independently assessed the quality of the studies located and extracted the relevant data. Terwee’s criteria and the COSMIN checklist were employed to ensure adequate methodological quality. Results: Of the initial 431 studies considered, 14 met the inclusion criteria, representing 7,793 patients (56.8 years). These instruments were grouped into three dimensions (pain, perceived health status and quality of life and disability). The time to complete any of the PROMs varies around 15 minutes. PROMs criterias with the worst scores by COSMIN, 92.85% and 85.71% were criterion validity, measurement error, internal consistency and responsiveness. 28.57% of PROMs were compared with the measurement properties. Conclusion: the Self-Reported Foot and Ankle Score achieved the highest number of positive criteria (according to Terwee and COSMIN), and is currently the most appropriate for patients with Rheumatoid arthritis.

Sign in / Sign up

Export Citation Format

Share Document