PMID- 35350961
OWN - NLM
STAT- MEDLINE
DCOM- 20230502
LR  - 20230510
IS  - 1945-5119 (Electronic)
IS  - 1074-9357 (Linking)
VI  - 30
IP  - 5
DP  - 2023 Jul
TI  - Minimal and robust clinically important difference of three fatigue measures in 
      chronic stroke survivors.
PG  - 522-531
LID - 10.1080/10749357.2022.2051830 [doi]
AB  - BACKGROUND: Fatigue assessment scale (FAS), fatigue subscale of the Profile of 
      Mood States (POMS-F), and vitality subscale of the Short Form Health Survey 
      (SF-36-VT) are among the first and most widely used adapted tools for assessing 
      post-stroke fatigue. OBJECTIVE: To identify the minimal clinically important 
      difference (MCID) and robust clinically important difference (RCID) of FAS, 
      POMS-F, and SF-36-VT in stroke survivors. METHODS: Participants completed the 
      FAS, POMS-F, and SF-36-VT before and after receiving 6-week intervention 
      including graded activity training and pacing therapy. MCID was calculated using 
      the distribution-based and anchor-based methods. Further, accuracy, sensitivity, 
      and specificity of calculated values using the distribution-based method were 
      used for determining RCID. RESULT: A total of 124 stroke survivors participated 
      in this study. MCID for FAS, POMS-F, and SF-36-VT was found to be 4.86, 3.32, and 
      -10.10 (using score change) and 3.5, 2.5, and -10.5 (using ROC analysis), 
      respectively. Using the distribution-based method, the MCID value obtained for 
      the FAS was in the range of 3.16 to 8.76, for the POMS-F was in the range of 1.49 
      to 5.63, and for the SF-36-VT was in the range of -15.43 to -5.58. (1/2)SD for FAS, (1/2) 
      SD and 1.96 SEM for POMS-F, and 1.96 SEM and SD for SF-36-VT showed the best 
      discriminative ability to use as the RCID. CONCLUSIONS: The MCID and RCID were 
      calculated for FAS, POMS-F, and SF-36-VT using different methods. The results can 
      be used by researchers and clinicians for interpreting their findings in subjects 
      similar to those who participated in this study.
FAU - Cheraghifard, Moslem
AU  - Cheraghifard M
AD  - PhD Student of Occupational Therapy, Rehabilitation Research Center, Department 
      of Occupational Therapy, School of Rehabilitation Sciences, Iran University of 
      Medical Sciences, Tehran, Iran.
FAU - Sarlak, Nazanin
AU  - Sarlak N
AD  - MSc of Occupational Therapy, Department of Occupational Therapy, School of 
      Rehabilitation Sciences, Arak University of Medical Sciences, Arak, Iran.
FAU - Taghizadeh, Ghorban
AU  - Taghizadeh G
AUID- ORCID: 0000-0002-0145-9599
AD  - PhD in Neurosciences. Rehabilitation Research Center, Department of Occupational 
      Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, 
      Tehran, Iran.
FAU - Azad, Akram
AU  - Azad A
AUID- ORCID: 0000-0001-7544-4878
AD  - PhD in Occupational Therapy, Associate Professor. Rehabilitation Research Center. 
      Department of Occupational Therapy. School of Rehabilitation Sciences, Iran 
      University of Medical Sciences, Tehran, Iran.
FAU - Fallah, Soheila
AU  - Fallah S
AD  - PhD Student of Neurosciences, Department of Neurosciences, Faculty of Advanced 
      Technologist in Medicine, Iran University of Medical Sciences, Tehran, Iran.
FAU - Akbarfahimi, Malahat
AU  - Akbarfahimi M
AUID- ORCID: 0000-0001-9966-3143
AD  - PhD in Neurosciences, Associate Professor, Rehabilitation Research Center, 
      Department of Occupational Therapy. School of Rehabilitation Sciences, Iran 
      University of Medical Sciences, Tehran, Iran.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20220329
PL  - England
TA  - Top Stroke Rehabil
JT  - Topics in stroke rehabilitation
JID - 9439750
SB  - IM
MH  - Humans
MH  - *Stroke/complications/therapy
MH  - Fatigue/diagnosis/etiology
MH  - Health Surveys
MH  - Brain Damage, Chronic
MH  - Survivors
OTO - NOTNLM
OT  - Fatigue
OT  - health care
OT  - minimal clinically important difference
OT  - outcome assessment
OT  - rehabilitation
OT  - stroke
EDAT- 2022/03/31 06:00
MHDA- 2023/05/02 06:42
CRDT- 2022/03/30 05:36
PHST- 2023/05/02 06:42 [medline]
PHST- 2022/03/31 06:00 [pubmed]
PHST- 2022/03/30 05:36 [entrez]
AID - 10.1080/10749357.2022.2051830 [doi]
PST - ppublish
SO  - Top Stroke Rehabil. 2023 Jul;30(5):522-531. doi: 10.1080/10749357.2022.2051830. 
      Epub 2022 Mar 29.