PMID- 25144830
OWN - NLM
STAT- MEDLINE
DCOM- 20151231
LR  - 20191210
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 37
IP  - 11
DP  - 2015
TI  - Determination of the minimal clinically important difference on the Australian 
      therapy outcome measures for occupational therapy (AusTOMs-OT).
PG  - 997-1003
LID - 10.3109/09638288.2014.952450 [doi]
AB  - PURPOSE: Outcome measures must be responsive to change (able to show 
      statistically significant change) and must also produce information on the degree 
      of change that is clinically significant, or the minimal clinically important 
      difference (MCID). This research sought to establish the MCID for four domains of 
      the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT). 
      METHODS: Using a criterion approach, 30 international clinicians were surveyed 
      about their perceptions of the MCID for AusTOMs-OT. Second, using a 
      distribution-based approach, the MCID was calculated as half of the standard 
      deviation (SD) of the AusTOMs-OT raw scores for a sample of 787 clients. RESULTS: 
      Just over half the clinicians surveyed indicated that a one-point change 
      represented the MCID for AusTOMs-OT for three domains, and 0.5-point change 
      showed MCID for the final domain. The data analysed for the distribution-based 
      calculation indicated that the half SD ranged from 0.51 to 0.61. CONCLUSION: 
      Using both criterion and distribution-based approaches, this research empirically 
      demonstrated that a change on the four domains of the AusTOMs-OT of between 0.51 
      and 1 point shows MCID. Considering these findings, and for ease of clinical 
      interpretation, it is recommended that a one-point shift be adopted as the MCID 
      across all domains. IMPLICATIONS FOR REHABILITATION: The AusTOMs-OT have been 
      previously shown to be valid and reliable outcome measures for use with all 
      client groups across all settings including rehabilitation. So that 
      rehabilitation professionals can interpret outcomes data from AusTOMs-OT, 
      information must be available on the degree of change that is clinically 
      significant (also referred to as the minimal clinically important difference or 
      MCID). Using empirical calculations as well as clinician opinion, it is 
      recommended that a one-point shift be used as the minimal clinically important 
      difference for the AusTOMs-OT.
FAU - Unsworth, Carolyn Anne
AU  - Unsworth CA
AD  - Occupational Therapy, La Trobe University , Bundoora , Australia .
FAU - Coulson, Melissa
AU  - Coulson M
FAU - Swinton, Luchie
AU  - Swinton L
FAU - Cole, Helen
AU  - Cole H
FAU - Sarigiannis, Mary
AU  - Sarigiannis M
LA  - eng
PT  - Journal Article
DEP - 20140821
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Adult
MH  - Australia
MH  - Disability Evaluation
MH  - *Evidence-Based Practice
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Occupational Therapy/*statistics & numerical data
MH  - *Outcome Assessment, Health Care
MH  - Quality of Life
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Australian Therapy Outcome Measures for Occupational Therapy
OT  - clinically meaningful difference
OT  - evidence-based practice
OT  - outcomes research
EDAT- 2014/08/22 06:00
MHDA- 2016/01/01 06:00
CRDT- 2014/08/22 06:00
PHST- 2014/08/22 06:00 [entrez]
PHST- 2014/08/22 06:00 [pubmed]
PHST- 2016/01/01 06:00 [medline]
AID - 10.3109/09638288.2014.952450 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2015;37(11):997-1003. doi: 10.3109/09638288.2014.952450. Epub 
      2014 Aug 21.