The Patient-Specific Functional Scale: validity in workers' compensation claimants.

Abstract:

OBJECTIVE:To examine the construct and predictive validity of the Patient-Specific Functional Scale (PSFS) in workers' compensation claimants. DESIGN:Prospective cohort study with 1-year follow-up. SETTING:A workers' compensation rehabilitation facility. PARTICIPANTS:Subjects included 294 claimants with a variety of musculoskeletal disorders. The sample was predominantly male (70%), with a mean age of 44 years. Subjects completed a battery of measures at baseline including the PSFS, the Pain Disability Index (PDI), and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Outcomes for determining predictive validity included administrative indicators of timely return to work and recovery during the 1-year follow-up. Analysis included Pearson correlation and multivariable Cox and logistic regression. RESULTS:At baseline, the PSFS correlated moderately (r range, 0.3-0.5) with other indicators of functional limitation (PDI, SF-36 role-physical subscale) but negligibly with the SF-36 mental health and role-emotional subscales. The PSFS was associated with timely recovery (adjusted hazard ratio, 1.16; 95% confidence interval, 1.07-1.27) with increasing functional limitation related to delayed recovery. CONCLUSIONS:Results provide construct and predictive validity evidence for the PSFS as an indicator of functional limitation in workers' compensation claimants.

journal_name

Arch Phys Med Rehabil

authors

Gross DP,Battié MC,Asante AK

doi

10.1016/j.apmr.2007.11.040

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

1294-9

issue

7

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(08)00214-1

journal_volume

89

pub_type

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