Exploring the Relation Between Impairment Rating by AMA Guide and Activity and Participation Based on ICF in the Patients with Hand Injuries

Farzad, Maryam; Asgari, Ali; Layeghi, Fereydoun; Yazdani, Farzaneh; Hosseini, Seyyed Ali; Rassafiani, Mehdi; Kus, Sandra

doi:10.1007/s12593-015-0197-z

Cited by 5 publications

(3 citation statements)

References 34 publications

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“…However, it has been reported that pain may not be directly associated with either instrumental support or social participation. Rather, the association may be fully by way of activity limitations, as reported in clinical OA, community OA samples, and other non‐OA samples (43–47). The findings of these previous studies suggest that limitations in undertaking tasks and activities of daily living play a critical mediating role in the relationship between pain and reduced social participation.…”

Section: Discussionmentioning

confidence: 99%

Understanding the Association Between Osteoarthritis and Social Participation: The Canadian Longitudinal Study on Aging

Perruccio

Yip

Power

et al. 2021

Arthritis Care & Research

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Objective The focus on disability in osteoarthritis (OA) has largely been on the ability to perform specific activities, which neglects the greater implications for social participation. We investigated the association between OA and social participation, considering activity limitations and instrumental supports as intervening variables in the association. Methods Data were from 21,214 respondents, ages 45–85 years, from cycle 1 of the Canadian Longitudinal Study on Aging. The questionnaire elicited information regarding self‐reported doctor‐diagnosed OA, difficulty with 14 activities, perceived availability and receipt of instrumental supports, and 17 social participation activities. Structural equation modeling was used. The primary outcome was social participation, and the primary predictor was OA. The intervening variables included activity limitations, received instrumental supports, and perceived instrumental supports. Latent variables were developed for intervening and social participation variables. The covariates included age, sex, body mass index, income, education, smoking, and comorbidity count. Results The mean age of the respondents was 63 years, 51% were female, and 26.5% reported having OA. Two distinct social participation indicators were identified, including social participation–diversity and social participation–intensity. When intervening variables were not considered, minimal/no association was found between OA and social participation. When intervening variables were considered, unique pathways linking OA and social participation were found. The overall negative association between activity limitations and social participation was partially direct and partially buffered by both receipt of and perceived availability of instrumental supports. In the absence of activity limitations, OA was associated with greater social participation. Conclusion Enhanced social participation in people with OA who do not have activity limitations may reflect proactive steps taken by those with mild OA to maintain activity and social engagement. For those with activity limitations, findings highlight the need for interventions to mitigate limitations and draw particular attention to the importance of both provision and awareness of available instrumental supports in maintaining social participation.

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Section: Discussionmentioning

confidence: 99%

Understanding the Association Between Osteoarthritis and Social Participation: The Canadian Longitudinal Study on Aging

Perruccio

Yip

Power

et al. 2021

Arthritis Care & Research

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“…Although there is no hand outcome measure that captures all the items from the ICF Hand Core Set, 36 the PRWHE covers all 3 domains of function based on the ICF. 35 Because participation is an overarching goal related to the level of impairment and activity and is highly influenced by personal and environmental factors, 37 , 38 it is appropriate to be evaluated as a different subscale. Therefore, when considering the CFA and theoretical models, the structure of the PRWHE is supported.…”

Section: Discussionmentioning

confidence: 99%

Validation of Persian Version of Patient-Rated Wrist and Hand Evaluation: Confirmatory Factor Analysis and Rasch Analysis

Farzad

MacDermid

et al. 2020

Archives of Rehabilitation Research and Clinical Translation

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Objectives To determine the factor structure and test the clinometric properties of wrist and hand version of the Patient-Rated Wrist Evaluation. Design Cross-sectional study using Rasch analysis and factor analysis. Confirmatory factor analysis was conducted to assess the factor structure. Higher-order factor analysis was used to explore the hierarchical structure of the items. The Rasch model was used to assess the overall fit, reliability, validity, and construct unidimensionality. Rasch analysis and factor analysis were conducted using RUMM2030 and LISREL software, respectively. Setting Outpatient hand rehabilitation clinic. Participants A convenience sample of patients (N=206) with various hand injuries who completed the Persian version of the Patient-Rated Wrist and Hand Evaluation (PRWHE-P) at 2 months postinjury. The study included 66 men and 139 women, with a mean age of 40 years. Intervention Not applicable. Main Outcome Measures The PRWHE-P was used as a patient-reported measure of pain and disability in wrist and hand conditions. Results Factor analysis confirmed 3-factor models of the PRWHE-P. Items fit well to the Rasch model in 3 subscales. The PRWHE-P had a good item reliability (0.82) and good internal consistency (0.8). No differential item functioning was detected for age, sex, dominant hand, or injured hand. Conclusions The results of this study indicated that the PRWHE-P with 3 sub scales is a reliable and valid measurement tool and could be used in patients with different wrist and hand disabilities.

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“…The content of four extracted subscales indicated that the PBQ could evaluate participation comprehensively in patients with hand injuries. Many standard outcome measures are used in practice and specially designed to evaluate participation; however, their items do not fully capture the construct of participation in patients with hand injuries [36]. There are also some generic measures to evaluate participation [37][38][39].…”

Section: Plos Onementioning

confidence: 99%

Factor structure of Participation Behavioural Questionnaire (PBQ) in patients with hand injuries

2023

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Background Participation is considered a critical outcome of successful rehabilitation and should be evaluated. Objective We aimed to evaluate the structural validity of the Participation Behaviour Questionnaire (PBQ) in people with hand injuries. Methodology The PBQ contains 30 items that measure participation as conceptualized in the ICF. PBQ was developed with Rasch analysis to measure participation in hand injured. A sample of 404 patients with hand injuries and a mean age of 37 (16.0) participated and was randomly split for exploratory and confirmatory factor analysis (EFA/CFA). Results Both EFA and CFA confirmed a four factor-solution. These factors were named: Social Participation and Interpersonal Relationships, Autonomy and Role, Subjective Satisfaction with Participation, Recreational, Sport, and Leisure Time. The value of Cronbach’s alpha was 0.96 for the total scale and >0.85 for each subscale. Conclusions The structural validity of the PBQ was confirmed using both EFA and CFA. The PBQ measures four dimensions of participation.

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Exploring the Relation Between Impairment Rating by AMA Guide and Activity and Participation Based on ICF in the Patients with Hand Injuries

Cited by 5 publications

References 34 publications

Understanding the Association Between Osteoarthritis and Social Participation: The Canadian Longitudinal Study on Aging

Understanding the Association Between Osteoarthritis and Social Participation: The Canadian Longitudinal Study on Aging

Validation of Persian Version of Patient-Rated Wrist and Hand Evaluation: Confirmatory Factor Analysis and Rasch Analysis

Factor structure of Participation Behavioural Questionnaire (PBQ) in patients with hand injuries

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