The Development of the Taiwanese Version of the Manual Ability Measure for Burns

碩士 === 國立臺灣大學 === 職能治療研究所 === 99 ===   Background: To evaluate hand function of hand-burn patients with adequate tools is essential. However, it seems that no burn-specific hand function measurement tools are available, while common-used tools lack validation in burn population. The quality of hand...

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Main Authors: Szu-Yen Lin, 林思言
Other Authors: Hui-Fen Mao
Format: Others
Language:en_US
Published: 2011
Online Access:http://ndltd.ncl.edu.tw/handle/88048723603156123335
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spelling ndltd-TW-099NTU057380032015-10-16T04:02:50Z http://ndltd.ncl.edu.tw/handle/88048723603156123335 The Development of the Taiwanese Version of the Manual Ability Measure for Burns 燒燙傷用台灣版自覺徒手功能評量之發展 Szu-Yen Lin 林思言 碩士 國立臺灣大學 職能治療研究所 99   Background: To evaluate hand function of hand-burn patients with adequate tools is essential. However, it seems that no burn-specific hand function measurement tools are available, while common-used tools lack validation in burn population. The quality of hand function evaluation and the following rehabilitation intervention might therefore be jeopardized. The Manual Ability Measure (MAM-36) is a questionnaire evaluates self-perceived manual ability. It can help to recognize clients’ subjective first-priority problems and is clinically more convenient to administer, but has not been validated in burn population.   Objectives: This study aimed to develop and validate Taiwanese Version of the Manual Ability Measure for Burns (T-MAM for Burns), an evaluation tool adapted from the MAM-36, to assess self-perceived manual ability of burn patients.   Methods: The original MAM-36 was translated and cultural-adapted first and burn-specific items were added, forming a preliminary version of the T-MAM for Burns. The preliminary T-MAM for Burns was field-tested in a consecutive sample of 45 hand-burn patients with rehabilitation needs, and a three-month follow-up was done. Items of the final T-MAM for Burns were selected based on the results of psychometric analysis. Psychometric properties such as reliability and validity of the T-MAM for Burns were investigated, as well as its responsiveness at the first and third month follow-ups.   Results: Twenty items were selected into the final T-MAM for Burns, with three additional items as clinical reference (not to be counted into the total score). The T-MAM for Burns was found to have excellent internal consistency and test-retest reliability (Cronbach’s α = 0.947; ICC = 0.987). Concurrent validity results showed that the T-MAM for Burns score was highly correlated to the short form Disabilities of the Arm, Shoulder and Hand (QuickDASH) (r = -0.786) and moderately correlated to the Jebsen-Taylor Hand Function Test (r = -0.487) and grip/pinch power (r = 0.660 and 0.631, respectively). The effect sizes at the first and third month follow-ups were 0.24 and 0.44, respectively, showing a small to moderate responsiveness. Regarding the discriminant validity, no significant difference in total score was found between two groups divided by TBSA = 25%, but the scoring was significantly different between the high and low T-MAM for Burns score groups.   Conclusions: The T-MAM for Burns is a valid and reliable tool to assess the perceived manual ability among burn patients. It can reflect the changes of manual ability over time, and can be used as an outcome measure in burns rehabilitation. Hui-Fen Mao 毛慧芬 2011 學位論文 ; thesis 93 en_US
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description 碩士 === 國立臺灣大學 === 職能治療研究所 === 99 ===   Background: To evaluate hand function of hand-burn patients with adequate tools is essential. However, it seems that no burn-specific hand function measurement tools are available, while common-used tools lack validation in burn population. The quality of hand function evaluation and the following rehabilitation intervention might therefore be jeopardized. The Manual Ability Measure (MAM-36) is a questionnaire evaluates self-perceived manual ability. It can help to recognize clients’ subjective first-priority problems and is clinically more convenient to administer, but has not been validated in burn population.   Objectives: This study aimed to develop and validate Taiwanese Version of the Manual Ability Measure for Burns (T-MAM for Burns), an evaluation tool adapted from the MAM-36, to assess self-perceived manual ability of burn patients.   Methods: The original MAM-36 was translated and cultural-adapted first and burn-specific items were added, forming a preliminary version of the T-MAM for Burns. The preliminary T-MAM for Burns was field-tested in a consecutive sample of 45 hand-burn patients with rehabilitation needs, and a three-month follow-up was done. Items of the final T-MAM for Burns were selected based on the results of psychometric analysis. Psychometric properties such as reliability and validity of the T-MAM for Burns were investigated, as well as its responsiveness at the first and third month follow-ups.   Results: Twenty items were selected into the final T-MAM for Burns, with three additional items as clinical reference (not to be counted into the total score). The T-MAM for Burns was found to have excellent internal consistency and test-retest reliability (Cronbach’s α = 0.947; ICC = 0.987). Concurrent validity results showed that the T-MAM for Burns score was highly correlated to the short form Disabilities of the Arm, Shoulder and Hand (QuickDASH) (r = -0.786) and moderately correlated to the Jebsen-Taylor Hand Function Test (r = -0.487) and grip/pinch power (r = 0.660 and 0.631, respectively). The effect sizes at the first and third month follow-ups were 0.24 and 0.44, respectively, showing a small to moderate responsiveness. Regarding the discriminant validity, no significant difference in total score was found between two groups divided by TBSA = 25%, but the scoring was significantly different between the high and low T-MAM for Burns score groups.   Conclusions: The T-MAM for Burns is a valid and reliable tool to assess the perceived manual ability among burn patients. It can reflect the changes of manual ability over time, and can be used as an outcome measure in burns rehabilitation.
author2 Hui-Fen Mao
author_facet Hui-Fen Mao
Szu-Yen Lin
林思言
author Szu-Yen Lin
林思言
spellingShingle Szu-Yen Lin
林思言
The Development of the Taiwanese Version of the Manual Ability Measure for Burns
author_sort Szu-Yen Lin
title The Development of the Taiwanese Version of the Manual Ability Measure for Burns
title_short The Development of the Taiwanese Version of the Manual Ability Measure for Burns
title_full The Development of the Taiwanese Version of the Manual Ability Measure for Burns
title_fullStr The Development of the Taiwanese Version of the Manual Ability Measure for Burns
title_full_unstemmed The Development of the Taiwanese Version of the Manual Ability Measure for Burns
title_sort development of the taiwanese version of the manual ability measure for burns
publishDate 2011
url http://ndltd.ncl.edu.tw/handle/88048723603156123335
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