Development and validation of the Utrecht Scale for Evaluation of Clinical Rehabilitation (USER)
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| Title: | Development and validation of the Utrecht Scale for Evaluation of Clinical Rehabilitation (USER) |
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| Authors: | Post MWM (AUTHOR), van de Port IGL (AUTHOR), Kap B (AUTHOR), van Berlekom SHB (AUTHOR) |
| Source: | Clinical Rehabilitation. Oct2009, Vol. 23 Issue 10, p909-917. 9p. |
| Abstract: | OBJECTIVE: The Utrecht Scale for Evaluation of Rehabilitation (USER) is a measure of functional independence that covers physical functioning (mobility, self-care), cognitive functioning and additional domains of pain, fatigue and mood. USER is implemented in the Netherlands as a generic rehabilitation outcome measure. This article reports the development and psychometric characteristics of USER. DESIGN: (1) Inter-rater reliability study and (2) responsiveness study with measurements at admission and at discharge from clinical rehabilitation. SETTING: Three rehabilitation facilities in the Netherlands. PATIENTS: Rehabilitation inpatients (N = 319). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Effect size (ES) and standardized response mean (SRM) of USER scales were compared to those of the Barthel Index, Functional Independence Measure (FIM) and to relevant scales of the SF-36. RESULTS: Inter-rater reliability of USER was satisfactory to good. Strong correlations were found between the physical and cognitive functioning scores of USER, the Barthel Index and FIM (0.84-0.94). Correlations between USER pain, fatigue and mood scores and SF-36 scores were also strong (0.58-0.84). Responsiveness of USER physical functioning (1.0-1.2) was very good and slightly better than responsiveness of the Barthel Index (0.9-1.1) and the FIM motor score (0.8-1.1). Responsiveness of the USER cognitive score was below standard (0.2-0.3), but better than responsiveness of the FIM cognitive scores (0.1-0.2). CONCLUSIONS: USER is a reliable, valid and responsive measure of functional independence that can be used as an alternative for the FIM. The pain, fatigue and mood scores were adapted after this study and need additional validation. [ABSTRACT FROM AUTHOR] |
| Copyright of Clinical Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 105319515 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Development and validation of the Utrecht Scale for Evaluation of Clinical Rehabilitation (USER) – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Post+MWM%22">Post MWM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+de+Port+IGL%22">van de Port IGL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kap+B%22">Kap B</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+Berlekom+SHB%22">van Berlekom SHB</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Clinical+Rehabilitation%22">Clinical Rehabilitation</searchLink>. Oct2009, Vol. 23 Issue 10, p909-917. 9p. – Name: Abstract Label: Abstract Group: Ab Data: OBJECTIVE: The Utrecht Scale for Evaluation of Rehabilitation (USER) is a measure of functional independence that covers physical functioning (mobility, self-care), cognitive functioning and additional domains of pain, fatigue and mood. USER is implemented in the Netherlands as a generic rehabilitation outcome measure. This article reports the development and psychometric characteristics of USER. DESIGN: (1) Inter-rater reliability study and (2) responsiveness study with measurements at admission and at discharge from clinical rehabilitation. SETTING: Three rehabilitation facilities in the Netherlands. PATIENTS: Rehabilitation inpatients (N = 319). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Effect size (ES) and standardized response mean (SRM) of USER scales were compared to those of the Barthel Index, Functional Independence Measure (FIM) and to relevant scales of the SF-36. RESULTS: Inter-rater reliability of USER was satisfactory to good. Strong correlations were found between the physical and cognitive functioning scores of USER, the Barthel Index and FIM (0.84-0.94). Correlations between USER pain, fatigue and mood scores and SF-36 scores were also strong (0.58-0.84). Responsiveness of USER physical functioning (1.0-1.2) was very good and slightly better than responsiveness of the Barthel Index (0.9-1.1) and the FIM motor score (0.8-1.1). Responsiveness of the USER cognitive score was below standard (0.2-0.3), but better than responsiveness of the FIM cognitive scores (0.1-0.2). CONCLUSIONS: USER is a reliable, valid and responsive measure of functional independence that can be used as an alternative for the FIM. The pain, fatigue and mood scores were adapted after this study and need additional validation. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Clinical Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1177/0269215509341524 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 909 Titles: – TitleFull: Development and validation of the Utrecht Scale for Evaluation of Clinical Rehabilitation (USER) Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Post MWM – PersonEntity: Name: NameFull: van de Port IGL – PersonEntity: Name: NameFull: Kap B – PersonEntity: Name: NameFull: van Berlekom SHB IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2009 Type: published Y: 2009 Identifiers: – Type: issn-print Value: 02692155 Numbering: – Type: volume Value: 23 – Type: issue Value: 10 Titles: – TitleFull: Clinical Rehabilitation Type: main |
| ResultId | 1 |
