Construction and feasibility study of the SOFMER Activity Score (SAS), a new assessment of physical and cognitive activity / Marie-Doriane Morard in Annals of physical and rehabilitation medicine, Vol. 61, n°5 (Septembre 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 315-322 Titre : Construction and feasibility study of the SOFMER Activity Score (SAS), a new assessment of physical and cognitive activity Type de document : texte imprimé Auteurs : Marie-Doriane Morard ; S. Gonzalez-Monge ; P. Rippert ; S. Roche ; et al. Année de publication : 2018 Article en page(s) : p. 315-322 Note générale : Doi : 10.1016/j.rehab.2018.04.006 Langues : Anglais (eng) Mots-clés : Activities of daily living  Rehabilitation centers  Feasibility study  Nursing assessment Résumé : Objectives For hospitalizations in rehabilitation centers (RCs) in France, the quantification of healthcare givers’ activity is based on the dependency of the patients, defined as a total or partial inability to perform activities required for daily living without help. The tools currently used to quantify dependency are not sufficiently precise. Here we describe the construction of a new tool, the SOFMER Activity Score (SAS scoring), which allows for a good description of the level of activity of patients hospitalized in RCs, and a feasibility study of the tool. Methods After a study group proposed the first version of the SAS, the validity of its content was studied by the Delphi consensus method: 26 physicians or healthcare professionals known for their expertise in PMR responded to the first round. The feasibility study was prospective and involved multi-site professionals. Data related to the SAS determined by a multidisciplinary team were collected and compared to the Activité de la Vie Quotidienne (AVQ) scale, which is administered to all patients and included in medical and administrative data. Results We included 81 patients in the feasibility study. The mean (SD) time to obtain the SAS was 4.5 (3.3) min. For 97.5% of scorings, the participating professionals judged that the SAS was compatible or fairly compatible with clinical practice. The internal structure of the SAS scale seemed better than that of the AVQ scale, for which the present study confirmed a floor effect for all items. Conclusions The SAS allows for measuring the level of physical and cognitive activity of a patient hospitalized in an RC. If validation studies for the SAS, exploring its reliability, construct validity or criterion validity, confirm the tool's good metrological qualities, the SAS will allow for a good quantification of the burden of care. Permalink : ./index.php?lvl=notice_display&id=80628 [article] Construction and feasibility study of the SOFMER Activity Score (SAS), a new assessment of physical and cognitive activity [texte imprimé] / Marie-Doriane Morard ; S. Gonzalez-Monge ; P. Rippert ; S. Roche ; et al. . - 2018 . - p. 315-322. Doi : 10.1016/j.rehab.2018.04.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°5 (Septembre 2018) . - p. 315-322 Mots-clés : Activities of daily living  Rehabilitation centers  Feasibility study  Nursing assessment Résumé : Objectives For hospitalizations in rehabilitation centers (RCs) in France, the quantification of healthcare givers’ activity is based on the dependency of the patients, defined as a total or partial inability to perform activities required for daily living without help. The tools currently used to quantify dependency are not sufficiently precise. Here we describe the construction of a new tool, the SOFMER Activity Score (SAS scoring), which allows for a good description of the level of activity of patients hospitalized in RCs, and a feasibility study of the tool. Methods After a study group proposed the first version of the SAS, the validity of its content was studied by the Delphi consensus method: 26 physicians or healthcare professionals known for their expertise in PMR responded to the first round. The feasibility study was prospective and involved multi-site professionals. Data related to the SAS determined by a multidisciplinary team were collected and compared to the Activité de la Vie Quotidienne (AVQ) scale, which is administered to all patients and included in medical and administrative data. Results We included 81 patients in the feasibility study. The mean (SD) time to obtain the SAS was 4.5 (3.3) min. For 97.5% of scorings, the participating professionals judged that the SAS was compatible or fairly compatible with clinical practice. The internal structure of the SAS scale seemed better than that of the AVQ scale, for which the present study confirmed a floor effect for all items. Conclusions The SAS allows for measuring the level of physical and cognitive activity of a patient hospitalized in an RC. If validation studies for the SAS, exploring its reliability, construct validity or criterion validity, confirm the tool's good metrological qualities, the SAS will allow for a good quantification of the burden of care. Permalink : ./index.php?lvl=notice_display&id=80628

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Fixed-distance walk tests at comfortable and fast speed: Potential tools for the functional assessment of coronary patients? / Marie-Doriane Morard in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 13-19 Titre : Fixed-distance walk tests at comfortable and fast speed: Potential tools for the functional assessment of coronary patients? Type de document : texte imprimé Auteurs : Marie-Doriane Morard ; Delphine Besson ; Davy Laroche ; [et al...] Année de publication : 2017 Article en page(s) : p. 13-19 Langues : Français (fre) Mots-clés : réhabilitation cardiaque  test fonctionnel  test de marche Résumé : Objectives There is ambiguity concerning the walk tests available for functional assessment of coronary patients, particularly for the walking speed. This study explores the psychometric properties of two walking tests, based on fixed-distance tests, at comfortable and fast velocity, in stabilized patients at the end of a cardiac rehabilitation program. Methods At a three-day interval 58 coronary patients (mean age of 64.85±6.03 years, 50 men) performed three walk tests, the first two at a comfortable speed in a random order (6-minute walk test – 6MWT – and 400-metre comfortable walk test – 400mCWT) and the third at a brisk speed (200-metre fast walk test – 200mFWT). A modified Bruce treadmill test was associated at the end of the second phase. Monitored main parameters were: heart rate, walking velocity, VO2. Results Tolerance to the 3 tests was satisfactory. The reliability of the main parameters was good (intraclass correlation coefficient>0.8). The VO2 concerning 6MWT and 400mCWT were not significantly different (P=0.33) and were lower to the first ventilatory threshold determined by the stress test (P<0.001): 16.2±3.0 vs. 16.5±2.6 vs. 20.7±5.1mL·min−1·kg−1 respectively. The VO2 of the 200mFWT (20.2±3.7) was not different from the first ventilatory threshold. Conclusions 400mCWT and 200mFWT are feasible, well-tolerated and reliable. They explore two levels of effort intensity (lower and not different to the first ventilatory threshold respectively). 400mCWT is a possible alternative to 6MWT. Associated with 200mFWT it should allow a better measurement of physical capacities and better customization of exercise training. Permalink : ./index.php?lvl=notice_display&id=48096 [article] Fixed-distance walk tests at comfortable and fast speed: Potential tools for the functional assessment of coronary patients? [texte imprimé] / Marie-Doriane Morard ; Delphine Besson ; Davy Laroche ; [et al...] . - 2017 . - p. 13-19. Langues : Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 13-19 Mots-clés : réhabilitation cardiaque  test fonctionnel  test de marche Résumé : Objectives There is ambiguity concerning the walk tests available for functional assessment of coronary patients, particularly for the walking speed. This study explores the psychometric properties of two walking tests, based on fixed-distance tests, at comfortable and fast velocity, in stabilized patients at the end of a cardiac rehabilitation program. Methods At a three-day interval 58 coronary patients (mean age of 64.85±6.03 years, 50 men) performed three walk tests, the first two at a comfortable speed in a random order (6-minute walk test – 6MWT – and 400-metre comfortable walk test – 400mCWT) and the third at a brisk speed (200-metre fast walk test – 200mFWT). A modified Bruce treadmill test was associated at the end of the second phase. Monitored main parameters were: heart rate, walking velocity, VO2. Results Tolerance to the 3 tests was satisfactory. The reliability of the main parameters was good (intraclass correlation coefficient>0.8). The VO2 concerning 6MWT and 400mCWT were not significantly different (P=0.33) and were lower to the first ventilatory threshold determined by the stress test (P<0.001): 16.2±3.0 vs. 16.5±2.6 vs. 20.7±5.1mL·min−1·kg−1 respectively. The VO2 of the 200mFWT (20.2±3.7) was not different from the first ventilatory threshold. Conclusions 400mCWT and 200mFWT are feasible, well-tolerated and reliable. They explore two levels of effort intensity (lower and not different to the first ventilatory threshold respectively). 400mCWT is a possible alternative to 6MWT. Associated with 200mFWT it should allow a better measurement of physical capacities and better customization of exercise training. Permalink : ./index.php?lvl=notice_display&id=48096

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