scholarly journals Development and Validation of the Computer-Administered Animated Activity Questionnaire to Measure Physical Functioning of Patients With Hip or Knee Osteoarthritis

2014 ◽  
Vol 94 (2) ◽  
pp. 251-261 ◽  
Author(s):  
Caroline B. Terwee ◽  
Charlotte Coopmans ◽  
Wilfred F. Peter ◽  
Leo D. Roorda ◽  
Rudolf W. Poolman ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Physical Functioning ◽  
Self Report ◽  
Stair Climbing ◽  
Cross Sectional ◽  
Outcome Score ◽  
Preliminary Validation ◽  
And Performance ◽  
Development And Validation ◽  
Activity Questionnaire

Background Physical functioning of patients with hip or knee osteoarthritis is measured by self-report questionnaires and performance-based tests. However, performance-based tests often are not feasible. Objective The aim of this study was to develop a computer-administered questionnaire (ie, the Animated Activity Questionnaire [AAQ]) to measure physical functioning in patients with hip or knee OA. By showing animations of activities, the influence of the patient's own reference frame is minimized. The AAQ measures the same aspects of physical functioning as performance-based tests do. Design This was a development and preliminary validation (cross-sectional) study. Methods A pilot version of the AAQ was developed using motion capture to analyze the movement of a person performing 7 daily activities. Different animations of the same activity were made with 2 to 5 levels of difficulty. For each activity, participants were asked to choose one animation that best corresponds to their own way of performing the activity. A preliminary validation study was performed to compare the AAQ with validated self-report questionnaires (Knee Injury and Osteoarthritis Outcome Score, Hip Disability and Osteoarthritis Outcome Score, and questionnaires on walking, stair climbing, and rising and sitting down) and performance-based tests (walking, Timed “Up & Go” Test, Timed Stair Test) in 33 patients with hip or knee osteoarthritis. Results As expected, the AAQ showed a correlation above .70 (.79, 95% confidence interval=.61–.89) with the total score of the performance-based tests. On the subscore level, the results were partly as expected. Fifty-eight percent of the participants preferred the AAQ over self-report questionnaires and performance-based tests. Limitations The findings need to be replicated in larger samples of patients because the sample size of the study was rather small. Conclusion The AAQ might be a good alternative for measuring physical functioning of patients with hip or knee osteoarthritis. The AAQ can easily be adapted for use in other patient populations. However, further development and validation are needed.

scholarly journals The Role of Pain Catastrophizing and Pain Acceptance in Performance-Based and Self-Reported Physical Functioning in Individuals with Fibromyalgia and Obesity

2021 ◽  
Vol 11 (8) ◽  
pp. 810
Author(s):  
Giorgia Varallo ◽  
Federica Scarpina ◽  
Emanuele Maria Giusti ◽  
Carlos Suso-Ribera ◽  
Roberto Cattivelli ◽  
...  
Keyword(s):  
Physical Functioning ◽  
Psychological Factors ◽  
Pain Catastrophizing ◽  
Cross Sectional Study ◽  
Self Report ◽  
Cross Sectional ◽  
Pain Acceptance ◽  
Lower Pain ◽  
And Performance

Impaired physical functioning is one of the most critical consequences associated with fibromyalgia, especially when there is comorbid obesity. Psychological factors are known to contribute to perceived (i.e., subjective) physical functioning. However, physical function is a multidimensional concept encompassing both subjective and objective functioning. The contribution of psychological factors to performance-based (i.e., objective) functioning is unclear. This study aims to investigate the contribution of pain catastrophizing and pain acceptance to both self-reported and performance-based physical functioning. In this cross-sectional study, 160 participants completed self-report measures of pain catastrophizing, pain acceptance, and pain severity. A self-report measure and a performance-based test were used to assess physical functioning. Higher pain catastrophizing and lower pain acceptance were associated with poorer physical functioning at both self-reported and performance-based levels. Our results are consistent with previous evidence on the association between pain catastrophizing and pain acceptance with self-reported physical functioning. This study contributes to the current literature by providing novel insights into the role of psychological factors in performance-based physical functioning. Multidisciplinary interventions that address pain catastrophizing and pain acceptance are recommended and might be effective to improve both perceived and performance-based functioning in women with FM and obesity.

scholarly journals Should We Use Unilateral or Bilateral Tasks to Assess Maximal and Explosive Knee Extensor Strength in Patients with Knee Osteoarthritis? A Cross-Sectional Study

2021 ◽  
Vol 10 (19) ◽  
pp. 4353
Author(s):  
Jonas Pfeifle ◽  
David Hasler ◽  
Nicola Maffiuletti
Keyword(s):  
Knee Osteoarthritis ◽  
Clinical Relevance ◽  
Knee Extensor ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Strength Performance ◽  
Explosive Strength ◽  
Knee Extensor Strength ◽  
And Performance ◽  
Voluntary Contractions

Deficits in maximal and explosive knee extensor strength, which are usually assessed with unilateral tasks, are substantial in patients with knee osteoarthritis (KOA). The aim of this study was to investigate the clinical relevance of unilateral vs. bilateral tasks for assessing knee extensor strength in patients with KOA. This was achieved primarily by comparing unilateral and bilateral inter-limb strength asymmetries and secondarily by examining the relationship between unilaterally and bilaterally measured strength, and performance-based and self-reported function. Twenty-four patients with unilateral KOA (mean age: 65 ± 7 years) performed isometric gradual and explosive maximal voluntary contractions to assess, respectively their maximal and explosive strength. Performance-based and self-reported function were also evaluated with standard functional tests and questionnaires, respectively. Inter-limb asymmetries of maximal and explosive strength did not differ significantly between unilateral (mean asymmetry: 26 ± 15%) and bilateral tasks (22 ± 21%). In the same way, the relationships between knee extensor strength—measured either unilaterally or bilaterally—and performance-based or self-reported function were not influenced by the type of task. In conclusion, it does not seem to make a difference in terms of clinical relevance whether maximal and explosive knee extensor strength are evaluated with unilateral or bilateral tasks in KOA patients.

Physical Functioning: Self-Report and Performance Measures Are Related but Distinct

Spine ◽  
2003 ◽  
Vol 28 (20) ◽  
pp. 2407-2413 ◽  
Author(s):  
Harriët Wittink ◽  
William Rogers ◽  
Andrew Sukiennik ◽  
Daniel B. Carr
Keyword(s):  
Performance Measures ◽  
Physical Functioning ◽  
Self Report ◽  
And Performance

scholarly journals Delineating Characteristics of Maladaptive Repetitive Thought: Development and Preliminary Validation of the Perseverative Cognitions Questionnaire

Assessment ◽  
2017 ◽  
Vol 26 (6) ◽  
pp. 1084-1104 ◽  
Author(s):  
Lauren E. Szkodny ◽  
Michelle G. Newman
Keyword(s):  
Self Report ◽  
Temporal Orientation ◽  
Obsessive Compulsive ◽  
Confirmatory Factor Analyses ◽  
Compulsive Disorder ◽  
Preliminary Validation ◽  
Diagnostic Symptoms ◽  
Development And Validation ◽  
Thought Styles ◽  
Anxiety Depression

Worry, rumination, and obsessive thinking are theorized to differ on temporal orientation, positive perceived function, degree of intrusiveness, and discordance with one’s self-concept. However, prior findings with respect to such differences may be due to method variance of the measures used and/or inclusion of items confounded by diagnostic symptoms. Accurately capturing differences between types of perseverative thought linked to psychopathology and understanding whether such aspects are common across disorders or specific to some may be important to designing effective treatments for them. Two studies are presented detailing the development and validation of the Perseverative Cognitions Questionnaire (PCQ). The PCQ is a 45-item self-report measure that assesses six dimensional characteristics of worry, rumination, and obsessive thinking previously found to discriminate these thought styles: Lack of Controllability, Preparing for the Future, Expecting the Worst, Searching for Causes/Meaning, Dwelling on the Past, and Thinking Discordant with Ideal Self. Factor structure of the PCQ was established using principal components, exploratory factor, and confirmatory factor analyses. PCQ scales exhibited differential convergence with measures of perseverative thought and psychopathology. The PCQ also demonstrated acceptable retest correlations across 1- and 2-week periods, and incremental validity when predicting symptoms of anxiety, depression, and obsessive compulsive disorder.

scholarly journals Korelasi Aktivitas Fisik dan Persen Lemak Tubuh dengan Indikator Sarkopenia

2021 ◽  
Vol 5 (1) ◽  
pp. 15
Author(s):  
Pravita Dewi Suhada ◽  
Nurmasari Widyastuti ◽  
Aryu Candra ◽  
Ahmad Syauqy
Keyword(s):  
International Physical Activity Questionnaire ◽  
Short Form ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Self Report ◽  
Cross Sectional ◽  
Food Frequency ◽  
Consecutive Sampling ◽  
Hand Dynamometer ◽  
Activity Questionnaire

Latar Belakang: Sarkopenia erat kaitannya dengan aktivitas fisik dan komposisi tubuh terutama persen lemak tubuh. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan aktivitas fisik dan persen lemak tubuh dengan indikator sarkopenia.Metode: Penelitian ini merupakan studi cross sectional dengan 40 subjek usia 50-59 tahun yang dipilih dengan metode consecutive sampling pada warga penghuni rumah susun Karangroto. Subjek diukur tinggi badan dan berat badan untuk mengetahui status gizi. Indikator sarkopenia diamati dengan mengukur massa otot, kekuatan otot dan performa fisik. Massa otot dan persen lemak tubuh diukur dengan Bioelectrical Impedance Analysis (BIA), kekuatan otot diukur dengan Electronic Hand Dynamometer, performa fisik diukur dengan tes Time Up and Go (TUG), aktivitas fisik diukur dengan kuesioner self-report International Physical Activity Questionnaire (IPAQ) Short Form, dan asupan makanan diukur dengan kuesioner semi kuantitatif Food Frequency Questionnaire (FFQ). Analisis data menggunakan Tes Mann Whitney U, korelasi Pearson Product-Moment dan Rank Spearman.Hasil: Sebesar 62,5%; 47,5%; 52,5%; 52,5%; 2,5%; 40%; 5% subjek secara berurutan memiliki Indeks Massa Tubuh kategori obesitas, persen lemak kategori obesitas, aktivitas fisik sedang, asupan lemak lebih, massa otot rendah, kekuatan otot rendah dan performa fisik rendah. Terdapat perbedaan signifikan pada massa otot dan kekuatan otot antara laki-laki dan perempuan (p<0,001). Aktivitas sedentary berkorelasi negatif dengan massa otot (r -0,434; p 0,005), serta persen lemak dengan massa otot (r -0,356; p 0,024).Kesimpulan: Terdapat hubungan yang signifikan antara aktivitas sedentary dan persen lemak tubuh dengan indikator sarkopenia yaitu massa otot pada penghuni rumah susun Karangroto, Semarang.

scholarly journals Development and validation of the WebAd-Q Questionnaire to monitor adherence to HIV therapy

2018 ◽  
Vol 52 ◽  
pp. 62 ◽  
Author(s):  
Felipe Campos Vale ◽  
Ernani Tiaraju de Santa-Helena ◽  
Maria Altenfelder Santos ◽  
Wania Maria do Espirito Santo Carvalho ◽  
Paulo Rossi Menezes ◽  
...  
Keyword(s):  
Viral Load ◽  
Antiretroviral Therapy ◽  
Electronic Monitoring ◽  
The Other ◽  
Self Report ◽  
National Study ◽  
Hiv Therapy ◽  
Adherence Scale ◽  
And Performance ◽  
Development And Validation

OBJECTIVE: To present the development and validation of the WebAd-Q Questionnaire, a self-report instrument to monitor adherence to antiretroviral therapy in HIV/AIDS centers in Brazil. METHODS: The WebAd-Q is an electronic questionnaire that has three questions about the use of antiretrovirals in the last week. It was constructed from interviews and focus groups with 38 patients. Its validity was tested in a study with a sample of 90 adult patients on antiretroviral therapy for at least three months. We used electronic monitoring bottles, pill counting, and self-report interview to compare adherence. The WebAd-Q was answered on the sixtieth day, twice, with at least one hour of interval. The viral load of the patients was obtained from the service records. We have analyzed the agreement between the answers to the WebAd-Q, the associations, and the correlations with viral load and performance compared to other measures of adherence. RESULTS: Among the invited patients, 74 (82.2%) answered the WebAd-Q. No difficulties were reported to answer the questionnaire. The average answer time was 5 min 47 sec. The set of three questions of the WebAd-Q obtained agreement of 89.8%, with Kappa of 0.77 (95%CI 0.61–0.94). The non-adherence answers of the WebAd-Q were associated with detectable viral load. We obtained moderate viral load correlations with the non-adherence scale according to the WebAd-Q. For the three questions of the WebAd-Q, patients with non-adherence answers were also reported as less adherent according to the other measures of adherence. CONCLUSIONS: The WebAd-Q answered all the issues considered relevant in the validation of questionnaires, was well understood by patients, was associated with viral load, and obtained good agreement and good performance compared to the other measures. The feasibility analysis of its implementation still depends on a national study on its applicability.

scholarly journals Development and validation of continuity measures for inpatients receiving rehabilitation care

2018 ◽  
Vol 7 (4) ◽  
pp. 1
Author(s):  
Silvana L. Oliveira Sousa ◽  
Francesc Medina-Mirapeix ◽  
Pilar Escolar-Reina ◽  
Sean M. Collins ◽  
M. Carmen Lillo-Navarro
Keyword(s):  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Self Report ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Rehabilitation Care ◽  
Individual Measure ◽  
Relational Management ◽  
Test Retest Reliability ◽  
Development And Validation

Objective: The main goal of this study was to exemplify the development of a measure of continuity of care (COC) from inpatients’ perspective. This measure is focused on several aspects related to physiotherapy.Methods: A cross-sectional self-report based psychometric study was carried out in a public hospital in southeast Spain. One hundred and fifty two patients with neurological and orthopaedic disorders who received rehabilitation care during stay at hospital were included in the study. A self-report questionnaire was used to examine experiences of patients related to the three types of COC, relational, management and informational continuity. The questionnaire also includes questions about sociodemographic characteristics, patient/therapist affiliation and trust with therapist. To examine reliability were used test-retest and internal consistency. For validation analysis, there were used convergent and known group strategies.Results: Of the 19 indicators included, 13 were selected to demonstrate adequate reliability and validity. From these indicators were generated three composite measures (Relational, management and COC index) and one individual measure (Informational continuity). Test-retest reliability indicated excellent agreement (intraclass correlation coefficient [ICC] > 0.75) for the three indexes. The range of Cronbach’s value was from 0.60 to 0.73. Total scores of all the indexes were moderately correlated with the satisfaction scale (r > 0.30). Regarding the known groups, all indexes scores were similar for men and woman. However, significant differences were found for management index and for relational index, based on trust with therapist and patient/therapist affiliation, respectively.Conclusions: The continuity self-reported measures is a valid and reliable method to assessing the COC in hospitalized patients receiving physiotherapy.

scholarly journals Physical Functioning Before and After Total Hip Arthroplasty: Perception and Performance

2008 ◽  
Vol 88 (6) ◽  
pp. 712-719 ◽  
Author(s):  
Inge van den Akker-Scheek ◽  
Wiebren Zijlstra ◽  
Johan W Groothoff ◽  
Sjoerd K Bulstra ◽  
Martin Stevens
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Physical Functioning ◽  
Self Report ◽  
Total Hip ◽  
Pain Subscale ◽  
Before And After ◽  
And Performance ◽  
The Relationship ◽  
Over Time

Background and Purpose Self-report and performance-based measures of physical functioning in people before and after total hip arthroplasty seem to present different information. The relationship between these different measures is not well understood, and little information is available about changes in this relationship over time. The aims of this study were: (1) to determine the relationship between self-report and performance-based measures of physical functioning before and after total hip arthroplasty, (2) to assess the influence of pain on the relationship, and (3) to determine whether the relationship changes over time. Subjects and Methods Seventy-five subjects admitted for total hip arthroplasty were included and examined before and 6 and 26 weeks after surgery. The relationships between the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) physical functioning subscale and walking speed and gait variability were examined by use of generalized estimating equations, which included interactions with time and the WOMAC pain subscale. Results The relationship between self-report and performance-based measures of physical functioning was poor. Pain appeared to have a considerable influence on self-reported physical functioning. The relationship did not appear to change over time. Discussion and Conclusion The influence of pain on self-reported physical functioning serves as an explanation for the poor relationship between self-reported and performance-based physical functioning. When using a self-report measure such as the WOMAC, one should realize that it does not seem to assess the separate constructs—physical functioning and pain—that are claimed to be measured.

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