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dc.contributor.authorGandek, Barbara
dc.contributor.authorSinclair, Samuel J.
dc.contributor.authorJette, Alan M.
dc.contributor.authorWare, John E. Jr.
dc.date2022-08-11T08:10:41.000
dc.date.accessioned2022-08-23T17:16:44Z
dc.date.available2022-08-23T17:16:44Z
dc.date.issued2006-10-13
dc.date.submitted2010-06-18
dc.identifier.citationAm J Phys Med Rehabil. 2007 Jan;86(1):57-71. <a href="http://dx.doi.org/10.1097/01.phm.0000233200.43822.21">Link to article on publisher's site</a>
dc.identifier.issn0894-9115 (Linking)
dc.identifier.doi10.1097/01.phm.0000233200.43822.21
dc.identifier.pmid17033591
dc.identifier.urihttp://hdl.handle.net/20.500.14038/47466
dc.description.abstractOBJECTIVE: To evaluate a patient-reported participation measure constructed within the framework of the International Classification of Functioning, Disability, and Health. DESIGN: The Participation Measure for Post-Acute Care (PM-PAC) contains 51 items that assess participation in nine domains: mobility; role functioning; community, social, and civic life; domestic life/self-care; economic life; interpersonal relationships; communication; work; and education. Self-reported data were collected by interview with 395 noninstitutionalized rehabilitation patients. Psychometric analyses were conducted to test assumptions underlying the scaling and scoring of PM-PAC scales and to evaluate reliability and validity. RESULTS: In general, analyses supported assignment of items to hypothesized scales. However, the community, social, and civic life, interpersonal relationships, and communication domains were highly correlated. Item response theory models indicated that items were directed primarily at people with worse than average limitations in participation than the average patient in this rehabilitation sample. Test and retest scale scores did not differ significantly (intraclass correlation coefficient range, 0.61-0.86). Groups with more severe conditions scored worse on PM-PAC scales, as hypothesized. CONCLUSIONS: PM-PAC is a promising new measure of patient-reported participation as defined by the International Classification of Functioning, Disability, and Health. Information about PM-PAC items from this study will be useful in developing a computerized, adaptive measure of participation.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=17033591&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1097/01.phm.0000233200.43822.21
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectCommunication
dc.subjectDisability Evaluation
dc.subjectFemale
dc.subjectHumans
dc.subjectInterpersonal Relations
dc.subjectInterviews as Topic
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectModels, Theoretical
dc.subjectMusculoskeletal Diseases
dc.subjectNervous System Diseases
dc.subjectOutcome Assessment (Health Care)
dc.subjectPsychometrics
dc.subject*Quality of Life
dc.subjectQuestionnaires
dc.subjectSelf Assessment (Psychology)
dc.subject*Sickness Impact Profile
dc.subject*Subacute Care
dc.subjectTime Factors
dc.subjectBiostatistics
dc.subjectEpidemiology
dc.subjectHealth Services Research
dc.titleDevelopment and initial psychometric evaluation of the participation measure for post-acute care (PM-PAC)
dc.typeJournal Article
dc.source.journaltitleAmerican journal of physical medicine and rehabilitation / Association of Academic Physiatrists
dc.source.volume86
dc.source.issue1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/603
dc.identifier.contextkey1363438
html.description.abstract<p>OBJECTIVE: To evaluate a patient-reported participation measure constructed within the framework of the International Classification of Functioning, Disability, and Health.</p> <p>DESIGN: The Participation Measure for Post-Acute Care (PM-PAC) contains 51 items that assess participation in nine domains: mobility; role functioning; community, social, and civic life; domestic life/self-care; economic life; interpersonal relationships; communication; work; and education. Self-reported data were collected by interview with 395 noninstitutionalized rehabilitation patients. Psychometric analyses were conducted to test assumptions underlying the scaling and scoring of PM-PAC scales and to evaluate reliability and validity.</p> <p>RESULTS: In general, analyses supported assignment of items to hypothesized scales. However, the community, social, and civic life, interpersonal relationships, and communication domains were highly correlated. Item response theory models indicated that items were directed primarily at people with worse than average limitations in participation than the average patient in this rehabilitation sample. Test and retest scale scores did not differ significantly (intraclass correlation coefficient range, 0.61-0.86). Groups with more severe conditions scored worse on PM-PAC scales, as hypothesized.</p> <p>CONCLUSIONS: PM-PAC is a promising new measure of patient-reported participation as defined by the International Classification of Functioning, Disability, and Health. Information about PM-PAC items from this study will be useful in developing a computerized, adaptive measure of participation.</p>
dc.identifier.submissionpathqhs_pp/603
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pages57-71


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