Responsiveness analysis: a psychometric consideration in evaluating patient-reported outcome measures

Perera, Chinthana; Cader, Mizaya

doi:10.4038/jccpsl.v26i2.8316

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…For the combined effect size of VR, we obtained a medium effect size of 0.37. However, according to previous studies, an effect size of ≥0.5 is considered clinically significant ( Han & Yun, 2020 ; Perera & Cader, 2020 ); therefore, our study’s results are insufficient to confirm the effect of VR on ADL in children with CP.…”

Section: Discussionmentioning

confidence: 58%

Effectiveness of virtual reality on activities of daily living in children with cerebral palsy: a systematic review and meta-analysis

Han,

Park

2023

PeerJ

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Background No meta-analysis has been conducted on the effect of specific virtual reality (VR) treatment modes on activities of daily living (ADL) in children with cerebral palsy (CP). Therefore, this study aimed to confirm whether VR therapy is effective in improving ADL in children with CP according to subgroups. Methodology Literature published in the Cumulated Index to Nursing and Allied Health Literature (CINAHL), Embase, the Physiotherapy Evidence Database (PEDro), and PubMed was reviewed, and Risk of Bias 2.0 (RoB 2) was used to evaluate the quality of the literature. A funnel plot was visually observed to confirm publication bias, supplemented with Egger’s regression test. Data analysis was performed using R version 4.2.1. Subgroup analysis was performed according to the Gross Motor Function Classification System (GMFCS), the Manual Ability Classification System (MACS), treatment minutes per week, treatment period, age, and RoB. Results Eleven of 2,978 studies were included, and the overall effect size was 0.37 (95% confidence interval = 0.17–0.57). Regarding GMFCS, effect sizes of 0.41 and 0.33 was observed for the low- and high-function groups, respectively. For MACS, 0.27 and 0.43 were observed for the low and high-function groups. Regarding treatment minutes per week, the values were 0.22, 0.44, and 0.27 in the 1–100, 101–200, and 201–300 min groups, respectively. In the classification according to age, 0.29 was observed for school-age children and 0.98 for preschool children. Lastly, in the classification according to the RoB, 0.52, −0.01, and 0.23 indicated studies with low risk, some concern, and high risk, respectively. Conclusions The highest effect was observed when VR was applied within 6 weeks of 101-200 per week. Therefore, it is suggested that if the results of this review are applied to children with cerebral palsy in the community, it will be an effective intervention method. Systematic review registration PROPEROS (registration number CRD42023409801).

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Section: Discussionmentioning

confidence: 58%

Effectiveness of virtual reality on activities of daily living in children with cerebral palsy: a systematic review and meta-analysis

Han,

Park

2023

PeerJ

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“…Hedge g value was used, and effect sizes of ≤ 0.3, ~ 0.5, ≥ 0.8, and ≥ 1.3 were set as small, moderate, large, and very large effect sizes, respectively. [ 36 ] When an effect size of ≥ 0.5 was observed in various fields, including health and medical care, it was judged as clinically meaningful, [ 37 , 38 ] and the effect size of each study was analyzed based on the 95% confidence intervals. [ 39 , 40 ] And, because the distribution effect sizes in visual observation was inconsistent and the methodological characteristics of the included studies were different, a random effects model was used.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of whole-body vibration in patients with cerebral palsy: A systematic review and meta-analysis

Han,

Kim

2023

Medicine

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Background: This study examined the effects of systemic vibration exercises on cerebral palsy patients. Methods: Literature published in Cumulated Index to Nursing and Allied Health Literature (CINAHL), Cochrane library, Embase, Physiotherapy Evidence Database (PEDro), and PubMed was reviewed. A total of 2978 studies were initially retrieved. After further reading of the full texts 17 articles were finally included. A quality assessment of the included studies was conducted using the risk of bias (RoB) 2.0, and the Funnel plot and the Egger test were conducted to confirm the publication bias. Subgroup analysis was carried out according to the dependent variables, the international classification of functioning, disability, and health (ICF), frequency, treatment period and age. Results: The overall effect size of homogeneity was 0.474 (CI = 0.148–0.801). The analysis of the dependent variables showed the following order of the effect size: balance, muscle strength, spasticity, bone density, range of motion of the joint, gait function, and motor function. In the ICF classification, the effect size was observed to follow the order of body structure and function, activity, and participation. The effect size in the intervention according to the treatment period showed the following order: 7 to 12 weeks, 1 to 6 weeks, and 14 to 24 weeks. The age-dependent classification showed the following order in the effect size: school age, adolescent and adult, and infant and school age. Conclusions: Systemic vibration is the most effective intervention to improve the balance and gait in patients with cerebral palsy and improve the body structure and function according to the ICF.

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Responsiveness analysis: a psychometric consideration in evaluating patient-reported outcome measures

Cited by 2 publications

References 13 publications

Effectiveness of virtual reality on activities of daily living in children with cerebral palsy: a systematic review and meta-analysis

Effectiveness of virtual reality on activities of daily living in children with cerebral palsy: a systematic review and meta-analysis

Effectiveness of whole-body vibration in patients with cerebral palsy: A systematic review and meta-analysis

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