scholarly journals Minimally Important Change and Smallest Detectable Change of the OSTRC Questionnaire in Half‐ and Full‐Marathon Runners

2020 ◽  
Author(s):  
TPC Franke ◽  
HCW de Vet ◽  
BMA Huisstede
Keyword(s):  
Important Change ◽  
Detectable Change ◽  
Marathon Runners ◽  
Smallest Detectable Change ◽  
Minimally Important Change

Determining minimally important change thresholds for the Seizure Severity Questionnaire (SSQ)

2014 ◽  
Vol 31 ◽  
pp. 286-290 ◽  
Author(s):  
Joyce A. Cramer ◽  
Christine de la Loge ◽  
Yves Brabant ◽  
Simon Borghs
Keyword(s):  
Important Change ◽  
Seizure Severity ◽  
Minimally Important Change

Reliability and smallest detectable change of the Danish version of the Pain Self-Efficacy Questionnaire in patients with chronic low back pain

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Camilla Vejlgaard ◽  
Thomas Maribo ◽  
Johan Riisgaard Laursen ◽  
Anne Mette Schmidt
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Psychometric Properties ◽  
Self Efficacy ◽  
Inpatient Rehabilitation ◽  
Low Back ◽  
Detectable Change ◽  
Good Reliability ◽  
Danish Version ◽  
Smallest Detectable Change

Abstract Objectives Low back pain (LBP) is the leading cause of disability and a global public health concern. Studies indicate that pain self-efficacy is associated with the development of disability in chronic LBP (CLBP) patients. The Pain Self-Efficacy Questionnaire (PSEQ) is a commonly used questionnaire to assess pain self-efficacy in patients with CLBP. It is essential to examine the psychometric properties of the PSEQ in the population in which it is to be used. Thus, the aim of this study is to evaluate the reliability and smallest detectable change of the Danish version of the Pain Self-Efficacy Questionnaire (PSEQ-DK) in patients with CLBP before implementing it as an outcome measure in an inpatient rehabilitation context. Methods This observational study including 92 patients with CLBP was conducted in a multidisciplinary rehabilitation facility in Denmark. The psychometric properties statistically tested included reliability, smallest detectable change and floor and ceiling effect of the PSEQ-DK. Results The reliability analysis included 92 patients and revealed an weighted kappa of 0.82 (95% Cl 0.75; 0.88) and Intraclass correlation coefficient of 0.83 (95% CI 0.75; 0.88), which corresponds to a good reliability. The smallest detectable change was 12.67. Conclusions The present study demonstrated that the PSEQ-DK had a good reliability in patients with CLBP in an inpatient rehabilitation context. The current results expand our knowledge of the reliability and smallest detectable change of the PSEQ-DK. In order to implement PSEQ-DK in a rehabilitation context for evaluative purposes future studies should focus on examining responsiveness and interpretability.

Large observer variation of clinical assessment of dyspnoeic wheezing children

2015 ◽  
Vol 100 (7) ◽  
pp. 649-653 ◽  
Author(s):  
Jolita Bekhof ◽  
Roelien Reimink ◽  
Ine-Marije Bartels ◽  
Hendriekje Eggink ◽  
Paul L P Brand
Keyword(s):  
Measurement Error ◽  
Clinical Assessment ◽  
Interobserver Reliability ◽  
Important Change ◽  
Interobserver Variation ◽  
Minimal Important Change ◽  
Convenience Sample ◽  
Acute Dyspnoea ◽  
Smallest Detectable Change ◽  
Intraobserver Variation

BackgroundIn children with acute dyspnoea, the assessment of severity of dyspnoea and response to treatment is often performed by different professionals, implying that knowledge of the interobserver variation of this clinical assessment is important.ObjectiveTo determine intraobserver and interobserver variation in clinical assessment of children with dyspnoea.MethodsFrom September 2009 to September 2010, we recorded a convenience sample of 27 acutely wheezing children (aged 3 months–7 years) in the emergency department of a general teaching hospital in the Netherlands, on video before and after treatment with inhaled bronchodilators. These video recordings were independently assessed by nine observers scoring wheeze, prolonged expiratory phase, retractions, nasal flaring and a general assessment of dyspnoea on a Likert scale (0–10). Assessment was repeated after 2 weeks to evaluate intraobserver variation.ResultsWe analysed 972 observations. Intraobserver reliability was the highest for supraclavicular retractions (κ 0.84) and moderate-to-substantial for other items (κ 0.49–0.65). Interobserver reliability was considerably worse, with κ<0.46 for all items. The smallest detectable change of the dyspnoea score (>3 points) was larger than the minimal important change (<1 point), meaning that in 69% of observations a clinically important change after treatment cannot be distinguished from measurement error.ConclusionsIntraobserver variation is modest, and interobserver variation is large for most clinical findings in children with dyspnoea. The measurement error induced by this variation is too large to distinguish potentially clinically relevant changes in dyspnoea after treatment in two-thirds of observations. The poor interobserver reliability of clinical dyspnoea assessment in children limits its usefulness in clinical practice and research, and highlights the need to use more objective measurements in these patients.

Sign in / Sign up

Export Citation Format

Share Document