Abstract
Objective
To investigate responsiveness of the Participation Measurement Scale (PM-Scale) for
the measurement of participation of stroke survivors.
Design
A 6-month observational study with 3 evaluation time points. Responsiveness of the
PM-Scale was investigated over a period of 6 months.
Setting
Rehabilitation centers.
Participants
Stroke survivors (N =64); mean age ± SD, 56.9±12.6 years; sex, 45 men (70%).
Interventions
Not applicable.
Main Outcome Measures
Participants were evaluated using the PM-Scale. The modified Rankin Scale was used
to categorize the overall disability level for each participant.
Results
The mixed-effect model analysis showed a significant difference in the participation
over time (χ2=35.04; df=2; P<.001). In addition, the model exhibited significant effects of the sex, age, and
disability at enrollment on the subjects’ participation levels. Furthermore, the PM-Scale
detected different levels of changes in the entire cohort over time (small change,
effect size [ES]=0.33; moderate change, ES=0.67; and large change, ES=1). The PM-Scale
also facilitated the classification of the participants into discriminative categories
such as important improvement (t score≥1.96; 1.8≤ES≤2.13), moderate improvement (0<t score<1.96; 0.56≤ES≤0.78), no change (t score=0), moderate decrease (−1.96<t score<0; ES=0.67), and important decrease (t score≤−1.96; ES=1.47).
Conclusions
The PM-Scale exhibited good responsiveness and accurately detected changes in stroke
subjects’ involvement in life situations. These results validate the usefulness of
the PM-Scale for clinical trials and in settings to evaluate the effects of interventions
on subjects with stroke in Africa.
Keywords
List of abbreviations:
ES (effect size), mRS (modified Rankin Scale), PM-Scale (Participation Measurement Scale)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: April 27, 2018
Footnotes
Supported by a cooperation for development’s scholarship from the Council of the International Action of the Catholic University of Louvain, Brussels, Belgium.
Disclosures: none.
Identification
Copyright
© 2018 by the American Congress of Rehabilitation Medicine
