| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
III STEP Series |
SM Haley, PT, PhD, is Associate Director, Health and Disability Research Institute, Boston University, Boston, Mass, and Director of Research, Research Center for Children With Special Health Care Needs, Franciscan Hospital for Children, Boston, Mass
MA Fragala-Pinkham, PT, MS, is Research Associate, Health and Disability Research Institute, Boston University, and Clinical Researcher, Research Center for Children With Special Health Care Needs, Franciscan Hospital for Children
(smhaley{at}bu.edu) Address all correspondence to Dr Haley at Health and Disability Research Institute, Boston University, 53 Bay State Rd, Boston, MA 02215 (USA)
Over the past decade, the methods and science used to describe changes in outcomes of physical therapy services have become more refined. Recently, emphasis has been placed not only on changes beyond expected measurement error, but also on the identification of changes that make a real difference in the lives of patients and families. This article will highlight a case example of how to determine and interpret "clinically significant change" from both of these perspectives. The authors also examine how to use item maps within an item response theory model to enhance the interpretation of change at a content level. Recommendations are provided for physical therapists who are interpreting changes in the context of clinical practice, case reports, and intervention research. These recommendations include a greater application of indexes that help interpret the meaning of clinically significant change to multiple clinical, research, consumer, and payer communities.
Key Words: Health status • Measurement: applied • Outcome assessment (health care) • Pediatrics • Physical disability • Professional issues
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
|
|
 |
|
  K.-c. Lin, Y.-w. Hsieh, C.-y. Wu, C.-l. Chen, Y. Jang, and J.-s. Liu Minimal Detectable Change and Clinically Important Difference of the Wolf Motor Function Test in Stroke Patients Neurorehabil Neural Repair, June 1, 2009; 23(5): 429 - 434. [Abstract] [PDF]
|
|
|
|
 |
|
 M. P.J. Huijbregts, G. F. Teare, C. McCullough, T. M. Kay, D. Streiner, S. K.C. Wong, S. E. McEwen, and I. Otten Standardization of the Continuing Care Activity Measure: A Multicenter Study to Assess Reliability, Validity, and Ability to Measure Change Physical Therapy, June 1, 2009; 89(6): 546 - 555. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. D. Ries, J. L. Echternach, L. Nof, and M. Gagnon Blodgett Test-Retest Reliability and Minimal Detectable Change Scores for the Timed "Up & Go" Test, the Six-Minute Walk Test, and Gait Speed in People With Alzheimer Disease Physical Therapy, June 1, 2009; 89(6): 569 - 579. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C.-W. C. Lin, A. M. Moseley, K. M. Refshauge, and A. C. Bundy The Lower Extremity Functional Scale Has Good Clinimetric Properties in People With Ankle Fracture Physical Therapy, June 1, 2009; 89(6): 580 - 588. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. E. Harris, J. J. Eng, W. C. Miller, and A. S. Dawson A Self-Administered Graded Repetitive Arm Supplementary Program (GRASP) Improves Arm Function During Inpatient Stroke Rehabilitation: A Multi-Site Randomized Controlled Trial Stroke, June 1, 2009; 40(6): 2123 - 2128. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Rand, J. J. Eng, P.-F. Tang, J.-S. Jeng, and C. Hung How Active Are People With Stroke?: Use of Accelerometers to Assess Physical Activity Stroke, January 1, 2009; 40(1): 163 - 168. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. M. Jette, S. M. Haley, P. Ni, S. Olarsch, and R. Moed Creating a Computer Adaptive Test Version of the Late-Life Function and Disability Instrument J. Gerontol. A Biol. Sci. Med. Sci., November 1, 2008; 63(11): 1246 - 1256. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. L. Stout, J. R. Gage, M. H. Schwartz, and T. F. Novacheck Distal Femoral Extension Osteotomy and Patellar Tendon Advancement to Treat Persistent Crouch Gait in Cerebral Palsy J. Bone Joint Surg. Am., November 1, 2008; 90(11): 2470 - 2484. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M Jette Invited Commentary Physical Therapy, July 1, 2008; 88(7): 851 - 853. [Full Text] [PDF]
|
|
|
|
|
|
T. Steffen and M. Seney Test-Retest Reliability and Minimal Detectable Change on Balance and Ambulation Tests, the 36-Item Short-Form Health Survey, and the Unified Parkinson Disease Rating Scale in People With Parkinsonism Physical Therapy, June 1, 2008; 88(6): 733 - 746. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M Wagner, J. A Rhodes, and C. Patten Reproducibility and Minimal Detectable Change of Three-Dimensional Kinematic Analysis of Reaching Tasks in People With Hemiparesis After Stroke Physical Therapy, May 1, 2008; 88(5): 652 - 663. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Paltamaa, T. Sarasoja, E. Leskinen, J. Wikstrom, and E. Malkia Measuring Deterioration in International Classification of Functioning Domains of People With Multiple Sclerosis Who Are Ambulatory Physical Therapy, February 1, 2008; 88(2): 176 - 190. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y.-P. Chen, L.-J. Kang, T.-Y. Chuang, J.-L. Doong, S.-J. Lee, M.-W. Tsai, S.-F. Jeng, and W.-H. Sung Use of Virtual Reality to Improve Upper-Extremity Control in Children With Cerebral Palsy: A Single-Subject Design Physical Therapy, November 1, 2007; 87(11): 1441 - 1457. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. D Allen Author Response Physical Therapy, July 1, 2007; 87(7): 930 - 934. [Full Text] [PDF]
|
|
|
|
|
|
D. D Allen Responsiveness of the Movement Ability Measure: A Self-Report Instrument Proposed for Assessing the Effectiveness of Physical Therapy Intervention Physical Therapy, July 1, 2007; 87(7): 917 - 924. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M Jette, S. M Haley, W. Tao, P. Ni, R. Moed, D. Meyers, and M. Zurek Prospective Evaluation of the AM-PAC-CAT in Outpatient Rehabilitation Settings Physical Therapy, April 1, 2007; 87(4): 385 - 398. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Falla, G. Jull, T. Russell, B. Vicenzino, and P. Hodges Effect of Neck Exercise on Sitting Posture in Patients With Chronic Neck Pain Physical Therapy, April 1, 2007; 87(4): 408 - 417. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
