German version of the Chelsea critical care physical assessment tool (CPAx-GE) : translation, cross-cultural adaptation, validity, and reliability

Eggmann, Sabrina (Department of Physiotherapy, Inselspital, Bern University Hospital, Switzerland ; Department of Epidemiology, Research Line Functioning, Participation and Rehabilitation CAPHRI, Maastricht University, The Netherlands) ; Verra, Martin L. (Department of Physiotherapy, Inselspital, Bern University Hospital, Switzerland) ; Stefanicki, Valentine (Physiotherapy, Swiss Paraplegic Centre, Nottwil, Switzerland) ; Kindler, Angela (Department of Physiotherapy, Inselspital, Bern University Hospital, Switzerland) ; Seyler, Daphne (Department of Physiotherapy, Inselspital, Bern University Hospital, Switzerland) ; Hilfiker, Roger (School of Health Sciences, HES-SO Valais-Wallis, Leukerbad, Switzerland) ; Schefold, Joerg C. (Department of Intensive Care Medicine, Inselspital, Bern University Hospital, Switzerland) ; Bastiaenen, Caroline H. G. (Department of Epidemiology, Research Line Functioning, Participation and Rehabilitation CAPHRI, Maastricht University, The Netherlands) ; Zante, Bjoern (Department of Intensive Care Medicine, Inselspital, Bern University Hospital, Switzerland)

Purpose : To translate and cross-culturally adapt the Chelsea Critical Care Physical Assessment tool from English to German (CPAx-GE) and to examine its validity and reliability. Materials and methods : Following a forward-backward translation including an expert round table discussion, the measurement properties of the CPAx-GE were explored in critically ill, mechanically ventilated adults. We investigated construct, cross-sectional, and cross-cultural validity of the CPAx-GE with other measurement instruments at pre-specified timepoints, analysed relative reliability with intraclass correlation coefficients (ICCs) and determined absolute agreement with the Bland–Altman plots. Results : Consensus for the translated CPAx-GE was reached. Validity was excellent with >80% of the pre-specified hypotheses accepted at baseline, critical care, and hospital discharge. Interrater reliability was high (ICCs > 0.8) across all visits. Limit of agreement ranged from −2 to 2 points. Error of measurement was small, floor, and ceiling effects limited. Conclusions : The CPAx-GE demonstrated excellent construct, cross-sectional, and cross-cultural validity as well as high interrater reliability in critically ill adults with prolonged mechanical ventilation at baseline, critical care, and hospital discharge. Consequently, the CPAx-GE can be assumed equal to the original and recommended in the German-speaking area to assess physical function and activity of critically ill adults across the critical care and hospital stay. Trial registration: German Clinical Trials Register (DRKS) identification number: DRKS00012983 (https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00012983), registered on 20 September 2017, first patient enrolled on 21 November 2017. Implications for rehabilitation Early rehabilitation of critically ill patients is recommended to prevent and treat the subsequent functional disability, but a suitable measurement instrument for the German-speaking area is lacking. The translated, cross-culturally adapted German CPAx demonstrated excellent validity and reliability in assessing physical function and activity in critically ill adults. Cross-sectional validity of the CPAx has been newly established and allows the use of this tool at clinically relevant time-points in the course of a critical illness. The CPAx-GE can therefore be used in clinical practice by German-speaking therapists to assess physical function and activity during early rehabilitation in the ICU and hospital.


Mots-clés:
Type d'article:
scientifique
Faculté:
Santé
Filière:
Physiothérapie
Ecole:
HEdS-VS
Institut:
Institut Santé
Date:
2021-04
Pagination:
11 p.
Veröffentlicht in:
Disability and rehabilitation
Numérotation (vol. no.):
To be published
DOI:
ISSN:
0963-8288
Le document apparaît dans:



 Datensatz erzeugt am 2021-06-09, letzte Änderung am 2021-06-09

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