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[PMID]:28357897
[Au] Autor:MacDonald LA; Minahan CL
[Ad] Endereço:a Griffith University Sports Science, School of Allied Health Sciences , Griffith University , Gold Coast , Australia.
[Ti] Título:Mindfulness training attenuates the increase in salivary cortisol concentration associated with competition in highly trained wheelchair-basketball players.
[So] Source:J Sports Sci;36(4):378-383, 2018 Feb.
[Is] ISSN:1466-447X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This study determined the effect of 8 wk of mindfulness training (MT) on salivary cortisol (sCort) and rate of salivary Immunoglobulin-A (sIgA) secretion in wheelchair-basketball players during a competition period. The mindful group completed 8 weeks of MT in addition to training and competition. sCort and rate of sIgA secretion were measured at baseline, at 2-week intervals, the end and 2 weeks following the intervention. A significant time and group interaction was observed for sCort (F = 3.297, P = 0.040, ES = 0.191); sCort increased in the control group from MT-BL to MT-2wk (P = 0.001) and remained significantly elevated at MT-4wk (P = 0.013) and MT-6wk (P = 0.002). sCort decreased from MT-6wk to MT-8wk (P < 0.001) and concentrations were not different at MT-8wk and Post-2wk to MT-BL (P > 0.05). Mindful group sCort increased from MT-BL to MT-2wk (P = 0.042) but decreased to concentrations no different to MT-BL for the rest of the intervention period (P > 0.05). There were no group differences in rate of sIgA secretion during the intervention (P = 0.810). It was concluded that 8 weeks of MT attenuated the increase in sCort associated with the competition period.
[Mh] Termos MeSH primário: Basquetebol/fisiologia
Basquetebol/psicologia
Comportamento Competitivo/fisiologia
Atenção Plena
Estresse Psicológico/prevenção & controle
Cadeiras de Rodas
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Hidrocortisona/metabolismo
Imunoglobulina A Secretora/metabolismo
Masculino
Aplicativos Móveis
Saliva/metabolismo
Taxa Secretória
Smartphone
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Immunoglobulin A, Secretory); WI4X0X7BPJ (Hydrocortisone)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170331
[St] Status:MEDLINE
[do] DOI:10.1080/02640414.2017.1308001


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[PMID]:28092217
[Au] Autor:de Witte AMH; Hoozemans MJM; Berger MAM; van der Slikke RMA; van der Woude LHV; Veeger DHEJ
[Ad] Endereço:a Faculty Health, Nutrition & Sport , The Hague University of Applied Sciences , The Hague , the Netherlands.
[Ti] Título:Development, construct validity and test-retest reliability of a field-based wheelchair mobility performance test for wheelchair basketball.
[So] Source:J Sports Sci;36(1):23-32, 2018 Jan.
[Is] ISSN:1466-447X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to develop and describe a wheelchair mobility performance test in wheelchair basketball and to assess its construct validity and reliability. To mimic mobility performance of wheelchair basketball matches in a standardised manner, a test was designed based on observation of wheelchair basketball matches and expert judgement. Forty-six players performed the test to determine its validity and 23 players performed the test twice for reliability. Independent-samples t-tests were used to assess whether the times needed to complete the test were different for classifications, playing standards and sex. Intraclass correlation coefficients (ICC) were calculated to quantify reliability of performance times. Males performed better than females (P < 0.001, effect size [ES] = -1.26) and international men performed better than national men (P < 0.001, ES = -1.62). Performance time of low (≤2.5) and high (≥3.0) classification players was borderline not significant with a moderate ES (P = 0.06, ES = 0.58). The reliability was excellent for overall performance time (ICC = 0.95). These results show that the test can be used as a standardised mobility performance test to validly and reliably assess the capacity in mobility performance of elite wheelchair basketball athletes. Furthermore, the described methodology of development is recommended for use in other sports to develop sport-specific tests.
[Mh] Termos MeSH primário: Desempenho Atlético/fisiologia
Basquetebol/fisiologia
Teste de Esforço
Cadeiras de Rodas
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Destreza Motora/fisiologia
Reprodutibilidade dos Testes
Fatores Sexuais
Análise e Desempenho de Tarefas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170117
[St] Status:MEDLINE
[do] DOI:10.1080/02640414.2016.1276613


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[PMID]:29304035
[Au] Autor:Frost K; Bertocci G; Smalley C
[Ad] Endereço:Department of Bioengineering, J.B. Speed School of Engineering, University of Louisville, Louisville, Kentucky, United States of America.
[Ti] Título:Wheelchair tiedown and occupant restraint practices in paratransit vehicles.
[So] Source:PLoS One;13(1):e0186829, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study was to characterize wheelchair tiedown and occupant restraint system (WTORS) usage in paratransit vehicles based on observations of wheelchair and scooter (wheeled mobility devices, collectively, "WhMD") passenger trips. A retrospective review of on-board video monitoring recordings of WhMD trips was conducted. Four hundred seventy-five video recordings were collected for review and analysis. The use of all four tiedowns to secure the WhMD was observed more frequently for power WhMDs (82%) and manual WhMDs (80%) compared to scooters (39%), and this difference was significant (p< 0.01). Nonuse or misuse of the occupant restraint system occurred during 88% of WhMD trips, and was most frequently due to vehicle operator neglect in applying the shoulder belt. Despite the absence of incidents or injuries in this study, misuse and nonuse of WTORS potentially place WhMD seated passengers at higher risk of injury during transit. These findings support the need for improved vehicle operator training and passenger education on the proper use of WTORS and development of WTORS with improved usability and/or alternative technologies that can be automated or used independently.
[Mh] Termos MeSH primário: Veículos Automotores
Equipamentos de Proteção/utilização
Cintos de Segurança
Cadeiras de Rodas
[Mh] Termos MeSH secundário: Acidentes de Trânsito/prevenção & controle
Pessoas com Deficiência
Seres Humanos
Kentucky
Estudos Retrospectivos
Segurança
Cintos de Segurança/utilização
Equipamentos de Autoajuda/utilização
Gravação em Vídeo
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180210
[Lr] Data última revisão:
180210
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0186829


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[PMID]:28465225
[Au] Autor:Finley MA; Ebaugh D
[Ad] Endereço:Department of Physical Therapy and Rehabilitation Science, Drexel University, Philadelphia, PA. Electronic address: maf378@drexel.edu.
[Ti] Título:Association of Pectoralis Minor Muscle Extensibility, Shoulder Mobility, and Duration of Manual Wheelchair Use.
[So] Source:Arch Phys Med Rehabil;98(10):2028-2033, 2017 10.
[Is] ISSN:1532-821X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess the relation of pectoralis minor muscle (PMm) length and extensibility to shoulder pain, shoulder girdle motion, and duration of manual wheelchair (MWC) use, and to compare differences in muscle length, muscle extensibility, peak humeral elevation, and pain among groups based on duration of wheelchair use. DESIGN: Cross-sectional cohort study. SETTING: Laboratory setting. PARTICIPANTS: Individuals with spinal cord injury (SCI) who used an MWC for daily community and home mobility (N=22; 18 men; mean age, 41.7y; duration wheelchair use, 14.6y). Participants were stratified into groups based on duration of wheelchair use: <5 years (n=6), 5 to 15 years (n=8), and >15 years (n=8). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Clinical measures of PMm length and extensibility, shoulder girdle motion, and shoulder pain (Wheelchair User's Shoulder Pain Index). RESULTS: Significant high correlations were found among duration of wheelchair use, passive PMm length, passive PMm extensibility, and peak humerothoracic elevation. Moderate correlation of peak humerothoracic elevation to pain was found. Individuals with >15 years wheelchair use had reduced PMm extensibility and reduced peak humerothoracic elevation than those with <5 years duration of use. CONCLUSIONS: To our knowledge, this is the first investigation to identify the association of reduced PMm extensibility with reduced shoulder girdle mobility, pain, and duration of wheelchair use in individuals with SCI.
[Mh] Termos MeSH primário: Músculos Peitorais/fisiologia
Amplitude de Movimento Articular/fisiologia
Articulação do Ombro/fisiopatologia
Traumatismos da Medula Espinal/fisiopatologia
Cadeiras de Rodas
[Mh] Termos MeSH secundário: Adulto
Fenômenos Biomecânicos/fisiologia
Estudos de Coortes
Estudos Transversais
Feminino
Seres Humanos
Masculino
Dor de Ombro/fisiopatologia
Fatores de Tempo
Escala Visual Analógica
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1710
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE


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[PMID]:29205226
[Au] Autor:Bascou J; Sauret C; Lavaste F; Pillet H
[Ad] Endereço:Institution Nationale des Invalides, Centre d'Etudes et de Recherche sur l'Appareillage des Handicapés, Woippy, France.
[Ti] Título:Is bearing resistance negligible during wheelchair locomotion? Design and validation of a testing device.
[So] Source:Acta Bioeng Biomech;19(3):165-176, 2017.
[Is] ISSN:1509-409X
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Among the different resistances occurring during wheelchair locomotion and that limit the user autonomy, bearing resistance is generally neglected, based on a few studies carried out in static conditions and by manufacturer's assertion. Therefore, no special attention is generally paid to the mounting and the maintenance of manual wheelchair bearings. However, the effect of inadequate mounting or maintenance on wheelchair bearing resistance has still to be clarified. This study aimed at filling this gap by developing and validating a specific device allowing the measurement of wheelchair bearing friction, characterized by low speed velocities, with an accuracy lower than 0.003 Nm. METHODS: The bearing resistance measured by the device was compared to free deceleration measurement, intra and inter operator reproducibility were assessed. A factorial experiment allowed the effects of various functioning parameters (axial and radial loads, velocity) to be classified. RESULTS: The device allowed significant differences in the bearing resistance of static and rotating conditions to be measured, even if a relatively high proportionality was found between both conditions. The factorial experiment allowed the expected impact of the radial load on bearing resistance as well as the predominant effect of the axial load to be demonstrated. CONCLUSIONS: As a consequence, it appeared that the control of the axial load is compulsory for measurement purposes or during wheel mounting, to avoid significant increase of global resistance during wheelchair locomotion. The findings of this study could help enhancing the models which assess manual wheelchair mechanical power from its settings and use conditions.
[Mh] Termos MeSH primário: Projeto Auxiliado por Computador
Análise de Falha de Equipamento/instrumentação
Cadeiras de Rodas
[Mh] Termos MeSH secundário: Desenho de Equipamento
Análise de Falha de Equipamento/métodos
Fricção
Locomoção
Movimento (Física)
Reprodutibilidade dos Testes
Rotação
Sensibilidade e Especificidade
Estresse Mecânico
Suporte de Carga
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE


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[PMID]:27773679
[Au] Autor:Herweg A; Gutzeit J; Kleih S; Kübler A
[Ad] Endereço:Institute of Psychology, University of Würzburg, Marcusstr 9-11, 97070 Würzburg, Germany.
[Ti] Título:Wheelchair control by elderly participants in a virtual environment with a brain-computer interface (BCI) and tactile stimulation.
[So] Source:Biol Psychol;121(Pt A):117-124, 2016 12.
[Is] ISSN:1873-6246
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Tactile event-related potential (ERP) are rarely used as input signal to control brain-computer-interfaces (BCI) due to their low accuracy and speed (information transfer rate, ITR). Age-related loss of tactile sensibility might further decrease their viability for the target population of BCI. In this study we investigated whether training improves tactile ERP-BCI performance within a virtual wheelchair navigation task. Elderly subjects participated in 5 sessions and tactors were placed at legs, abdomen and back. Mean accuracy and ITR increased from 88.43%/4.5bitsmin in the 1st to 92.56%/4.98bitsmin in the last session. The mean P300 amplitude increased from 5.46µV to 9.22µV. In an optional task participants achieved an accuracy of 95,56% and a mean ITR of 20,73bitsmin which is the highest ever achieved with tactile stimulation. Our sample of elderly people further contributed to the external validity of our results.
[Mh] Termos MeSH primário: Interfaces Cérebro-Computador/psicologia
Potenciais Evocados/fisiologia
Tato/fisiologia
Interface Usuário-Computador
Cadeiras de Rodas
[Mh] Termos MeSH secundário: Idoso
Meio Ambiente
Feminino
Voluntários Saudáveis
Seres Humanos
Masculino
Meia-Idade
Estimulação Física/métodos
Análise e Desempenho de Tarefas
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180125
[Lr] Data última revisão:
180125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161107
[St] Status:MEDLINE


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[PMID]:25815679
[Au] Autor:Carver J; Ganus A; Ivey JM; Plummer T; Eubank A
[Ad] Endereço:a School of Occupational Therapy, Belmont University , Nashville , TN , USA.
[Ti] Título:The impact of mobility assistive technology devices on participation for individuals with disabilities.
[So] Source:Disabil Rehabil Assist Technol;11(6):468-77, 2016 08.
[Is] ISSN:1748-3115
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIM: This study aims to address the gap in research and contribute to the body of knowledge on the perspectives assistive technology device users have toward their devices. METHOD: Mixed methods were used to better understand the impact of mobility assistive technology devices (MATDs) on participation for individuals with disabilities. The Functional Mobility Assessment was administered in conjunction with two qualitative questions developed by the research team allowing participants to expound on the impact of their MATD experience. Participants were recruited online via the National Spinal Cord Injury Association website and in-person at Abilities Expo in Atlanta, Georgia, and the International Seating Symposium in Nashville, Tennessee. RESULTS: Results are consistent with findings from prior research regarding accessibility for individuals with disabilities. Corresponding findings were found in both the quantitative and qualitative data and are categorized into several major themes: environment (indoor and outdoor), surface heights, transportation, dependence, independence, quality of life and participation. CONCLUSION: Quantitative data from this study indicate that users of MATD are satisfied with the way in which their devices enable maneuvering indoors, while qualitative data suggest otherwise. Implications for healthcare practitioners are described and future recommendations are provided. Implications for Rehabilitation Healthcare professionals should advocate for proper mobility assistive technology devices (MATDs) for their patients in order to enable increased independence, safety and efficiency. Healthcare professionals must be cognizant of the impact of the environment and/or environmental barriers when prescribing MATD. Additional areas of interest for future research may include investigating the impact of MATD in association with date of onset of disability, according to diagnoses, or specific to length of time since acquiring the device.
[Mh] Termos MeSH primário: Pessoas com Deficiência/reabilitação
Equipamentos de Autoajuda
[Mh] Termos MeSH secundário: Bengala
Meio Ambiente
Georgia
Seres Humanos
Vida Independente
Entrevistas como Assunto
Qualidade de Vida
Participação Social
Transportes
Andadores
Cadeiras de Rodas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171214
[Lr] Data última revisão:
171214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.3109/17483107.2015.1027295


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[PMID]:29095302
[Au] Autor:Xian H; Xu LW; Li CH; Hao JM; Wan WX; Feng GD; Lian KJ; Li L
[Ad] Endereço:aOrthopedics Department, The 175th Hospital of PLA (Affiliated Southeast Hospital of Xiamen University), Zhangzhou, Fujian Province bHand and Foot Surgery Department, The 11th Hospital of PLA, Yining, Xinjiang Province cRehabilitation Medicine Department, The 175th Hospital of PLA (Affiliated Southeast Hospital of Xiamen University), Zhangzhou, Fujian Province, P.R. China.
[Ti] Título:Spontaneous spinal epidural hematomas: One case report and rehabilitation outcome.
[So] Source:Medicine (Baltimore);96(44):e8473, 2017 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Spontaneous spinal epidural hematoma (SSEH) is a relatively rare but potentially disabling disease, and the classical presentation of it includes an acute onset of severe, sometimes radiating back or neck pain, followed by signs and symptoms of rapidly evolving nerve root or spinal cord compression. PATIENT CONCERNS: Here, we report a 26-year-old female patient presented with weakness in bilateral lower extremities, progressing to intense paraplegia and anesthesia without recent medical history of trauma, infection, surgery, or drug use. DIAGNOSIS: A magnetic resonance imaging (MRI) scan of spinal cord was planned and a posterior epidural hematoma of the thoracic spine was observed. INTERVENTIONS: A posterior decompression and hematoma evacuation was performed after diagnosis immediately. Early rehabilitation program of the specific kind spinal cord injury was formulated and implemented. OUTCOMES: The patient finally can handle basic living activities, such as completing wheelchair locomotion, transferring from bed to wheelchair independently after 3 months of rehabilitation. LESSONS: SSEH is a rarely occurring case in emergency. Acute chest pain and paraplegia could be the initial presentation of acute spinal epidural hemorrhage, but the diagnosis of patient without classical manifestations is still a challenge for doctors. Early diagnosis, prompt decompression, and individualized rehabilitation program can improve the prognosis and outcome.
[Mh] Termos MeSH primário: Descompressão Cirúrgica/reabilitação
Hematoma Epidural Espinal/reabilitação
[Mh] Termos MeSH secundário: Atividades Cotidianas
Adulto
Descompressão Cirúrgica/métodos
Feminino
Hematoma Epidural Espinal/complicações
Hematoma Epidural Espinal/cirurgia
Seres Humanos
Paraplegia/etiologia
Paraplegia/reabilitação
Paresia/etiologia
Paresia/reabilitação
Vértebras Torácicas/diagnóstico por imagem
Vértebras Torácicas/cirurgia
Resultado do Tratamento
Cadeiras de Rodas
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171103
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008473


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[PMID]:29029556
[Au] Autor:Bloemen MAT; de Groot JF; Backx FJG; Benner J; Kruitwagen CLJJ; Takken T
[Ad] Endereço:Research Group Lifestyle and Health, HU University of Applied Sciences Utrecht, Bolognalaan 101, PO Box 85182 3508 AD, Utrecht, the Netherlands.
[Ti] Título:Wheelchair Shuttle Test for Assessing Aerobic Fitness in Youth With Spina Bifida: Validity and Reliability.
[So] Source:Phys Ther;97(10):1020-1029, 2017 10 01.
[Is] ISSN:1538-6724
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Background: Testing aerobic fitness in youth is important because of expected relationships with health. Objective: The purpose of the study was to estimate the validity and reliability of the Shuttle Ride Test in youth who have spina bifida and use a wheelchair for mobility and sport. Design: Ths study is a validity and reliability study. Methods: The Shuttle Ride Test, Graded Wheelchair Propulsion Test, and skill-related fitness tests were administered to 33 participants for the validity study (age = 14.5 ± 3.1 y) and to 28 participants for the reliability study (age = 14.7 ± 3.3 y). Results: No significant differences were found between the Graded Wheelchair Propulsion Test and the Shuttle Ride Test for most cardiorespiratory responses. Correlations between the Graded Wheelchair Propulsion Test and the Shuttle Ride Test were moderate to high (r = .55-.97). The variance in peak oxygen uptake (VO2peak) could be predicted for 77% of the participants by height, number of shuttles completed, and weight, with large prediction intervals. High correlations were found between number of shuttles completed and skill-related fitness tests (CI = .73 to -.92). Intraclass correlation coefficients were high (.77-.98), with a smallest detectable change of 1.5 for number of shuttles completed and with coefficients of variation of 6.2% and 6.4% for absolute VO2peak and relative VO2peak, respectively. Conclusions: When measuring VO2peak directly by using a mobile gas analysis system, the Shuttle Ride Test is highly valid for testing VO2peak in youth who have spina bifida and use a wheelchair for mobility and sport. The outcome measure of number of shuttles represents aerobic fitness and is also highly correlated with both anaerobic performance and agility. It is not possible to predict VO2peak accurately by using the number of shuttles completed. Moreover, the Shuttle Ride Test is highly reliable in youth with spina bifida, with a good smallest detectable change for the number of shuttles completed.
[Mh] Termos MeSH primário: Teste de Esforço/métodos
Consumo de Oxigênio/fisiologia
Aptidão Física/fisiologia
Disrafismo Espinal/fisiopatologia
Cadeiras de Rodas
[Mh] Termos MeSH secundário: Adolescente
Limiar Anaeróbio/fisiologia
Criança
Teste de Esforço/estatística & dados numéricos
Feminino
Seres Humanos
Masculino
Países Baixos
Reprodutibilidade dos Testes
Respiração
Taxa Respiratória/fisiologia
Esportes
Transportes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171015
[St] Status:MEDLINE
[do] DOI:10.1093/ptj/pzx075


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[PMID]:28934266
[Au] Autor:Yang Z; van Busschbach J; Timman R; Janssen MF; Luo N
[Ad] Endereço:Section of Medical Psychology and Psychotherapy, Erasmus University Rotterdam, Rotterdam, the Netherlands.
[Ti] Título:Logical inconsistencies in time trade-off valuation of EQ-5D-5L health states: Whose fault is it?
[So] Source:PLoS One;12(9):e0184883, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Inconsistency in the time trade-off (TTO) task in EQ-5D-5L occurs when a respondent gives a higher value to a logically worse health state, the occurrence of inconsistency compromises the quality of the data. It is not yet clear which factors are associated with individual level inconsistency. Relating inconsistency to the characteristics of the respondent, interviewer, and the interview process could be helpful in understanding the causes of inconsistency. The objective of this paper is to discover the factors associated with individual level inconsistencies. METHODS: Twenty interviewers interviewed 1,296 respondents and each respondent valued 10 health states using the EQ-VT platform in 5 cities in China. At the respondent level, inconsistency was identified in terms of severity and quantity and related to the respondent's background characteristics, the time and iterations spent on the wheelchair example task, and the formal TTO tasks, using multilevel multinomial regression analyses. Interviewers' impact on inconsistencies was analyzed using single level multinomial regression analyses. RESULTS: In the full dataset, slight inconsistency was more related to the interview process (Time spent on TTO task: RRR = 1.246 with 95%CI: 1.076,1.441; time spent on Wheelchair example: RRR = 0.815 with 95%CI:0.699,0.952) while severe inconsistency was more related to respondent's gender (Gender: RRR = 2.347 with 95%CI:1.429,3.855). One Interviewer (Interviewer 7: RRR = 7.335 with 95%CI:1.908,28.195) and interviewer's experience (Sequence: RRR = 0.511 with 95%CI:0.385,0.678) in general showed strong influence over inconsistency in the TTO task. CONCLUSION: In conclusion, logical inconsistency in the valuation of EQ-5D-5L health states is associated not only with respondents' characteristics but also with interviewers' performance and the interview process. The role of interviewers and the importance of interviewer training may be more crucial than hitherto believed. This finding could be generalizable to other interviewer-administered health-state valuation study.
[Mh] Termos MeSH primário: Conhecimentos, Atitudes e Prática em Saúde
Nível de Saúde
Entrevistas como Assunto
Qualidade de Vida
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
China
Cidades
Feminino
Seres Humanos
Lógica
Modelos Logísticos
Masculino
Meia-Idade
Competência Profissional
Fatores Sexuais
Fatores de Tempo
Cadeiras de Rodas
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170922
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184883



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde