caa a22 4500 606180117 CHVBK 20210128100804.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s11136-014-0888-0 doi (NATIONALLICENCE)springer-10.1007/s11136-014-0888-0 Gaps between patients' reported current and preferred abilities versus clinicians' emphases during an episode of care: Any agreement? [Elektronische Daten] [Diane Allen, Carolina Talavera, Stephen Baxter, Kimberly Topp] Purpose: To be patient-centered, assessment must extract what patients prefer to be able to do along with what they can do now so health care can specifically address the gap between current and preferred abilities. In this project, we compared patient-perceived current-preferred gaps with the assessments and interventions reported by clinicians in a rehabilitation clinic. Methods: Sixty-two patients in outpatient physical therapy completed a computer-adaptive test version of the patient-reported Movement Ability Measure (MAM-CAT) at initial visit and discharge. The MAM-CAT calculated the gaps between the movement patients perceived that they could do "Now” and what movement ability they "Would Like” to have across six dimensions of movement: flexibility, strength, accuracy, speed, adaptability, and endurance. Physical therapists' notes regarding assessments and interventions were categorized based on these same six dimensions of movement. Frequency of agreement between the largest patient-perceived gaps and clinician-documented emphases was recorded (kappa analyses), along with MAM-CAT changes at discharge (paired t tests). Results: Although patient progress was noted in both the MAM-CAT and the clinician notes (p<.05), comparison showed poor or slight agreement (kappa<.05) between the specific movement dimensions patients regarded as having the largest gaps and the dimensions on which clinicians focused. Conclusion: The MAM-CAT facilitated direct comparison of patients' current-preferred gaps at initiation and discharge with clinicians' emphases during episodes of care. While interventions were perceived as effective, collaboration between patients and clinicians using gap data could increase alignment between patient priorities and clinician emphases, potentially resulting in improved patient engagement and rehabilitative outcomes. Springer International Publishing Switzerland, 2014 Patient-reported outcomes nationallicence Computer-adaptive test nationallicence Movement Ability Measure nationallicence Physical therapy nationallicence Patient engagement nationallicence Allen Diane Graduate Program in Physical Therapy, University of California San Francisco/San Francisco State University, 1600 Holloway Avenue, 94132, San Francisco, CA, USA aut Talavera Carolina Graduate Program in Physical Therapy, University of California San Francisco/San Francisco State University, 1600 Holloway Avenue, 94132, San Francisco, CA, USA aut Baxter Stephen Graduate Program in Physical Therapy, University of California San Francisco/San Francisco State University, 1600 Holloway Avenue, 94132, San Francisco, CA, USA aut Topp Kimberly Graduate Program in Physical Therapy, University of California San Francisco/San Francisco State University, 1600 Holloway Avenue, 94132, San Francisco, CA, USA aut Quality of Life Research Springer International Publishing 24/5(2015-05-01), 1137-1143 0962-9343 24:5<1137 2015 24 11136 https://doi.org/10.1007/s11136-014-0888-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0888-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Allen Diane Graduate Program in Physical Therapy, University of California San Francisco/San Francisco State University, 1600 Holloway Avenue, 94132, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Talavera Carolina Graduate Program in Physical Therapy, University of California San Francisco/San Francisco State University, 1600 Holloway Avenue, 94132, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Baxter Stephen Graduate Program in Physical Therapy, University of California San Francisco/San Francisco State University, 1600 Holloway Avenue, 94132, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Topp Kimberly Graduate Program in Physical Therapy, University of California San Francisco/San Francisco State University, 1600 Holloway Avenue, 94132, San Francisco, CA, USA aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/5(2015-05-01), 1137-1143 0962-9343 24:5<1137 2015 24 11136