Validity and reliability of a tool for determining appropriateness of days of stay: an observational study in the orthopedic intensive rehabilitation facilities in Italy
To test the validity and reliability of a tool specifically developed for the evaluation of appropriateness in rehabilitation facilities and to assess the prevalence of appropriateness of the days of stay. The tool underwent a process of cross-cultural translation, content validity, and test-retest...
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| creator | Bianco, Aida Flotta, Domenico Lotito, Francesca Nobile, Carmelo G A Pileggi, Claudia Pavia, Maria |
| description | To test the validity and reliability of a tool specifically developed for the evaluation of appropriateness in rehabilitation facilities and to assess the prevalence of appropriateness of the days of stay.
The tool underwent a process of cross-cultural translation, content validity, and test-retest validity. Two hospital-based rehabilitation wards providing intensive rehabilitation care located in the Region of Calabria, Southern Italy, were randomly selected. A review of medical records on a random sample of patients aged 18 or more was performed.
The process of validation resulted in modifying some of the criteria used for the evaluation of appropriateness. Test-retest reliability showed that the agreement and the k statistic for the assessment of the appropriateness of days of stay were 93.4% and 0.82, respectively. A total of 371 patient days was reviewed, and 22.9% of the days of stay in the sample were judged to be inappropriate. The most frequently selected appropriateness criterion was the evaluation of patients by rehabilitation professionals for at least 3 hours on the index day (40.8%); moreover, the most frequent primary reason accounting for the inappropriate days of stay was social and/or family environment issues (34.1%).
The findings showed that the tool used is reliable and have adequate validity to measure the extent of appropriateness of days of stay in rehabilitation facilities and that the prevalence of inappropriateness is contained in the investigated settings. Further research is needed to expand appropriateness evaluation to other rehabilitation settings, and to investigate more thoroughly internal and external causes of inappropriate use of rehabilitation services. |
| doi_str_mv | 10.1371/journal.pone.0050260 |
| format | Article |
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The tool underwent a process of cross-cultural translation, content validity, and test-retest validity. Two hospital-based rehabilitation wards providing intensive rehabilitation care located in the Region of Calabria, Southern Italy, were randomly selected. A review of medical records on a random sample of patients aged 18 or more was performed.
The process of validation resulted in modifying some of the criteria used for the evaluation of appropriateness. Test-retest reliability showed that the agreement and the k statistic for the assessment of the appropriateness of days of stay were 93.4% and 0.82, respectively. A total of 371 patient days was reviewed, and 22.9% of the days of stay in the sample were judged to be inappropriate. The most frequently selected appropriateness criterion was the evaluation of patients by rehabilitation professionals for at least 3 hours on the index day (40.8%); moreover, the most frequent primary reason accounting for the inappropriate days of stay was social and/or family environment issues (34.1%).
The findings showed that the tool used is reliable and have adequate validity to measure the extent of appropriateness of days of stay in rehabilitation facilities and that the prevalence of inappropriateness is contained in the investigated settings. Further research is needed to expand appropriateness evaluation to other rehabilitation settings, and to investigate more thoroughly internal and external causes of inappropriate use of rehabilitation services.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0050260</identifier><identifier>PMID: 23185588</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Activities of daily living ; Aged ; Aged, 80 and over ; Bone surgery ; Collaboration ; Evaluation ; Female ; Health care ; Health sciences ; Hospitalization - economics ; Hospitalization - statistics & numerical data ; Humans ; Italy ; Length of Stay - economics ; Length of Stay - statistics & numerical data ; Male ; Medical diagnosis ; Medical records ; Medicine ; Middle Aged ; Needs Assessment ; Observational studies ; Orthopedics ; Patients ; Pediatrics ; Population ; Public health ; Rehabilitation ; Rehabilitation Centers - standards ; Rehabilitation Centers - utilization ; Reliability analysis ; Reproducibility of Results ; Utilization Review ; Working groups</subject><ispartof>PloS one, 2012-11, Vol.7 (11), p.e50260-e50260</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012 Bianco et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2012 Bianco et al 2012 Bianco et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c641t-eb18f3d4c1cd0f8c706d25831cc53cbfbafc414272cd74127cb3e796d8f088da3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3504001/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3504001/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23185588$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Braitstein, Paula</contributor><creatorcontrib>Bianco, Aida</creatorcontrib><creatorcontrib>Flotta, Domenico</creatorcontrib><creatorcontrib>Lotito, Francesca</creatorcontrib><creatorcontrib>Nobile, Carmelo G A</creatorcontrib><creatorcontrib>Pileggi, Claudia</creatorcontrib><creatorcontrib>Pavia, Maria</creatorcontrib><creatorcontrib>Collaborative Working Group</creatorcontrib><creatorcontrib>for The Collaborative Working Group</creatorcontrib><title>Validity and reliability of a tool for determining appropriateness of days of stay: an observational study in the orthopedic intensive rehabilitation facilities in Italy</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To test the validity and reliability of a tool specifically developed for the evaluation of appropriateness in rehabilitation facilities and to assess the prevalence of appropriateness of the days of stay.
The tool underwent a process of cross-cultural translation, content validity, and test-retest validity. Two hospital-based rehabilitation wards providing intensive rehabilitation care located in the Region of Calabria, Southern Italy, were randomly selected. A review of medical records on a random sample of patients aged 18 or more was performed.
The process of validation resulted in modifying some of the criteria used for the evaluation of appropriateness. Test-retest reliability showed that the agreement and the k statistic for the assessment of the appropriateness of days of stay were 93.4% and 0.82, respectively. A total of 371 patient days was reviewed, and 22.9% of the days of stay in the sample were judged to be inappropriate. The most frequently selected appropriateness criterion was the evaluation of patients by rehabilitation professionals for at least 3 hours on the index day (40.8%); moreover, the most frequent primary reason accounting for the inappropriate days of stay was social and/or family environment issues (34.1%).
The findings showed that the tool used is reliable and have adequate validity to measure the extent of appropriateness of days of stay in rehabilitation facilities and that the prevalence of inappropriateness is contained in the investigated settings. Further research is needed to expand appropriateness evaluation to other rehabilitation settings, and to investigate more thoroughly internal and external causes of inappropriate use of rehabilitation services.</description><subject>Activities of daily living</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bone surgery</subject><subject>Collaboration</subject><subject>Evaluation</subject><subject>Female</subject><subject>Health care</subject><subject>Health sciences</subject><subject>Hospitalization - economics</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Italy</subject><subject>Length of Stay - economics</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Needs Assessment</subject><subject>Observational studies</subject><subject>Orthopedics</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Population</subject><subject>Public health</subject><subject>Rehabilitation</subject><subject>Rehabilitation Centers - 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The tool underwent a process of cross-cultural translation, content validity, and test-retest validity. Two hospital-based rehabilitation wards providing intensive rehabilitation care located in the Region of Calabria, Southern Italy, were randomly selected. A review of medical records on a random sample of patients aged 18 or more was performed.
The process of validation resulted in modifying some of the criteria used for the evaluation of appropriateness. Test-retest reliability showed that the agreement and the k statistic for the assessment of the appropriateness of days of stay were 93.4% and 0.82, respectively. A total of 371 patient days was reviewed, and 22.9% of the days of stay in the sample were judged to be inappropriate. The most frequently selected appropriateness criterion was the evaluation of patients by rehabilitation professionals for at least 3 hours on the index day (40.8%); moreover, the most frequent primary reason accounting for the inappropriate days of stay was social and/or family environment issues (34.1%).
The findings showed that the tool used is reliable and have adequate validity to measure the extent of appropriateness of days of stay in rehabilitation facilities and that the prevalence of inappropriateness is contained in the investigated settings. Further research is needed to expand appropriateness evaluation to other rehabilitation settings, and to investigate more thoroughly internal and external causes of inappropriate use of rehabilitation services.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23185588</pmid><doi>10.1371/journal.pone.0050260</doi><tpages>e50260</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Activities of daily living Aged Aged, 80 and over Bone surgery Collaboration Evaluation Female Health care Health sciences Hospitalization - economics Hospitalization - statistics & numerical data Humans Italy Length of Stay - economics Length of Stay - statistics & numerical data Male Medical diagnosis Medical records Medicine Middle Aged Needs Assessment Observational studies Orthopedics Patients Pediatrics Population Public health Rehabilitation Rehabilitation Centers - standards Rehabilitation Centers - utilization Reliability analysis Reproducibility of Results Utilization Review Working groups |
| title | Validity and reliability of a tool for determining appropriateness of days of stay: an observational study in the orthopedic intensive rehabilitation facilities in Italy |
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