PMID- 33543092
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220420
IS  - 2590-1095 (Electronic)
IS  - 2590-1095 (Linking)
VI  - 2
IP  - 3
DP  - 2020 Sep
TI  - Agreement and Reliability of Clinician-in-Clinic Versus Patient-at-Home Clinical 
      and Functional Assessments: Implications for Telehealth Services.
PG  - 100066
LID - 10.1016/j.arrct.2020.100066 [doi]
LID - 100066
AB  - OBJECTIVE: To compare agreement and reliability between clinician-measured and 
      patient self-measured clinical and functional assessments for use in remote 
      monitoring, in a home-based setting, using telehealth. DESIGN: Reliability study: 
      repeated-measure, within-subject design. SETTING: Trained clinicians measured 
      standard clinical and functional parameters at a face-to-face clinic appointment. 
      Participants were instructed on how to perform the measures at home and to repeat 
      self-assessments within 1 week. PARTICIPANTS: Liver transplant recipients (LTRs) 
      (N=18) (52+/-14y, 56% men, 5.4+/-4.3y posttransplant] completed the home 
      self-assessments. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The 
      outcomes assessed were body weight, systolic and diastolic blood pressure (SBP 
      and DBP), waist circumference, repeated chair sit-to-stand (STST), maximal 
      push-ups, and the 6-minute walk test (6MWT). Intertester reliability and 
      agreement between face-to-face clinician and self-reported home-based participant 
      measures were determined by intraclass-correlation coefficients (ICCs) and 
      Bland-Altman plots, which were compared with minimal clinically important 
      differences (MCID) (determined a priori). RESULTS: The mean difference (95% 
      confidence interval) and [limits of agreement] for measures (where positive 
      values indicate lower participant value) were weight, 0.7 (0.01-1.4) kg [-2.2 to 
      3.6kg]; waist 0.4 (-1.2 to 2.0) cm [-5.9 to 6.8cm]; SBP 7.7 (0.6-14.7 ) mmHg 
      [-19.4 to 34.9mmHg]; DBP 2.4 (-1.4 to 6.2 ) mmHg [-12.2 to 17.0mmHg]; 6MWT, 7.5 
      (-29.1 to 44.1) m [-127.3 to 142.4m]; STST 0.5 (-0.8 to 1.7) seconds [-4.3 to 
      5.3s]; maximal push-ups -2.2 (-4.4 to -0.1) [-10.5 to 6.0]. ICCs were all >0.75 
      except for STST (ICC=0.73). Mean differences indicated good agreement than MCIDs; 
      however, wide limits of agreement indicated large individual variability in 
      agreement. CONCLUSIONS: Overall, LTRs can reliably self-assess clinical and 
      functional measures at home. However, there was wide individual variability in 
      accuracy and agreement, with no functional assessment being performed within 
      acceptable limits relative to MCIDs >80% of the time.
CI  - (c) 2020 The Authors.
FAU - Keating, Shelley E
AU  - Keating SE
AD  - School of Human Movement and Nutrition Sciences, The University of Queensland, 
      Brisbane, Queensland, Australia.
FAU - Barnett, Amandine
AU  - Barnett A
AD  - Bond Institute of Health and Sport, Faculty of Health Sciences and Medicine, Bond 
      University, Gold Coast, Queensland, Australia.
AD  - Department of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, 
      Queensland, Australia.
FAU - Croci, Ilaria
AU  - Croci I
AD  - School of Human Movement and Nutrition Sciences, The University of Queensland, 
      Brisbane, Queensland, Australia.
AD  - K.G. Jebsen Center of Exercise in Medicine, Department of Circulation and Medical 
      Imaging, Faculty of Medicine, Norwegian University of Science and Technology, 
      Trondheim, Norway.
FAU - Hannigan, Amy
AU  - Hannigan A
AD  - Department of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, 
      Queensland, Australia.
FAU - Elvin-Walsh, Louise
AU  - Elvin-Walsh L
AD  - Department of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, 
      Queensland, Australia.
FAU - Coombes, Jeff S
AU  - Coombes JS
AD  - School of Human Movement and Nutrition Sciences, The University of Queensland, 
      Brisbane, Queensland, Australia.
FAU - Campbell, Katrina L
AU  - Campbell KL
AD  - Bond Institute of Health and Sport, Faculty of Health Sciences and Medicine, Bond 
      University, Gold Coast, Queensland, Australia.
AD  - Department of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, 
      Queensland, Australia.
FAU - Macdonald, Graeme A
AU  - Macdonald GA
AD  - Queensland Liver Transplant Service, Princess Alexandra Hospital, Brisbane, 
      Queensland, Australia.
AD  - Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, 
      Brisbane, Queensland, Australia.
AD  - School of Medicine, The University of Queensland, Brisbane, Queensland, 
      Australia.
FAU - Hickman, Ingrid J
AU  - Hickman IJ
AD  - Department of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, 
      Queensland, Australia.
AD  - Mater Research Institute, The University of Queensland, Brisbane, Queensland, 
      Australia.
LA  - eng
PT  - Journal Article
DEP - 20200607
PL  - United States
TA  - Arch Rehabil Res Clin Transl
JT  - Archives of rehabilitation research and clinical translation
JID - 101763542
PMC - PMC7853394
OTO - NOTNLM
OT  - 6MWT, 6-minute walk test
OT  - Chronic disease
OT  - DBP, diastolic blood pressure
OT  - ICC, intraclass correlation coefficient
OT  - LTR, liver transplant recipient
OT  - LoA, limit of agreement
OT  - MCID, minimal clinically important difference
OT  - Rehabilitation
OT  - SBP, systolic blood pressure
OT  - STST, sit-to-stand test
OT  - Self-assessment
OT  - Technology
OT  - Telemedicine
EDAT- 2021/02/06 06:00
MHDA- 2021/02/06 06:01
PMCR- 2020/06/07
CRDT- 2021/02/05 06:00
PHST- 2021/02/05 06:00 [entrez]
PHST- 2021/02/06 06:00 [pubmed]
PHST- 2021/02/06 06:01 [medline]
PHST- 2020/06/07 00:00 [pmc-release]
AID - S2590-1095(20)30033-1 [pii]
AID - 100066 [pii]
AID - 10.1016/j.arrct.2020.100066 [doi]
PST - epublish
SO  - Arch Rehabil Res Clin Transl. 2020 Jun 7;2(3):100066. doi: 
      10.1016/j.arrct.2020.100066. eCollection 2020 Sep.