Important-performance analysis to conceptualize goal priorities in community dwelling stroke survivors

Hay, Catherine Cooper; Pappadis, Monique R.; Sander, Angelle M.; Weller, Susan C.; Wang, Wanyi; Reistetter, Timothy

doi:10.1080/10749357.2021.1928838

Cited by 3 publications

(2 citation statements)

References 37 publications

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“…Importance–performance analysis (IPA), developed by Martilla and James in 1977, helps understand the prioritization of services for improving customer satisfaction [ 12 ]. IPA has been used in business domain as well as medical and public health fields, as an approach to enhance patient satisfaction and health [ 13 , 14 ].…”

Section: Purposementioning

confidence: 99%

Urinary tract symptoms that should be improved to enhance post-operative urinary quality of life in patients treated with low-dose-rate brachytherapy for prostate cancer: An importance–performance analysis

Sakurai,

Takamatsu,

Shibata

et al. 2024

jcb

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Purpose To evaluate international prostate symptom score and urinary quality of life in patients with prostate cancer who underwent low-dose-rate brachytherapy, and to identify lower urinary tract symptoms that must be improved to enhance post-operative urinary quality of life and factors associated with lower urinary tract symptoms. Material and methods This study included 193 patients who underwent low-dose-rate brachytherapy alone (145 Gy). Importance–performance analysis was conducted to identify lower urinary tract symptoms that should be prioritized to improve urinary quality of life. Association between lower urinary tract symptom scores and each factor was investigated. Receiver operating characteristic curve analysis was used to evaluate dosimetric parameters related to lower urinary tract symptom score to predict an average score of ≥ 3. Cut-off values were determined. Results One to nine months post-implantation was a period of significantly increased urinary quality of life scores compared with baseline ( p < 0.05 each). The importance–performance analysis conducted for 1-9 months revealed that frequency, nocturia, and weak stream required improvement. Multivariate analysis showed that each lower urinary tract symptom score presented a significant association with its baseline value ( p < 0.001 each, positive correlation). Frequency, incomplete emptying, urgency, and straining scores were significantly associated with prostate volume, whereas weak stream and intermittency scores were associated with dose covering 90% of the prostate and dose covering 90% of the urethra, respectively ( p < 0.05 each, positive correlations). Cut-off values for these doses were 167.01 Gy and 136.84 Gy, respectively. Conclusions This study highlights the importance of prioritizing specific lower urinary tract symptoms for improvement in post-operative urinary quality of life, and identifies the associated factors that can help in personalized treatment planning and goal-setting for better patient satisfaction.

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Section: Purposementioning

confidence: 99%

Urinary tract symptoms that should be improved to enhance post-operative urinary quality of life in patients treated with low-dose-rate brachytherapy for prostate cancer: An importance–performance analysis

Sakurai,

Takamatsu,

Shibata

et al. 2024

jcb

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“…Additionally, many PwCS report a fear of falling 2 and reduced walking balance self-efficacy 3 , each linked to decreased community participation and quality of life [3][4][5][6][7][8][9] . Likely as a result of this functional importance, balance improvements are a primary rehabilitation goal 10 .…”

Section: Introductionmentioning

confidence: 99%

Relationships between mediolateral step modulation and clinical balance measures in people with chronic stroke

Howard

Reimold

Knight

et al. 2022

Preprint

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BackgroundMany people with chronic stroke exhibit walking balance deficits, which are linked with increased fall risk and decreased balance confidence. One potential contributor to these deficits is a decreased ability to adjust where the paretic foot is placed based on pelvis motion, which is an important factor in mediolateral walking balance.ObjectiveThe objective of this study was to investigate altered stepping behavior for steps taken with the paretic leg, and to explore the relationship between this behavior and clinical measures of balance and balance confidence.Methods.93 individuals with chronic stroke walked on a treadmill and completed a series of common clinical tests. We used partial correlations to quantify the step-by-step relationship between mediolateral pelvis displacement and both step width (ρSW) and mediolateral foot placement relative to the pelvis (ρFP), a metric that focuses on swing leg repositioning.ResultsρSW was weaker for steps taken with the paretic leg, whereas ρFP did not differ between non-paretic and paretic steps. Participants who walked faster had larger ρSW and ρFP values, but instructing participants to walk faster did not consistently increase ρSW or ρFP for paretic steps. Significant, albeit weak, relationships were observed between paretic ρSW and Functional Gait Assessment score, as well as between paretic ρFP and Activities-Specific Balance Confidence score, fear of falling, and fall history.ConclusionsA reduced ability to adjust where the paretic foot lands when taking a step may discourage fast walking speeds after a stroke and contribute to clinical observations of decreased walking balance.

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Applying a new Importance-Unsatisfaction-Improvement theory to prioritizing improvement alternatives for a sustainable port

Chou

2024

Research in Transportation Business & Management

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Important-performance analysis to conceptualize goal priorities in community dwelling stroke survivors

Cited by 3 publications

References 37 publications

Urinary tract symptoms that should be improved to enhance post-operative urinary quality of life in patients treated with low-dose-rate brachytherapy for prostate cancer: An importance–performance analysis

Urinary tract symptoms that should be improved to enhance post-operative urinary quality of life in patients treated with low-dose-rate brachytherapy for prostate cancer: An importance–performance analysis

Relationships between mediolateral step modulation and clinical balance measures in people with chronic stroke

Applying a new Importance-Unsatisfaction-Improvement theory to prioritizing improvement alternatives for a sustainable port

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