dc.contributor.author | Schanke, Charlotte Marie | |
dc.contributor.author | Brekka, Anne Kristine | |
dc.contributor.author | Rimehaug, Stein Arne | |
dc.contributor.author | Klokkerud, Mari | |
dc.contributor.author | Andersen, Tiina Maarit | |
dc.date.accessioned | 2024-01-18T11:59:15Z | |
dc.date.available | 2024-01-18T11:59:15Z | |
dc.date.created | 2023-09-07T09:36:54Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Journal of Clinical Medicine. 2023, 12 (15), . | en_US |
dc.identifier.issn | 2077-0383 | |
dc.identifier.uri | https://hdl.handle.net/11250/3112471 | |
dc.description.abstract | Background: Assessment of physical and respiratory function in the intensive care unit (ICU) is useful for developing an individualized treatment plan and evaluating patient progress. There is a need for measurement tools that are culturally adapted, reliable and easy to use. The Chelsea Critical Care Physical Assessment Tool (CPAx) is a valid measurement tool with strong psychometric properties for the intensive care population. This study aims to translate, adapt and test face validity and inter-rater reliability of the Norwegian version of CPAx (CPAx-NOR) for use in critically ill adult patients receiving prolonged mechanical ventilation. Method: CPAx-NOR was forward backward translated, culturally adapted and tested by experts and patients for face validity. Thereafter tested by 10 physiotherapists in five hospitals for inter-rater reliability. Results: The experts and pilot testers reached consensus on the translation and face validity. Patients were tested at time point A (n = 57) and at time point B (n = 53). The reliability of CPAx-NOR at “A” was 0.990 (0.983–0.994) and at “B” 0.994 (0.990–0.997). Based on A+B combined and adjusted, the ICC was 0.990 (95% CI 0.996–0.998). Standard error of measurement (SEM) was 0.68 and the minimal detectable change (MDC) was 1.89. The Bland–Altman plot showed low bias and no sign of heteroscedasticity. CPAx-NOR changed with a mean score of 14.9, and showed a moderate floor effect at the start of physiotherapy and low ceiling effects at discharge. Conclusion: CPAx-NOR demonstrated good face validity and excellent inter-rater reliability. It can be used as an assessment tool for physical function in critically ill adults receiving prolonged mechanical ventilation in Norway.
Keywords: physiotherapy; physical function; early rehabilitation; measurement tool; critical illness; CPAx; critical care | en_US |
dc.language.iso | eng | en_US |
dc.publisher | MDPI | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Norwegian Version of the Chelsea Critical Care Physical Assessment Tool (CPAx-NOR): Translation, Face Validity, Cross-Cultural Adaptation and Inter-Rater Reliability | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © 2023 by the authors | en_US |
dc.source.pagenumber | 0 | en_US |
dc.source.volume | 12 | en_US |
dc.source.journal | Journal of Clinical Medicine | en_US |
dc.source.issue | 15 | en_US |
dc.identifier.doi | 10.3390/jcm12155033 | |
dc.identifier.cristin | 2173096 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |