• Login
    View Item 
    •   UMB Digital Archive
    • School, Graduate
    • Theses and Dissertations All Schools
    • View Item
    •   UMB Digital Archive
    • School, Graduate
    • Theses and Dissertations All Schools
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Telehealth Care: How reliable are our physical therapy outcome measures?

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Reoli_umaryland_0373D_11402.pdf
    Embargo:
    2023-07-01
    Size:
    590.8Kb
    Format:
    PDF
    Download
    Author
    Reoli, Rachel
    Advisor
    Whitall, Jill
    Bastian, Amy
    Date
    2022
    Type
    dissertation
    
    Metadata
    Show full item record
    Abstract
    Background: Changes in global health have prompted a transition from the in-person healthcare model towards the telehealth care model for patients with a variety of health conditions, including patients with cerebellar impairments and patients with Parkinson’s disease (PD). While it is known that patient satisfaction is high in the telehealth care setting, it is unknown whether the tools that clinicians utilize in the in-person setting are reliable and valid in the virtual setting. Thus, the goal of this project is to evaluate the psychometric properties of two physical therapy (PT) outcome measures, that have been previously established in the clinical in-person setting, in the telehealth setting. Methods: Nineteen individuals with cerebellar impairments and nineteen individuals with PD were recruited on a voluntary basis. The Scale for Assessment and Rating of Ataxia (SARA) was used to assess the degree of cerebellar damage and the Berg Balance Scale (BBS) was used to assess the impact of PD. Participants completed two testing sessions (one virtual and one in-person) during which the outcome measure of choice was performed. Outcome measure performance was video recorded in both environments. Videos were independently scored by four raters with varying levels of PT experience. Concurrent validity was assessed via Spearman’s Rank Order Correlation Coefficient, α<0.05, comparing the virtual SARA and BBS scores to their “gold standard” in-person scores. Inter-rater reliability for four raters was evaluated with an Intraclass Correlation Coefficient (ICC) (2,4), α<0.05. Results: The SARA and the BBS were found to have large concurrent validity with Spearman’s rho significant at the two tailed, alpha <0.01, 0.90, n=14; 0.87, n=18, respectively. Similarly, the SARA and the BBS had excellent inter-rater reliability in the clinic ICC (2,4) 0.97 and 0.90, n=19 for both measures. Virtually, the BSS had moderate inter-rater reliability (ICC (2,4) 0.72, n=18) and the SARA had excellent inter-rater reliability (ICC (2,4) 0.98, n=14). Conclusion: Our study shows that both the SARA and the BBS can be used in the virtual telehealth setting. Additionally, clinicians with varying years of PT experience can accurately score the SARA and the BBS for patients with cerebellar impairments and PD, respectively.
    Description
    University of Maryland, Baltimore. Physical Therapy. Ph.D. 2022.
    Keyword
    Ataxia
    Outcome Assessment, Health Care
    Parkinson Disease
    Psychometrics
    Reproducibility of Results
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/20370
    Collections
    Theses and Dissertations School of Medicine
    Theses and Dissertations All Schools

    entitlement

     
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.