UCSF CER - Diane Allen's PCORI Project (Symposium 2013), Diane Allen

1. Diane D. Allen
Graduate Program in Physical Therapy, UCSF/SFSU
Mind the Gap—Targeting Differences in Patients’ Current and Preferred Abilities
Does focusing on movement abilities with the largest gaps improve outcomes?
Patient-Centered Outcomes Research Institute
1. Convert Movement Ability Measure (MAM) to computer-adaptive test (CAT).
2. Patients indicate Current and Preferred Abilities on MAM-CAT.
3. Calculate current-preferred gaps using item response theory methods.
4. Patients have physical therapy with or without reference to the largest self-perceived gaps.
Flexibility
9
One item from the MAM addressing flexibility
4 Now Would Like
Endurance Strength 6 I move so easily that I can stretch or reach extra far compared to others. 6
-1
5 I move easily enough for all my normal tasks plus free time and play 5
-6 activities.
Would Like
4 I move easily enough to do all my normal tasks but not more. 4
-11
Now
3 I move with difficulty in my normal tasks because of stiffness or tightness. 3
2 I have so much stiffness or tightness that I need special equipment or help 2
to do some of my normal tasks.
Adaptability Accuracy
1 Stiffness or tightness keeps me from doing most of my daily care. 1
Speed
Movement Ability Plot (MAP; in logits) based on MAM for an ambulatory
person with multiple sclerosis. Speed shows the largest current-preferred gap.