Telephone reliability of the Frenchay Activity Index and EQ-5D amongst older adults

McPhail, Steven; Lane, Paul; Russell, Trevor; Brauer, Sandra G.; Urry, Stephen R.; Jasiewicz, Jan M.; Condie, Peter; Haines, Terrence Peter

doi:10.1186/1477-7525-7-48

Cited by 61 publications

(60 citation statements)

References 36 publications

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“…17 Responses for proxy and patients at 6 months after stroke are similar. 18 In this study, we reported the EQ-5D visual analogue scale (VAS) as an overall measure of HRQoL.…”

mentioning

confidence: 70%

“…10 HRQoL was assessed with the EuroQoL 5-dimensional questionnaire (ie, EQ-5D-3L) 16 which is applicable to most conditions, designed to be self-administered, and has good reliability for telephone administration. 17 Responses for proxy and patients at 6 months after stroke are similar. 18 In this study, we reported the EQ-5D visual analogue scale (VAS) as an overall measure of HRQoL.…”

Section: Patient Outcomesmentioning

confidence: 94%

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Quality of Acute Care and Long-Term Quality of Life and Survival

Cadilhac

Andrew

Lannin

et al. 2017

Stroke

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Stroke is a leading cause of death and adult disability, worldwide. Variability in the care provided to patients admitted to hospital with acute stroke can affect their recovery and is inefficient.1,2 Most studies of the outcomes after hospital care have focused on survival, discharge destination, or disability in the short term. Research on the quality of hospital Background and Purpose-Uncertainty exists over whether quality improvement strategies translate into better healthrelated quality of life (HRQoL) and survival after acute stroke. We aimed to determine the association of best practice recommended interventions and outcomes after stroke. Methods-Data are from the Australian Stroke Clinical Registry during 2010 to 2014. Multivariable regression was used to determine associations between 3 interventions: received acute stroke unit (ASU) care and in various combinations with prescribed antihypertensive medication at discharge, provision of a discharge care plan, and outcomes of survival and HRQoL (EuroQoL 5-dimensional questionnaire visual analogue scale) at 180 days, by stroke type. An assessment was also made of outcomes related to the number of processes patients received. Results-There were 17 585 stroke admissions (median age 77 years, 47% female; 81% managed in ASUs; 80% ischemic stroke) from 42 hospitals (77% metropolitan) assessed. Cumulative benefits on outcomes related to the number of care processes received by patients. ASU care was associated with a reduced likelihood of death (hazard ratio, 0.49; 95% confidence interval, 0.43-0.56) and better HRQoL (coefficient, 21.34; 95% confidence interval, 15.50-27.18) within 180 days. For those discharged from hospital, receiving ASU+antihypertensive medication provided greater 180-day survival (hazard ratio, 0.45; 95% confidence interval, 0.38-0.52) compared with ASU care alone (hazard ratio, 0.64; 95% confidence interval, 0.54-0.76). HRQoL gains were greatest for patients with intracerebral hemorrhage who received care bundles involving discharge processes (range of increase, 11%-19%). We aimed to determine the relationship between receiving combinations of 3 recommended processes of acute care in hospital (referred herein as quality indicators) and patient outcomes ≤180 days after the onset of stroke, assessing the differences by stroke type. Conclusions-Patients MethodsThe data were from 42 hospitals participating in the Australian Stroke Clinical Registry (AuSCR) between 2010 and 2014. Staff from participating hospitals enter the data prospectively using the online system. Information includes patient characteristics, quality indicators, and health outcome measures.9,10 Longer-term patient outcomes are obtained centrally by AuSCR staff using survey methods (eg, for HRQoL) or annual data linkage to national death registrations.Eligible patients were aged ≥18 years with a diagnosis of ischemic stroke, intracerebral hemorrhage (ICH), or stroke of undetermined cause recorded by clinicians in the AuSCR database. For this study, the preference was to use ...

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“…17 Responses for proxy and patients at 6 months after stroke are similar. 18 In this study, we reported the EQ-5D visual analogue scale (VAS) as an overall measure of HRQoL.…”

mentioning

confidence: 70%

Section: Patient Outcomesmentioning

confidence: 94%

Quality of Acute Care and Long-Term Quality of Life and Survival

Cadilhac

Andrew

Lannin

et al. 2017

Stroke

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“…Clinicians should therefore be aware of the test-retest error of an assessment tool not only due to the "clinician error" component but also due to the "patient performance" variation between sessions. Similarly, determining the most appropriate time duration between the test and retest assessments for investigations of this nature is impacted by two considerations [31]. First, a longer time between assessments may lead to a greater risk of a true change in scapular positioning occurring.…”

Section: Discussionmentioning

confidence: 99%

Intratherapist Reliability in the Rating of Scapula Posture in Multiple Planes of Reference

McPhail

Dalland

et al. 2012

ISRN Rehabilitation

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Background. Evaluation of scapular posture is a fundamental component in the clinical evaluation of the upper quadrant. This study examined the intrarater reliability of scapular posture ratings. Methods. A test-retest reliability investigation was undertaken with one week between assessment sessions. At each session physical therapists conducted visual assessments of scapula posture (relative to the thorax) in five different scapula postural planes (plane of scapula, sagittal plane, transverse plane, horizontal plane, and vertical plane). These five plane ratings were performed for four different scapular posture perturbating conditions (rest, isometric shoulder; flexion, abduction, and external rotation). Results. A total of 100 complete scapular posture ratings (50 left, 50 right) were undertaken at each assessment. The observed agreement between the test and retest postural plane ratings ranged from 59% to 87%; 16 of the 20 plane-condition combinations exceeded 75% observed agreement. Kappa (and prevalence adjusted bias adjusted kappa) values were inconsistent across the postural planes and perturbating conditions. Conclusions. This investigation generally revealed fair to moderate intrarater reliability in the rating of scapular posture by visual inspection. However, enough disagreement between assessments was present to warrant caution when interpreting perceived changes in scapula position between longitudinal assessments using visual inspection alone.

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“…A 12-month telephone follow-up assessment was also completed by researches blinded to participant group allocation using a telephone version of the EQ-5D with VAS instrument, whilst also enquiring of sustained adherence to the allocated intervention [20]. Study approval was granted by local hospital and university ethics committees, and the trial was registered with the Australia New Zealand Clinical Trials Registry (ACTRN12606000047594).…”

Section: Methodsmentioning

confidence: 99%

Multimodal exercise improves quality of life of women being treated for breast cancer, but at what cost? Randomized trial with economic evaluation

Haines

Sinnamon

Wetzig

et al. 2010

Breast Cancer Res Treat

102

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To evaluate the efficacy and economic efficiency of a multimedia, multimodal physical activity program for women undergoing adjuvant therapy following surgery for breast cancer. We conducted a randomized trial with concurrent incremental cost-effectiveness analysis and blinded baseline, 3, 6 and 12-month follow-up assessments amongst women undergoing adjuvant therapy following surgery for breast cancer (n = 89). The intervention was a multimedia, multimodal exercise program comprising strength, balance and endurance training elements. The control was sham flexibility and relaxation program delivered using similar materials. The primary outcome was health-related quality of life (EQ-5D & VAS, EORTC C30, BR23). Economic outcomes included direct health care costs and productivity gains and losses. Participants in the intervention group demonstrated greater improvement in health-related quality of life between baseline and the 3-month assessment [mean (sd) EQ-5D VAS (0-100) baseline: 72.6 (15.6), 3 month: 80.6 (11.6)] when compared to control group participants [baseline: 77.5 (13.5), 3 month: 74.1 (20.6), P = 0.006] and also improved more in terms of physical function [mean (sd) EORTC C30 physical function scale intervention (0-100) baseline: 84.9 (14.8), 3 month: 86.9 (10.7), control baseline: 91.3 (9.6), 3 month: 86.7 (14.9), P = 0.02]. These improvements were not sustained beyond this point. Upper limb volumes were also lower amongst intervention group participants. However, there was low probability that the intervention would be both less costly and more effective than the control condition (range probability = 0.05-50.02% depending on approach). Provision of multimodal exercise programs will improve the short-term health of women undergoing adjuvant therapy for breast cancer but are of questionable economic efficiency.

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Telephone reliability of the Frenchay Activity Index and EQ-5D amongst older adults

Cited by 61 publications

References 36 publications

Quality of Acute Care and Long-Term Quality of Life and Survival

Quality of Acute Care and Long-Term Quality of Life and Survival

Intratherapist Reliability in the Rating of Scapula Posture in Multiple Planes of Reference

Multimodal exercise improves quality of life of women being treated for breast cancer, but at what cost? Randomized trial with economic evaluation

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