Feasibility and informativeness of the Patient-Specific Functional Scale with patients with Parkinson’s disease

Bohannon, Richard W.; Nair, Prajakta; Green, Michelle

doi:10.1080/09593985.2019.1571134

Cited by 9 publications

(13 citation statements)

References 8 publications

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“…As a result, the PSFS can be invaluable to clinicians and patients to establish cooperative treatment goals and problem-specific interventions. 17,21 The PSFS has been shown to be feasible, valid, reliable, and/or responsive in patients with musculoskeletal problems (eg, low back pain, knee dysfunction, and cervical radiculopathy), 24,25 Parkinson's disease, 17 and coronary artery disease. 26 In addition, a recent study on the validity and reliability of the PSFS in community-dwelling healthy older adults demonstrated adequate construct validity based on significantly fair to excellent correlations of the PSFS with self-reported and performance-based measures of physical function (Activity-specific Balance Confidence Scale [ABC], Lower Extremity Functional Scale, Short Physical Performance Battery [SPPB]: r = 0.37-0.81), as well as excellent test-retest reliability within 48 hours (intraclass correlation coefficient [ICC] = 0.82).…”

Section: Introductionmentioning

confidence: 99%

“…The particular value of the PSFS compared with other ADL scales with predefined items is its ability to assess patient-specific functional limitations that are most important to an individual patient. As a result, the PSFS can be invaluable to clinicians and patients to establish cooperative treatment goals and problem-specific interventions 17,21…”

Section: Introductionmentioning

confidence: 99%

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Construct Validity, Test-Retest Reliability, Sensitivity to Change, and Feasibility of the Patient-Specific Functional Scale in Acutely Hospitalized Older Patients With and Without Cognitive Impairment

Heldmann

Hummel

Bauknecht

et al. 2021

Journal of Geriatric Physical Therapy

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Background and Purpose: The Patient-Specific Functional Scale (PSFS) is an individualized patient-reported outcome measure designed to assess the limitations and changes in self-determined functional activities most important to an older patient in the acute care setting. However, its clinimetric properties have not yet been evaluated in these patients. The study aimed to investigate the construct validity, test-retest reliability, sensitivity to change, and feasibility of the PSFS in acutely hospitalized older patients with and without cognitive impairment (CI). Methods: The clinimetric properties of the PSFS were investigated by secondary data analysis from a prospective observational cohort study examining physical activity and mobility in acutely hospitalized older patients. In this analysis, 120 older patients—83.0 (6.4) years—with and without CI (Mini-Mental State Examination [MMSE] score 18-23, n = 52, and MMSE ≥24, n = 68, respectively) receiving early multidisciplinary geriatric rehabilitation in acute care were included. Construct validity was assessed by Spearman correlations (rs) with the Activity-specific Balance Confidence Scale (ABC-6), Short Falls Efficacy Scale-International (Short FES-I), EuroQoL-5 Dimensions (EQ-5D), Short Physical Performance Battery (SPPB), de Morton Mobility Index (DEMMI), and Barthel Index (BI); test-retest reliability within 24 hours by intraclass correlation coefficients (ICCs); sensitivity to change by standardized response means (SRMs) calculated for treatment effects, and feasibility by completion rates/times and floor/ceiling effects. Results: The PSFS showed fair to moderate correlations with all construct variables in patients with CI (rs = 0.31 to 0.53). In patients without CI, correlations were fair for the ABC-6, FES-I, EQ-5D, and BI (rs = |0.27 to 0.36|), but low for the SPPB and DEMMI (rs =−0.04 to 0.14). Test-retest reliability (both: ICC = 0.76) and sensitivity to change (CI: SRM = 1.10, non-CI: SRM = 0.89) were excellent in both subgroups. Excellent feasibility was documented by high completion rates (>94%), brief completion times (<8 min), and no floor/ceiling effects in either subgroup. Conclusions: The PSFS has adequate clinimetric properties for assessing patient-specific functional limitations and changes in acutely hospitalized older patients with and without CI. It might be an appropriate complement to traditional functional scales to enhance patient-centeredness in clinical geriatric assessment.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Construct Validity, Test-Retest Reliability, Sensitivity to Change, and Feasibility of the Patient-Specific Functional Scale in Acutely Hospitalized Older Patients With and Without Cognitive Impairment

Heldmann

Hummel

Bauknecht

et al. 2021

Journal of Geriatric Physical Therapy

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“…Bohannon and co-authors revealed that patients with PD identified 60 different activities they were unable to do or they were experiencing difficulties as a result of their PD ( Bohannon et al., 2020 ). Comparable outcome data is also of key importance in both research and clinical work.…”

Section: Discussionmentioning

confidence: 99%

Structured guideline-based physiotherapy reduces difficulties in activities of daily living in Parkinson’s disease

Medijainen

Lukmann

Taba

2022

NRE

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BACKGROUND: In the long term, Parkinson’s disease (PD) leads to the development of difficulties in daily functional tasks. There remains a paucity of evidence on the effectiveness of physiotherapy on patient-perceived difficulties regarding basic activities of daily living (ADL). OBJECTIVES: To assess an effect of a versatile physiotherapy intervention on patient-perceived difficulties in basic ADL. METHODS: The study sample included 24 patients (10 men and 14 women) with PD. Participants were randomly assigned into intervention (IG) and control groups (CG). Two assessments were performed with a gap of 10 weeks. Following first assessment, during an 8-week period, IG participants attended sixteen physiotherapy 60-minutes sessions in groups that were divided into five parts to address the core areas recommended by the European Physiotherapy Guideline for PD (EPGPD): gait, transfers, balance, physical capacity, and manual activities. The main assessment tool was the Modified Patients Specific Functional Scale (ModPSFS), which represents a self-assessment rating on difficulties perceived in 17 different commonly occurring activities. RESULTS: IG members reported a significant reduction in self-perceived difficulties as assessed by ModPSFS (effect size 1.39; 95%CI 5.1, 26.6 points, p = 0.005). CONCLUSIONS: 2-months conventional physiotherapy with incorporated core areas recommended in EPGPD for PD reduced patient-perceived difficulties in basic ADL.

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“…These findings may suggest that the PSFS may complement impairment-based, condition-specific outcome measures. While clinicians have a breadth of condition-specific outcome measures they can consider, the PSFS can provide additional insight into problems specific to the client that otherwise would not be captured if condition-specific questionnaires alone are used 32. Future studies should consider implementing a condition-specific outcome measure and an objective measure of motor function (eg, timed up and go) in addition to the patient-rated PSFS to further evaluate these proposed changes in patient clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…More recently it has been shown to be a valid and reliable tool for community-dwelling older adults, 23 and a feasible and informative tool for clients with Parkinson disease. 32 The PSFS was selected in this study because of the commonality of its use in clinical practice, moreover the ease of incorporating the PSFS into the subjective/clinical history. 22 Furthermore, it can aid the process of establishing patient-centered goals and problem-specific treatment.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the Impact of a Regional Student-Led Physiotherapy Clinic Model to Improve Self-Reported Function in Community-Dwelling Adults With Neurological Diagnoses

Hams

Bell

Jones

2022

Journal of Neurologic Physical Therapy

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Background and Purpose: Neurological conditions are a major cause of health morbidity that negatively impacts function and quality of life (QoL). Despite this burden, community services are disproportionally scarce. Student-led physiotherapy services (SLSs) are a model that can increase community access to health care while providing authentic clinical experiences for students. SLSs consistently demonstrate high client satisfaction; however, limited evaluation of the impact of this model on the client's clinical outcomes exists. Therefore the aim of this project was to evaluate the impact of a physiotherapy student-led community-based rehabilitation service. Methods: The SLS operated 4 days a week over a 15-week period. Forty-two community-dwelling clients (mean age 74 years) with a neurological diagnosis were included. During initial consultation, participants completed basic demographics, up to 3 Patient-Specific Functional Scales (PSFSs) and a QoL questionnaire (World Health Organization Quality of Life-Brief Questionnaire [WHOQOL-BREF]). At discharge, participants completed the WHOQOL-BREF, PSFS, and a patient experience survey. Risk event data were also collected. Results: Over half of the PSFS items targeted mobility (55%). There was a significant improvement (P < 0.05) in median change (quartiles) for pre-/post-PSFS scores for clients whose primary condition was balance 1.0 (0.0-3.0), cerebrovascular accident 1.0 (2.0-3.0) or multiple Sclerosis 1.0 (1.0-2.0), and mean (SD) WHOQOL-BREF scores for Physical Health (12.2 ± 1.5 to 13.1 ± 1.3) and Social Relationships (12.7 ± 2.7 to 16.6 ± 3.3). Patient experience survey results indicated that clients had confidence and trust in students. No adverse events were reported. Discussion and Conclusions: The SLS model provides a strategy to increase access to health care and clinical placement capacity. Findings demonstrated improved self-rated function, QoL, and positive patient experience for community-dwelling clients with nonacute neurological diagnoses. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A380).

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Feasibility and informativeness of the Patient-Specific Functional Scale with patients with Parkinson’s disease

Cited by 9 publications

References 8 publications

Construct Validity, Test-Retest Reliability, Sensitivity to Change, and Feasibility of the Patient-Specific Functional Scale in Acutely Hospitalized Older Patients With and Without Cognitive Impairment

Construct Validity, Test-Retest Reliability, Sensitivity to Change, and Feasibility of the Patient-Specific Functional Scale in Acutely Hospitalized Older Patients With and Without Cognitive Impairment

Structured guideline-based physiotherapy reduces difficulties in activities of daily living in Parkinson’s disease

Evaluating the Impact of a Regional Student-Led Physiotherapy Clinic Model to Improve Self-Reported Function in Community-Dwelling Adults With Neurological Diagnoses

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