PMID- 14519060
OWN - NLM
STAT- MEDLINE
DCOM- 20031205
LR  - 20220410
IS  - 0031-9023 (Print)
IS  - 0031-9023 (Linking)
VI  - 83
IP  - 10
DP  - 2003 Oct
TI  - Establishing minimal clinically important differences for scores on the pediatric 
      evaluation of disability inventory for inpatient rehabilitation.
PG  - 888-98
AB  - BACKGROUND AND PURPOSE: Standardized pediatric assessment tools such as the 
      Pediatric Evaluation of Disability Inventory (PEDI) numerically quantify changes 
      during rehabilitation through test scores, but they are unable to provide 
      client-specific information regarding important changes in function. The purpose 
      of this study was to identify the smallest change in PEDI scores during inpatient 
      rehabilitation that was considered to be a minimal clinically important 
      difference (MCID) by physical therapists and other clinicians. SUBJECTS AND 
      METHODS: A retrospective review was done of the medical charts of 53 children and 
      youth (1-19 years of age) discharged from an inpatient rehabilitation hospital. 
      Fifteen clinicians (5 physical therapists, 6 occupational therapists, and 4 
      speech and language pathologists) who were masked to the PEDI scores provided 
      ratings of the magnitude of functional changes during inpatient rehabilitation 
      using a Likert scale and a visual analog scale (VAS). Ratings by clinicians were 
      reduced to 4 categories, including the MCID, and compared with PEDI change 
      scores. RESULTS: The MCIDs ranged from 6 to 15 points (X=11.5, 95% confidence 
      interval= +/- 2.8) for all PEDI scales. Likert scale and VAS ratings were 
      correlated (tau =.73-.80). DISCUSSION AND CONCLUSION: Across all scales, PEDI 
      change scores on the order of about 11% (0-100 scale) appear to be meaningful to 
      clinicians during a child's or adolescent's inpatient rehabilitation. These data 
      can serve as a starting point for interpreting group and individual changes on 
      the PEDI during physical therapy intervention in inpatient rehabilitation.
FAU - Iyer, Lakshmi V
AU  - Iyer LV
AD  - Warbasse Nursery School, Brooklyn, NY, USA.
FAU - Haley, Stephen M
AU  - Haley SM
FAU - Watkins, Mary P
AU  - Watkins MP
FAU - Dumas, Helene M
AU  - Dumas HM
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Phys Ther
JT  - Physical therapy
JID - 0022623
SB  - IM
MH  - *Activities of Daily Living
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - *Disability Evaluation
MH  - *Disabled Children
MH  - Female
MH  - Humans
MH  - Infant
MH  - Male
MH  - *Recovery of Function
MH  - Retrospective Studies
MH  - Statistics, Nonparametric
MH  - Surveys and Questionnaires/*standards
EDAT- 2003/10/02 05:00
MHDA- 2003/12/06 05:00
CRDT- 2003/10/02 05:00
PHST- 2003/10/02 05:00 [pubmed]
PHST- 2003/12/06 05:00 [medline]
PHST- 2003/10/02 05:00 [entrez]
PST - ppublish
SO  - Phys Ther. 2003 Oct;83(10):888-98.