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The development of a novel patient-derived recovery scale for open tibial fractures

Ryan W. Trickett, Elizabeth Mudge, Patricia Price, Ian Pallister, Tricia Price

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

Abstract

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...

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Published in: The Bone & Joint Journal
ISSN: 2049-4394 2049-4408
Published: British Editorial Society of Bone & Joint Surgery 2020
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URI: https://cronfa.swan.ac.uk/Record/cronfa53249
first_indexed 2020-01-14T13:29:26Z
last_indexed 2024-11-14T12:04:36Z
id cronfa53249
recordtype SURis
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spelling 2023-06-28T15:27:04.5608981 v2 53249 2020-01-14 The development of a novel patient-derived recovery scale for open tibial fractures 8ddd73971cbb1d06f5ee3a0ce8a90e58 Ian Pallister Ian Pallister true false 72b4943af96c97ef72977c31b9c29624 Tricia Price Tricia Price true false 2020-01-14 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. Journal Article The Bone & Joint Journal 102-B 1 17 25 British Editorial Society of Bone & Joint Surgery 2049-4394 2049-4408 open tibial fracture, outcome score, qualitative, recovery, rehabilitation, quality of life 1 1 2020 2020-01-01 10.1302/0301-620x.102b1.bjj-2019-0303.r2 COLLEGE NANME COLLEGE CODE Swansea University 2023-06-28T15:27:04.5608981 2020-01-14T08:49:54.2089456 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Ryan W. Trickett 1 Elizabeth Mudge 2 Patricia Price 3 Ian Pallister 4 Tricia Price 5
title The development of a novel patient-derived recovery scale for open tibial fractures
spellingShingle The development of a novel patient-derived recovery scale for open tibial fractures
Ian Pallister
Tricia Price
title_short The development of a novel patient-derived recovery scale for open tibial fractures
title_full The development of a novel patient-derived recovery scale for open tibial fractures
title_fullStr The development of a novel patient-derived recovery scale for open tibial fractures
title_full_unstemmed The development of a novel patient-derived recovery scale for open tibial fractures
title_sort The development of a novel patient-derived recovery scale for open tibial fractures
author_id_str_mv 8ddd73971cbb1d06f5ee3a0ce8a90e58
72b4943af96c97ef72977c31b9c29624
author_id_fullname_str_mv 8ddd73971cbb1d06f5ee3a0ce8a90e58_***_Ian Pallister
72b4943af96c97ef72977c31b9c29624_***_Tricia Price
author Ian Pallister
Tricia Price
author2 Ryan W. Trickett
Elizabeth Mudge
Patricia Price
Ian Pallister
Tricia Price
format Journal article
container_title The Bone & Joint Journal
container_volume 102-B
container_issue 1
container_start_page 17
publishDate 2020
institution Swansea University
issn 2049-4394
2049-4408
doi_str_mv 10.1302/0301-620x.102b1.bjj-2019-0303.r2
publisher British Editorial Society of Bone & Joint Surgery
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 0
active_str 0
description 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.
published_date 2020-01-01T19:51:25Z
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score 11.04748

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