PMID- 29608121
OWN - NLM
STAT- MEDLINE
DCOM- 20191226
LR  - 20191226
IS  - 1532-5040 (Electronic)
IS  - 0959-3985 (Linking)
VI  - 35
IP  - 9
DP  - 2019 Sep
TI  - Global rating of change: perspectives of patients with lumbar impairments and of 
      their physical therapists.
PG  - 851-859
LID - 10.1080/09593985.2018.1458930 [doi]
AB  - Background: Global rating of change (GROC) scores provide a means of measuring 
      patients' self-perceived change in health status over time. Objectives: The 
      purposes of the study were to examine agreement of GROC ratings between the 
      patient (GROCp) and the treating therapist (GROCt), the impact on the minimal 
      clinically important difference (MCID) estimates by reporting resources, and the 
      relationships between the subjective GROC scores and objective outcome measures. 
      Methods: Data from 52,767 patients with orthopedic lumbar spine impairments 
      treated in 623 outpatient rehabilitation clinics in 34 states (United States) 
      were analyzed. Patient's functional status (FS) before and after the treatment 
      was measured using the Lumbar Computerized Adaptive Testing (LCAT) survey (0-100 
      scale). The GROC ratings were obtained from both the patients and their caring 
      therapists at discharge. Results: On average, GROCp (mean [(SD] = 3.1 [4.1]) was 
      1.9 points lower than GROCt (mean [SD] = 5.0 [1.9]). There were negligible 
      differences between MCID estimates derived from the patients' GROC ratings (MCID 
      cutoff = 9.2) and from the therapists' GROC ratings (MCID cutoff = 9.5). While 
      only analyzing patient data whose GROCp >/= 0, the intraclass correlation 
      coefficient between GROCp and GROCt was 0.61, the GROCp correlated with FS at 
      intake at r = 0.12, with FS at discharge at r = 0.56, and with FS change scores 
      at r = 0.47. Conclusions: Therapists tended to report higher GROC ratings than 
      their patients did but there were negligible differences between MCID estimates 
      derived from GROCp and that derived from GROCt.
FAU - Wang, Ying-Chih
AU  - Wang YC
AD  - a Department of Occupational Science and Technology , University of 
      Wisconsin-Milwaukee , Milwaukee , WI , USA.
FAU - Sindhu, Bhagwant S
AU  - Sindhu BS
AD  - a Department of Occupational Science and Technology , University of 
      Wisconsin-Milwaukee , Milwaukee , WI , USA.
FAU - Kapellusch, Jay
AU  - Kapellusch J
AUID- ORCID: 0000-0003-1016-276X
AD  - a Department of Occupational Science and Technology , University of 
      Wisconsin-Milwaukee , Milwaukee , WI , USA.
FAU - Yen, Sheng-Che
AU  - Yen SC
AD  - b Department of Physical Therapy , Northeastern University , Boston , MA , USA.
FAU - Lehman, Leigh
AU  - Lehman L
AD  - c Department of Occupational Therapy , Augusta University , Augusta , GA , USA.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20180402
PL  - England
TA  - Physiother Theory Pract
JT  - Physiotherapy theory and practice
JID - 9015520
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cross-Sectional Studies
MH  - *Disability Evaluation
MH  - Female
MH  - Humans
MH  - Low Back Pain/*rehabilitation
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - *Patient Reported Outcome Measures
MH  - Patients
MH  - Physical Therapists
MH  - Reproducibility of Results
MH  - United States
OTO - NOTNLM
OT  - Minimal clinically important difference
OT  - minimum important change
OT  - rehabilitation
EDAT- 2018/04/03 06:00
MHDA- 2019/12/27 06:00
CRDT- 2018/04/03 06:00
PHST- 2018/04/03 06:00 [pubmed]
PHST- 2019/12/27 06:00 [medline]
PHST- 2018/04/03 06:00 [entrez]
AID - 10.1080/09593985.2018.1458930 [doi]
PST - ppublish
SO  - Physiother Theory Pract. 2019 Sep;35(9):851-859. doi: 
      10.1080/09593985.2018.1458930. Epub 2018 Apr 2.