&lt;p&gt;The Applicability of the Patient-Specific Functional Scale (PSFS) in Rehabilitation for Patients with Acquired Brain Injury (ABI) – A Cohort Study&lt;/p&gt;

Evensen, Janne; Søberg, Helene Lundgaard; Sveen, Unni; Hestad, Knut; Bronken, Berit Arnesveen

doi:10.2147/jmdh.s259151

Cited by 11 publications

(9 citation statements)

References 47 publications

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“…The Target Outcomes approach also includes a severity rating by the respondents, enabling assessment of change posttreatment relevant for both research and clinical practice purposes. Another outcome measure based on patient-reported difficulties recently shown to be applicable in a population of acquired brain injury 48 is the Patient Specific Functional Scale (PSFS). 49 However, the PSFS is activity-based whereas the Target Outcomes approach allows for the identification of a broader range of problems.…”

Section: Discussionmentioning

confidence: 99%

Patient-Reported Problem Areas in Chronic Traumatic Brain Injury

Borgen

Kleffelgård

Hauger

et al. 2021

Journal of Head Trauma Rehabilitation

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Section: Discussionmentioning

confidence: 99%

Patient-Reported Problem Areas in Chronic Traumatic Brain Injury

Borgen

Kleffelgård

Hauger

et al. 2021

Journal of Head Trauma Rehabilitation

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“…Furthermore, self-report measures that can be easily adapted and interpreted by the stroke survivor need to be prioritised. The Patient Specific Functional Scale (PSFS) is one such measure, which is currently being investigated for use in this population (Evensen et al, 2020). Use of the PSFS allows stroke survivors to set their own goals and to revise their goals as and when their goals or circumstances change.…”

Section: Discussionmentioning

confidence: 99%

Stroke survivors' perspectives on recovering in rural and remote Australia: A systematic mixed studies review

Jackson

Neibling

Barker

2021

Aus Occup Therapy J

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Introduction Stroke survivors recovering in rural and remote locations often have little or no access to rehabilitation services. The purpose of this study was to review the literature on recovering in rural and remote Australia, from the perspective of stroke survivors. Use of technology to support recovery was also explored. Methods A systematic mixed studies review was conducted and reported according to the ENTREQ and PRISMA statements. MEDLINE (Ovid), CINAHL (EBSCOhost), Scopus, PsycINFO (ProQuest), Cochrane Library and Google Scholar were searched from inception to May 2021 for studies investigating stroke survivors' perspectives on recovering in rural or remote Australia. Qualitative, quantitative or mixed methods studies were included. Methodological quality was assessed using the Mixed Methods Appraisal Tool. Studies were not excluded or weighted according to methodological quality. To review the perspectives of stroke survivors on recovering, findings of included studies were mapped to the Living My Life framework and integrated using a convergent qualitative synthesis. The review protocol was registered on PROSPERO (CRD42017064990). Results Eight studies met the inclusion criteria: six qualitative, one quantitative and one mixed methods. Methodological quality of the small number of studies ranged from low to high, indicating further high‐quality research is needed. Included studies involved 152 stroke survivors in total. Review findings indicated that recovering was driven by working towards what mattered to stroke survivors, in ways that matched their beliefs and preferences and that worked for them in their world, including use of technology. Conclusion Stroke survivors recovering in rural and remote locations want to live their life by doing what matters to them, despite the challenges they face. They want support in ways that work for them in their environment. Further research is required to tailor support for stroke survivors that is specific to their life in rural and remote locations.

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“…Another study involving patients with subacute stroke showed that 8% of the sample who were unable to complete the PSFS had severe cognitive or language impairment. 20 Nevertheless, health professionals should exercise caution when using PSFS results to guide decision-making when patients have poor cognitive function or language difficulties.…”

Section: Discussionmentioning

confidence: 99%

“…The authors stated that the PSFS might be appropriate to administer but concluded that there were gaps in the literature regarding its measurement properties for these populations. Evensen et al 20 investigated the applicability of the PSFS in patients with acquired brain injury (92% with stroke) and concluded that 92% (n = 54) could complete the PSFS. The patients who could not complete the PSFS (n = 5) demonstrated severe cognitive or language impairment.…”

Section: Introductionmentioning

confidence: 99%

Measurement Properties of the Patient-Specific Functional Scale in Rehabilitation for Patients With Stroke: A Prospective Observational Study

et al. 2023

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Objective This study investigated the validity, reliability, responsiveness, and interpretability of the Patient-Specific Functional Scale (PSFS) in subacute stroke rehabilitation to determine its suitability to measure patient-identified rehabilitation goals. Methods A prospective observational study was designed according to the checklist from Consensus-Based Standards for Selecting Health Measurement Instruments (COSMIN). Seventy-one patients diagnosed with stroke were recruited in the subacute phase from a rehabilitation unit in Norway. The International Classification of Functioning, Disability and Health was used to assess the content validity. Assessment of construct validity was based on hypotheses for correlation of the PSFS and comparator measurements. We assessed reliability by calculating the ICC (3.1) and the standard error of measurement. The assessment of responsiveness was based on hypotheses for the correlation of change scores between the PSFS and the comparator measurements. A receiver operating characteristic analysis was conducted to assess responsiveness. The smallest detectable change and minimal important change were calculated. Results Eighty percent of the PSFS items were classified as activities and participation in the International Classification of Functioning, Disability and Health, indicating satisfactory content validity. The reliability was satisfactory with an ICC of 0.81 (95% CI = 0.69–0.89). The standard error of measurement was 0.70 point, and the smallest detectable change was 1.94 points. Five of 7 hypotheses were confirmed for construct validity, and 5 of 6 were confirmed for responsiveness, indicating moderate construct validity and high responsiveness. Assessing responsiveness with a criterion approach resulted in an area under the curve of 0.74. A ceiling effect was identified for 25% of the participants 3 months after discharge. The minimal important change was estimated to be 1.58 points. Conclusion This study demonstrates satisfactory measurement properties for the PSFS in individuals undergoing inpatient stroke rehabilitation. Impact This study supports the use of the PSFS to document and monitor patient-identified rehabilitation goals in patients receiving subacute stroke rehabilitation when applied using a shared decision approach.

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<p>The Applicability of the Patient-Specific Functional Scale (PSFS) in Rehabilitation for Patients with Acquired Brain Injury (ABI) – A Cohort Study</p>

Cited by 11 publications

References 47 publications

Patient-Reported Problem Areas in Chronic Traumatic Brain Injury

Patient-Reported Problem Areas in Chronic Traumatic Brain Injury

Stroke survivors' perspectives on recovering in rural and remote Australia: A systematic mixed studies review

Measurement Properties of the Patient-Specific Functional Scale in Rehabilitation for Patients With Stroke: A Prospective Observational Study

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