Ecologically relevant outcome measure for post-inpatient rehabilitation

Carlos Marquez De La Plata, Devin Qualls, Patrick Plenger, James F. Malec, Mary Ellen Hayden

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Transfer of skills learned within the clinic environment to patients' home or community is important in post-inpatient brain injury rehabilitation (PBIR). Outcome measures used in PBIR assess level of independence during functional tasks; however, available functional instruments do not quantitate the environment in which the behaviors occur. OBJECTIVE: To examine the reliability and validity of an instrument used to assess patients' functional abilities while quantifying the amount of structure and distractions in the environment. METHODS: 2501 patients who sustained a traumatic brain injury (TBI) or cerebrovascular accident (CVA) and participated in a multidisciplinary PBIR program between 2006 and 2014 were identified retrospectively for this study. The PERPOS and MPAI-4 were used to assess functional abilities at admission and at discharge. Construct validity was assessed using a bivariate Spearman rho analysis A subsample of 56 consecutive admissions during 2014 were examined to determine inter-rater reliability. Intra-class correlation coefficient (ICC) and Kappa coefficients assessed inter-rater agreement of the total PERPOS and PERPOS subscales respectively. RESULTS: The PERPOS and MPAI-4 demonstrated a strong negative association among both TBI and CVA patients. Kappa scores for the three PERPOS scales each demonstrated good to excellent inter-rater agreement. The ICC for overall PERPOS scores fell in the good agreement range. CONCLUSION: The PERPOS can be used reliably in PBIR to quantify patients' functional abilities within the context of environmental demands.

Original languageEnglish (US)
Pages (from-to)187-194
Number of pages8
JournalNeuroRehabilitation
Volume40
Issue number2
DOIs
StatePublished - 2017

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Inpatients
Rehabilitation
Brain Injuries
Outcome Assessment (Health Care)
Stroke
Reproducibility of Results
Traumatic Brain Injury

Keywords

  • Brain Injury
  • CVA
  • environment
  • outcome measure
  • rehabilitation
  • TBI

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

Cite this

Marquez De La Plata, C., Qualls, D., Plenger, P., Malec, J. F., & Hayden, M. E. (2017). Ecologically relevant outcome measure for post-inpatient rehabilitation. NeuroRehabilitation, 40(2), 187-194. https://doi.org/10.3233/NRE-161403

Ecologically relevant outcome measure for post-inpatient rehabilitation. / Marquez De La Plata, Carlos; Qualls, Devin; Plenger, Patrick; Malec, James F.; Hayden, Mary Ellen.

In: NeuroRehabilitation, Vol. 40, No. 2, 2017, p. 187-194.

Research output: Contribution to journalArticle

Marquez De La Plata, C, Qualls, D, Plenger, P, Malec, JF & Hayden, ME 2017, 'Ecologically relevant outcome measure for post-inpatient rehabilitation', NeuroRehabilitation, vol. 40, no. 2, pp. 187-194. https://doi.org/10.3233/NRE-161403
Marquez De La Plata C, Qualls D, Plenger P, Malec JF, Hayden ME. Ecologically relevant outcome measure for post-inpatient rehabilitation. NeuroRehabilitation. 2017;40(2):187-194. https://doi.org/10.3233/NRE-161403
Marquez De La Plata, Carlos ; Qualls, Devin ; Plenger, Patrick ; Malec, James F. ; Hayden, Mary Ellen. / Ecologically relevant outcome measure for post-inpatient rehabilitation. In: NeuroRehabilitation. 2017 ; Vol. 40, No. 2. pp. 187-194.
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