Deans' stroke musings: Responsiveness and predictive validity of the participation measure--3 domains, 4 dimenstions in survivors of stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, March 16, 2020

Responsiveness and predictive validity of the participation measure--3 domains, 4 dimenstions in survivors of stroke

I predict if you give stroke survivors EXACT STROKE PROTOCOLS they will participate fully. Then survivors will do the work necessary to recover.

Responsiveness and predictive validity of the participation measure--3 domains, 4 dimentions in survivors of stroke

Archives of Physical Medicine and Rehabilitation , Volume 100(12) , Pgs. 2283-2292.

NARIC Accession Number: J82781. What's this?
ISSN: 0003-9993.
Author(s): Chang, Feng-Hang; Ni, Pengsheng.
Publication Year: 2019.
Number of Pages: 10.

Abstract:

Study examined the responsiveness and predictive validity of the Participation Measure–3 Domains, 4 Dimensions (PM-3D4D) in 269 people receiving outpatient rehabilitation following stroke. The PM-3D4D was designed to measure 3 domains (Productivity, Social, and Community) and 4 dimensions (Diversity, Frequency, Desire for Change, and Difficulty) of participation in individuals with rehabilitation needs. All participants completed the PM-3D4D, the Participation Assessment with Recombined Tools-Objective (PART-O), the Participation Measure for Post-Acute Care (PM-PAC), and the EuroQol-5-Dimension (EQ-5D) at the baseline assessment and again following 3 months of outpatient rehabilitation. Significant mean changes in scores were observed for most of the PM-3D4D subscales, with the largest score change observed in the Difficulty subscale. The minimal detectable change and meaningful clinically important differences were calculated for each subscale. The Frequency and Difficulty dimensions of the PM-3D4D demonstrated significantly greater responsiveness than the PART-O and PM-PAC, respectively. The baseline PM-3D4D scores, except for Desire for change subscales, were significantly correlated with the PART-O, PM-PAC, and EQ-5D scores after 3 months of rehabilitation. This study provides evidence supporting the responsiveness and predictive validity of the PM-3D4D in survivors of stroke. Among all subscales of the PM-3D4D, the Difficulty dimensional scale demonstrated the greatest responsiveness. The Desire for change dimension of the PM-3D4D showed less responsiveness, and we recommend that it be used as a goal-setting tool rather than an outcome measure. The PM-3D4D can potentially be used to predict participation outcomes and the health-related quality of life following rehabilitation interventions.
Descriptor Terms: COMMUNITY LIVING, MEASUREMENTS, OUTCOMES, PERFORMANCE STANDARDS, SOCIAL SKILLS, STROKE.

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Citation: Chang, Feng-Hang, Ni, Pengsheng. (2019). Responsiveness and predictive validity of the participation measure--3 domains, 4 dimenstions in survivors of stroke. Archives of Physical Medicine and Rehabilitation , 100(12), Pgs. 2283-2292. Retrieved 3/16/2020, from REHABDATA database.

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