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The development of a novel patient-derived recovery scale for open tibial fractures
The Bone & Joint Journal, Volume: 102-B, Issue: 1, Pages: 17 - 25
Swansea University Authors: Ian Pallister, Tricia Price
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DOI (Published version): 10.1302/0301-620x.102b1.bjj-2019-0303.r2
AimsThe aim of this study was to develop a psychometrically sound measure of recovery foruse in patients who have suffered an open tibial fracture.MethodsAn initial pool of 109 items was generated from previous qualitative data relating torecovery following an open tibial fracture. These items were...
|Published in:||The Bone & Joint Journal|
British Editorial Society of Bone & Joint Surgery
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AimsThe aim of this study was to develop a psychometrically sound measure of recovery foruse in patients who have suffered an open tibial fracture.MethodsAn initial pool of 109 items was generated from previous qualitative data relating torecovery following an open tibial fracture. These items were field tested in a cohort ofpatients recovering from an open tibial fracture. They were asked to comment on thecontent of the items and structure of the scale. Reduction in the number of items led to arefined scale tested in a larger cohort of patients. Principal components analysis permittedfurther reduction and the development of a definitive scale. Internal consistency, testretestreliability, and responsiveness were assessed for the retained items.ResultsThe initial scale was completed by 35 patients who were recovering from an open tibialfracture. Subjective and objective analysis permitted removal of poorly performing itemsand the addition of items suggested by patients. The refined scale consisted of 50 Likertscaled items and eight additional items. It was completed on 228 occasions by a differentcohort of 204 patients with an open tibial fracture recruited from several UK orthoplastictertiary referral centres. There were eight underlying components with tangible real-lifemeaning, which were retained as sub-scales represented by ten Likert scaled and eightnon-Likert items. Internal consistency and test-retest reliability were good to excellent.ConclusionThe Wales Lower Limb Trauma Recovery (WaLLTR) Scale is the first tool to be developedfrom patient data with the potential to assess recovery following an open tibial fracture.
open tibial fracture, outcome score, qualitative, recovery, rehabilitation, quality of life