Comparing Self-Report Fatigue Assessment Tools for Adults with Cerebral Palsy in a Danish Context.

Developmental neurorehabilitation Pub Date : 2024-01-01 Epub Date: 2024-05-02 DOI:10.1080/17518423.2024.2347989
Ro Julia Robotham, Michelle Barner Bærentzen, Frederik Lehman Dornonville de la Cour
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Abstract

Purpose: Many youth and adults with Cerebral Palsy (CP) experience high levels of fatigue. This study aimed to compare three fatigue self-report questionnaires to guide clinicians.

Method: Thirty youth and adults (age range 17-64) with CP were assessed with Danish versions of the Fatigue Impact and Severity Self-Assessment questionnaire, the Modified Mental Fatigue Scale, and the Multidimensional Fatigue Inventory. Psychometric properties were investigated. Rank order and classification models were compared across questionnaires.

Results: The Reduced Motivation and Physical Fatigue subscales of the Multidimensional Fatigue Inventory showed inadequate internal consistency. Participants were frequently ranked differently with the questionnaires. There were issues related to the conceptualization of physical fatigue.

Conclusion: The choice of assessment tool should be based on assessment purpose as the questionnaires assess different aspects of fatigue severity, impact, and management. Also, test selection can have important implications on the conclusions that are made about fatigue type and severity.

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比较丹麦脑瘫成人自我报告疲劳评估工具
目的:许多患有脑性瘫痪(CP)的青少年和成年人都会感到高度疲劳。本研究旨在比较三种疲劳自我报告问卷,为临床医生提供指导:方法:使用丹麦语版本的疲劳影响和严重程度自评问卷、改良精神疲劳量表和多维疲劳量表,对 30 名患有脑瘫的青少年和成年人(年龄在 17-64 岁之间)进行了评估。对心理测量特性进行了研究。对不同问卷的等级顺序和分类模型进行了比较:结果:多维疲劳量表中的 "动机降低 "和 "身体疲劳 "两个分量表显示出内部一致性不足。参与者在问卷中的排名经常不同。结论:评估工具的选择应以评估目的为基础,因为问卷评估的是疲劳严重程度、影响和管理的不同方面。此外,测试的选择也会对疲劳类型和严重程度的结论产生重要影响。
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