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Comparability of Objective Structured Clinical Examinations (OSCEs) and Written Tests for Assessing Medical School Students' Competencies: A Scoping Review. 客观结构化临床考试(oses)和评估医学院学生能力的笔试的可比性:范围审查。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/01632787231165797
Oswin Chang, Anne M Holbrook, Simran Lohit, Jiawen Deng, Janice Xu, Munil Lee, Alan Cheng

Objective Structured Clinical Examinations (OSCEs) and written tests are commonly used to assess health professional students, but it remains unclear whether the additional human resources and expenses required for OSCEs, both in-person and online, are worthwhile for assessing competencies. This scoping review summarized literature identified by searching MEDLINE and EMBASE comparing 1) OSCEs and written tests and 2) in-person and online OSCEs, for assessing health professional trainees' competencies. For Q1, 21 studies satisfied inclusion criteria. The most examined health profession was medical trainees (19, 90.5%), the comparison was most frequently OSCEs versus multiple-choice questions (MCQs) (18, 85.7%), and 18 (87.5%) examined the same competency domain. Most (77.5%) total score correlation coefficients between testing methods were weak (r < 0.40). For Q2, 13 articles were included. In-person and online OSCEs were most used for medical trainees (9, 69.2%), checklists were the most prevalent evaluation scheme (7, 63.6%), and 14/17 overall score comparisons were not statistically significantly different. Generally low correlations exist between MCQ and OSCE scores, providing insufficient evidence as to whether OSCEs provide sufficient value to be worth their additional cost. Online OSCEs may be a viable alternative to in-person OSCEs for certain competencies where technical challenges can be met.

目的结构化临床考试(oses)和笔试通常用于评估卫生专业学生,但目前尚不清楚是否值得为评估能力投入额外的人力资源和费用,无论是面对面的还是在线的。本综述总结了通过检索MEDLINE和EMBASE,比较1)osce和笔试以及2)现场和在线osce,以评估卫生专业受训人员能力的文献。Q1有21项研究符合纳入标准。被检查最多的健康职业是医学培训生(19,90.5%),比较最常见的是osce与多项选择题(mcq)(18, 85.7%), 18(87.5%)检查相同的能力领域。各检测方法间总分相关系数均较弱(r < 0.40),占77.5%。第二季度共收录了13篇文章。医学培训生最常使用面对面和在线osce(9.69.2%),检查表是最常见的评估方案(7.63.6%),14/17总分比较差异无统计学意义。MCQ与欧安组织得分之间的相关性一般较低,因此没有足够的证据表明欧安组织是否提供了足够的价值,值得其额外的成本。对于能够应对技术挑战的某些能力,在线欧安组织可能是面对面欧安组织的可行替代方案。
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引用次数: 0
Longitudinal Assessment to Evaluate Continued Certification and Lifelong Learning in Healthcare Professionals: A Scoping Review. 纵向评估评估医疗保健专业人员的持续认证和终身学习:范围审查。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/01632787231164381
Robyn C Ward, Kathy A Baker, Dennis Spence, Colleen Leonard, Alysha Sapp, Shahid A Choudhry

The balance of lifelong learning with assessment for continued certification is a challenge faced by healthcare professions. The value of single-point-in-time assessments has been questioned, and a shift to longitudinal assessments (LA) has been undertaken to assess lifelong learning over-time. This scoping review was conducted to inform healthcare certifying organizations who are considering LA as an assessment tool of competence and lifelong learning in healthcare professionals. A search of 6 databases and grey literature yielded 957 articles. After screening and removal of duplicates, 14 articles were included. Most articles were background studies informing the underpinnings of LA in the form of progress testing, pilot studies, and process of implementation. Progress testing is used in educational settings. Pilot studies reported satisfaction with LA's ease of use, online format, and provision of lifelong learning. Implementation processes reveal that key aspects of success include stakeholder participation, phased rollout, and a publicly available content outline. Initial outcomes data affirm that LA addresses knowledge gaps, and results in improved performance on maintenance of certification exams. Future research is needed to substantiate validity evidence of LA and its correlation with high-stakes exam performance when assessing lifelong learning and continued competence of healthcare professionals over time.

如何平衡终身学习和持续认证的评估是医疗保健专业人员面临的一个挑战。单一时间点评估的价值受到质疑,并且已经开始向纵向评估(LA)转变,以评估长期的终身学习。进行范围审查是为了告知正在考虑将LA作为医疗保健专业人员能力和终身学习的评估工具的医疗保健认证组织。通过对6个数据库和灰色文献的检索,得出957篇文章。在筛选和去除重复后,纳入了14篇文章。大多数文章都是背景研究,以进度测试、试点研究和实施过程的形式介绍了LA的基础。进度测试在教育环境中使用。试点研究报告了对LA的易用性、在线格式和终身学习提供的满意度。实现过程揭示了成功的关键方面包括涉众参与、分阶段推出和公开可用的内容大纲。初步结果数据证实,LA解决了知识差距问题,并提高了认证考试维护方面的绩效。未来的研究需要证实在评估终身学习和医疗保健专业人员的持续能力时,LA的效度证据及其与高风险考试成绩的相关性。
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引用次数: 0
Evaluating the DR-ED Listserv as a Medical Education Networking and Support Tool. 评价DR-ED列表服务作为医学教育网络和支持工具的作用。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/01632787231179420
Stacey Pylman, Brian Mavis

The listserv, although considered old technology by some, continues to show benefit for and growth in subscribers. We investigated the roles the DR-ED listserv plays within the medical education community. We asked, Who subscribes? Why do they subscribe? and How do they use the listserv? We conducted a mixed-methods evaluation of the DR-ED listserv based on message content analysis and user surveys. We found the DR-ED listserv fulfills medical educators' need to network collegially; keep current with issues and ideas in the field; share solutions to problems; share resources; and advertise development opportunities. We found two types of listserv engagement: a) one-way engagement by using it as a resource, or two-way engagement by using and sharing resources. Our findings also highlight the value users attribute to virtual resources and the role listservs can play as economical professional development in a time of constrained costs, and our analysis methods can be used to guide future listserv evaluations. We conclude the relatively easy access to a global medical education listserv is one strategy to create a community of practice for medical education practitioners.

虽然有些人认为listserv是一项过时的技术,但它仍然为用户带来了好处,并在不断增长。我们调查了DR-ED列表服务在医学教育界所扮演的角色。我们问,谁订阅?他们为什么订阅?他们如何使用listserv?我们基于消息内容分析和用户调查对DR-ED listserv进行了混合方法评估。我们发现DR-ED的列表服务满足了医学教育工作者建立学院网络的需求;及时了解该领域的问题和想法;分享解决问题的方法;共享资源;并宣传发展机会。我们发现了两种类型的listserv参与:a)将其作为资源使用的单向参与,或使用和共享资源的双向参与。我们的研究结果还突出了用户对虚拟资源的价值,以及在成本受限的情况下,listservs可以发挥经济专业发展的作用,我们的分析方法可以用于指导未来的listservs评估。我们得出结论,相对容易访问全球医学教育列表服务是为医学教育从业者创建实践社区的一种策略。
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引用次数: 0
Evaluation of the Psychometric Properties of a Newly Developed Chinese Screening Tool for Speech Disorders in Patients With Parkinson's Disease. 新开发的汉语帕金森病患者言语障碍筛查工具的心理测量特性评价。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-06-01 DOI: 10.1177/01632787221108458
Chi-Lin Chen, Ching-Huang Lin, Chen-San Su, Hsiang-Chun Cheng, Li-Mei Chen, Rong-Ju Cherng

The study aimed to analyze the psychometric properties of a newly developed Chinese screening tool, the Chinese Version of the Speech Disorders in Parkinson's Disease Questionnaire (SDPD-C). The SDPD-C contains a 24-item questionnaire with four assessment domains. Overall, 93 patients with idiopathic Parkinson's disease (PD) (age 70.1 ± 8.9 years) and 76 healthy older adults (age 67.2 ± 8.1 years) participated in the psychometric analysis study. The internal consistency of the SDPD-C was .91 (four dimensions: .69-.85), and test-retest reliability was .91 (four dimensions: .85-.88). The SDPD-C was highly correlated with the Voice Handicap Index-10 and Movement Disorder Society-Unified Parkinson's Disease Rating Scale II 2.1 (r = .83 and .78, respectively). The SDPD-C scores also differed significantly between stages 1 and 4 of the Hoehn and Yahr Scale (p < .05). The area under the receiver operating characteristic curve was .955 (95% confidence interval, .927-.983; asymptotic significance p < .001), and the optimal cut-off score of this study was 36, with a sensitivity of .849 and specificity of .947. The results indicate that SDPD-C showed good reliability, validity, accuracy, and discrimination. It can be used as a screening tool for speech disorders in patients with PD.

本研究旨在分析新开发的中文筛查工具——帕金森病言语障碍中文版问卷(SDPD-C)的心理测量特性。spd - c包含有四个评估领域的24项问卷。总共有93例特发性帕金森病(PD)患者(年龄70.1±8.9岁)和76例健康老年人(年龄67.2±8.1岁)参加了心理测量分析研究。SDPD-C的内部一致性为0.91(四个维度:0.69 ~ 0.85),重测信度为0.91(四个维度:0.85 ~ 0.88)。SDPD-C与发声障碍指数-10和运动障碍学会统一帕金森病评定量表II - 2.1高度相关(r分别为0.83和0.78)。Hoehn和Yahr量表第1期和第4期的spd - c评分也有显著差异(p < 0.05)。受试者工作特征曲线下面积为0.955(95%置信区间为0.927 ~ 0.983;渐近意义p < 0.001),本研究的最佳分值为36分,敏感性为0.849,特异性为0.947。结果表明,SDPD-C具有良好的信度、效度、准确度和判别性。它可以作为PD患者语言障碍的筛查工具。
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引用次数: 0
Erratum. 勘误表。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-06-01 DOI: 10.1177/01632787231163901
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引用次数: 0
Psychometric Properties of the Turkish Version of the JHand for the Patient-Oriented Outcome Measure for Patients with Hand and Elbow Disorders. 土耳其版本的JHand的心理测量特性为患者导向的结果测量手肘疾病的患者。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-06-01 DOI: 10.1177/01632787221146245
Hasan Atacan Tonak, Yener Aydin, Burc Ozcanyuz, Haluk Ozcanli, Kosuke Uehara, Yutaka Morizaki

The JHand is an easy-to-understand questionnaire that includes questions that exclude hand dominance. It was developed to evaluate patients with hand and elbow disorders. However, JHand has not been translated and validated in the Turkish language. The aim of this study is to investigate the psychometric properties of the culturally adapted Turkish version of the JHand for Turkish patients. A total of 262 patients were included in the study. JHand, Disabilities of the Arm, Shoulder, and Hand Questionnaire, and Hand20 were used to evaluate patients. Internal consistency and test-retest analyses were applied to determine the reliability of the Turkish version of the JHand. Confirmatory factor analysis and similar scale validity were used to determine its validity. The Turkish version of the JHand showed high levels of internal consistency and excellent test-retest reliability (Cronbach α = 0.907, ICC = 0.923). The model fit indices of the Turkish version of the JHand had good and acceptable fit with reference values. Statistically positive and very strong correlations were found between JHand and DASH (r = .825, p < .001) as well as the JHand and Hand20 (r = .846, p < .001). The Turkish version of the JHand had excellent internal consistency and test-retest reliability as well as a high level of validity.

JHand是一份易于理解的问卷,其中包括排除手优势的问题。它是用来评估手和肘部疾病患者的。然而,JHand还没有被翻译成土耳其语并得到验证。本研究的目的是调查土耳其患者的文化适应的土耳其版本的JHand的心理测量特性。研究共纳入262例患者。采用JHand、臂、肩、手残疾问卷和Hand20对患者进行评估。采用内部一致性和重测分析来确定土耳其版JHand的可靠性。采用验证性因子分析和相似量表效度来确定其效度。土耳其版JHand具有较高的内部一致性和极好的重测信度(Cronbach α = 0.907, ICC = 0.923)。土耳其版JHand的模型拟合指标与参考值拟合良好,可接受。JHand与DASH (r = .825, p < .001)、JHand与Hand20 (r = .846, p < .001)呈显著正相关。土耳其版的JHand具有优异的内部一致性和重测信度以及高水平的效度。
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引用次数: 0
Reliability and Validity of the Turkish Version of the Modified Dynamic Gait Index in the Elderly. 土耳其语版改进的老年人动态步态指数的信度和效度。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-06-01 DOI: 10.1177/01632787221128311
Emrah Zirek, Rustem Mustafaoglu, Aynur Cicek, Ishtiaq Ahmed, Savvas Mavromoustakos
The modified Dynamic Gait Index (mDGI) is one of the valid instruments used in the evaluation of gait disorders. This study aimed to translate the mDGI into Turkish and evaluate the evidence for its reliability and validity for use in an elderly population. For test-retest reliability, the mDGI was administered twice, and for inter-rater reliability, the mDGI was administered alone on the same day by two raters. Concurrent validity of the mDGI was assessed using Pearson’s correlation analysis between the Turkish version of the mDGI score and the Timed Up and Go (TUG), Berg Balance Scale (BBS), and 10-m Walk Test (10-MWT), respectively. The internal consistency of the mDGI was found to be excellent (Cronbach’s alpha = 0.97) and test-retest (ICC = 0.95; 95% Cl (0.84–0.95)) and inter-rater reliability (ICC = 0.95; 95% Cl (0.85–0.95)) were excellent. A negative, moderate correlation was found between mDGI and TUG (r = −0.73, p < .0001), and a positive, moderate correlation with BBS (r = 0.71, p < .0001) and 10-MWT (r = 0.72, p < .0001). The Turkish version of the mDGI was found to be a valid and reliable assessment instrument for gait and balance in the elderly.
改进的动态步态指数(mDGI)是评价步态障碍的有效工具之一。本研究旨在将mDGI翻译成土耳其语,并评估其在老年人群中使用的可靠性和有效性。为了测试-重测信度,mDGI进行了两次管理,为了评估者之间的信度,mDGI在同一天由两个评估者单独管理。mDGI的并发效度分别采用土耳其版mDGI评分与time Up and Go (TUG)、Berg Balance Scale (BBS)和10米步行测试(10-MWT)之间的Pearson相关分析进行评估。mDGI的内部一致性很好(Cronbach’s alpha = 0.97),重测(ICC = 0.95;95% Cl(0.84-0.95))和评估间信度(ICC = 0.95;95% Cl(0.85 ~ 0.95))为优。mDGI与TUG呈负、中度相关(r = -0.73, p < 0.0001),与BBS呈正、中度相关(r = 0.71, p < 0.0001),与10-MWT呈正相关(r = 0.72, p < 0.0001)。土耳其版本的mDGI被认为是老年人步态和平衡的有效和可靠的评估工具。
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引用次数: 0
Psychometric Evaluation of Chronic Patients Using the Persian Version of Patient Activation Measure (PAM). 使用波斯语版患者激活测量法 (PAM) 对慢性病患者进行心理测量评估。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-06-01 Epub Date: 2022-05-04 DOI: 10.1177/01632787221096904
Mohammad Ali Zakeri, Ali Esmaeili Nadimi, Golamreza Bazmandegan, Maryam Zakeri, Mahlagha Dehghan

The Patient Activation Measure (PAM) is a 13-item questionnaire that assesses patients' knowledge, skills, and confidence in self-management. The current study aimed to translate the American version of the PAM-13 into Persian and test the psychometric properties of the Persian version among chronic patients. This cross-sectional study was conducted on 438 chronically ill patients in Rafsanjan, Iran from May to November 2019. The American version of the PAM-13 was translated into Persian using a standardized forward-backward translation method. Internal consistency, test-retest reliability, face and content validity, as well as construct validity (structural and convergent validity) were all assessed. The content validity index of the Patient Activation Measure-13 Persian (PAM-13-P) was 0.91. Exploratory and confirmatory factor analyses showed that the PAM-13-P had a meaningful structural validity. The PAM-13-P scores were negatively correlated with the Partner in Health Measure (PIH) (r = -0.29, p < 0.001). In addition, the PAM13-P scores were positively correlated with the Satisfaction with Life Scale (SWLS) (r = 0.31, p < 0.001). The internal consistency was 0.88, and the repeatability was excellent [Intraclass Correlation Coefficient (ICC):0.96 and confidence interval (CI): 0.94-0.98]. This study demonstrates that the PAM-13-P is a reliable and valid measure for assessing activation among chronically ill patients. The PAM-13-P scale assesses the level of self-management of chronic patients and identifies appropriate care strategies to meet their needs.

患者激活测量法(PAM)是一项包含 13 个项目的调查问卷,用于评估患者在自我管理方面的知识、技能和信心。本研究旨在将美国版的 PAM-13 翻译成波斯语,并测试波斯语版本在慢性病患者中的心理测量特性。这项横断面研究于 2019 年 5 月至 11 月在伊朗拉夫桑詹对 438 名慢性病患者进行了调查。采用标准化的正向-反向翻译法将美国版 PAM-13 翻译成波斯语。对内部一致性、重测信度、面效度和内容效度以及建构效度(结构效度和聚合效度)进行了评估。患者激活测量-13 波斯文版(PAM-13-P)的内容效度指数为 0.91。探索性和确认性因素分析表明,PAM-13-P 具有有意义的结构效度。PAM-13-P 评分与健康伙伴测量(PIH)呈负相关(r = -0.29,p < 0.001)。此外,PAM13-P 分数与生活满意度量表 (SWLS) 呈正相关(r = 0.31,p < 0.001)。内部一致性为 0.88,重复性极佳[类内相关系数(ICC):0.96,置信区间(CI):0.94-0.98]。本研究表明,PAM-13-P 是评估慢性病患者激活度的可靠有效的测量方法。PAM-13-P量表可评估慢性病患者的自我管理水平,并确定适当的护理策略以满足他们的需求。
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引用次数: 0
Psychometric Properties of the Access of Older Adults to Outpatient Primary-Care Health Services Scale. 老年人门诊初级保健服务量表获取的心理测量特征。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-06-01 DOI: 10.1177/01632787231158806
Gerardo Santoyo-Sánchez, Hortensia Reyes-Morales, Sergio Flores-Hernández, Blanca Estela Pelcastre-Villafuerte, César Merino-Soto

This study evaluates the psychometric properties of the Access of Older Adults to Outpatient Primary-Care Health Services Scale (AOAOPHSS), in research conducted among 707 Mexican older adults selected by convenience from 14 rural and one urban locations. The AOAOPHSS explores 10 dimensions of two integrated subscales: Accessibility and Personal Abilities. Data analysis was performed in five phases. First, potentially biased responses were identified. Second, the response efficiency of the items and their association with external variables were evaluated. Third, the basic properties of the scores for the subscales' dimensions of the AOAOPHSS were identified using non-parametric Mokken Scaling Analysis (MSA). Fourth, the Structural Equation Modeling methodology was used to identify the properties of the internal structure of the latent construct. Finally, reliability and internal consistency were evaluated at both score and item levels. The following findings emerged. 13 items with inefficient response options were removed, and 24 were retained using the MSA. The latent structure of the latter was defined based on 21 items of five Accessibility Subscale dimensions. Its internal consistency reliability ranged between 0.67 and 0.81 (omega coefficients) and between 0.61 and 0.78 (alpha coefficients). Accordingly, this paper discusses the overall implications of using the Accessibility Subscale.

本研究评估了老年人获得门诊初级保健卫生服务量表(AOAOPHSS)的心理测量特性,在研究中,从14个农村和1个城市地区选择707名墨西哥老年人。AOAOPHSS探讨了可及性和个人能力两个综合子量表的10个维度。数据分析分五个阶段进行。首先,确定了潜在的偏见反应。其次,评估了项目的响应效率及其与外部变量的关联。第三,采用非参数Mokken标度分析(MSA)对AOAOPHSS各子量表维度得分的基本属性进行识别。第四,运用结构方程建模方法对潜在构念的内部结构属性进行识别。最后,在得分和项目水平上评估信度和内部一致性。结果如下。13个无效回答选项被删除,24个使用MSA保留。后者的潜在结构是基于可达性子量表5个维度的21个条目来定义的。其内部一致性信度范围为0.67 ~ 0.81 (ω系数),0.61 ~ 0.78 (alpha系数)。在此基础上,本文讨论了使用可达性子量表的总体意义。
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引用次数: 0
Cross-Cultural Adaptation and Psychometric Validation of the Turkish Version of Pain Resilience Scale. 土耳其版疼痛弹性量表的跨文化适应与心理测量学验证。
IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-06-01 DOI: 10.1177/01632787221127377
Muge Dereli, Turhan Kahraman, Christopher R France

The Pain Resilience Scale (PRS) is a useful tool that evaluates behavioral engagement and adaptively regulates cognitions and emotions despite the pain. This study aimed to translate the PRS to Turkish and investigate its psychometric properties. The Turkish version of PRS was completed online by 332 healthy adults, and a subset of 105 respondents was re-assessed after 7-14 days. The reliability of the adapted measure was evaluated in terms of internal consistency, relative, and absolute test-retest reliability. Validity was evaluated in terms of structural, construct, and known-group validity using positive and negative psychological scales. The Turkish version of PRS has a three-factor structure and its cumulative variance is 78.06%. The total PRS score and its subscales correlated positively with pain self-efficacy, general resilience, and quality of life, and negatively with pain catastrophizing, kinesiophobia, anxiety, depression, and disability. The PRS scores were significantly higher in those with high general resilience (p < 0.001). The PRS had high internal consistency and test-retest reliability. Standard Error of Measurement (SEM) and Minimum Detectable Difference (MDD) were calculated as 2.9 and 8.0, respectively. The Turkish version of PRS is a reliable and valid instrument for measuring pain resilience in terms of behavioral perseverance and cognitive positivity.

疼痛恢复力量表(PRS)是一种有效的评估行为投入度的工具,可以在疼痛的情况下对认知和情绪进行适应性调节。本研究旨在将PRS翻译成土耳其语,并研究其心理测量特性。332名健康成人在线完成土耳其语版PRS,其中105名受访者在7-14天后重新接受评估。根据内部一致性、相对信度和绝对重测信度来评估适应测量的信度。效度以结构效度、构念效度和已知组效度进行评估,采用积极和消极心理量表。土耳其版本的PRS具有三因素结构,其累积方差为78.06%。总PRS评分及其分量表与疼痛自我效能、一般恢复力和生活质量呈正相关,与疼痛灾难化、运动恐惧症、焦虑、抑郁和残疾呈负相关。一般心理弹性高者的PRS得分显著高于一般心理弹性高者(p < 0.001)。该量表具有较高的内部一致性和重测信度。测量标准误差(SEM)和最小可检测差异(MDD)分别为2.9和8.0。土耳其语版PRS量表在行为毅力和认知积极度方面是一种可靠有效的测量疼痛恢复力的工具。
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引用次数: 0
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Evaluation & the Health Professions
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