Measurement properties of the incremental step test for people with chronic obstructive pulmonary disease: a cross-sectional study

Detalhes bibliográficos
Autor(a) principal: Gonçalves, Tânia
Data de Publicação: 2024
Outros Autores: Carlos Winck, João, Silva, Fátima, Caneiras, Catia, Montes, António Mesquita, Vilarinho, Rui
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/62522
Resumo: © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
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spelling Measurement properties of the incremental step test for people with chronic obstructive pulmonary disease: a cross-sectional studyChronic airways diseaseGeriatric medicinaRehabilitation medicine© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.Objectives: The new incremental step test (IST) is a field test that was developed for people with chronic obstructive pulmonary disease (COPD), based on the characteristics of the incremental shuttle walk test (ISWT); however, its measurement properties still need to be determined. We aimed, first, to assess the construct validity (through the comparison with the ISWT), within-day reliability and measurement error of the IST in people with COPD; and, second, to identify whether the participants have a learning effect in the IST. Design: Cross-sectional study, conducted according to COnsensus-based Standards for the selection of health status Measurement INstruments guidelines. Setting: A family health unit in Portugal, April 2022 to June 2023. Participants and analysis: 63 participants (67.5±10.5 years) attended two sessions to perform two IST and two ISWT, separately. Spearman's correlations were used to compare the best performances between the IST and the ISWT. Intraclass correlation coefficient (ICC2,1) was used for reliability, and the SE of measurement (SEM), minimal detectable change at 95% CI (MDC95) and Bland and Altman 95% limits of agreement (LoA) were used for measurement error. The learning effect was explored with the Wilcoxon signed-rank test. Results: The IST was significant and strongly correlated with the ISWT (0.72<ρ<0.74, p<0.001), presented an ICC2,1 of 0.95 (95% CI 0.92 to 0.97), SEM=11.7 (18.9%), MDC95=32.4 (52.2%) and the LoA were -33.61 to 31.48 for the number of steps. No difference was observed between the number of steps of the two attempts of the IST (p>0.05). Conclusions: The IST can be suggested as a valid and reliable test to assess exercise capacity in people with COPD, with no learning effect when two IST are performed on the same day. The measurement error of the IST is considered indeterminate. Trial registration number: NCT04715659.BMJ Publishing GroupRepositório da Universidade de LisboaGonçalves, TâniaCarlos Winck, JoãoSilva, FátimaCaneiras, CatiaMontes, António MesquitaVilarinho, Rui2024-02-08T14:45:30Z20242024-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/62522engBMJ Open. 2024 Feb 7;14(2):e07842510.1136/bmjopen-2023-0784252044-6055info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-02-12T01:19:56Zoai:repositorio.ul.pt:10451/62522Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:37:53.551931Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Measurement properties of the incremental step test for people with chronic obstructive pulmonary disease: a cross-sectional study
title Measurement properties of the incremental step test for people with chronic obstructive pulmonary disease: a cross-sectional study
spellingShingle Measurement properties of the incremental step test for people with chronic obstructive pulmonary disease: a cross-sectional study
Gonçalves, Tânia
Chronic airways disease
Geriatric medicina
Rehabilitation medicine
title_short Measurement properties of the incremental step test for people with chronic obstructive pulmonary disease: a cross-sectional study
title_full Measurement properties of the incremental step test for people with chronic obstructive pulmonary disease: a cross-sectional study
title_fullStr Measurement properties of the incremental step test for people with chronic obstructive pulmonary disease: a cross-sectional study
title_full_unstemmed Measurement properties of the incremental step test for people with chronic obstructive pulmonary disease: a cross-sectional study
title_sort Measurement properties of the incremental step test for people with chronic obstructive pulmonary disease: a cross-sectional study
author Gonçalves, Tânia
author_facet Gonçalves, Tânia
Carlos Winck, João
Silva, Fátima
Caneiras, Catia
Montes, António Mesquita
Vilarinho, Rui
author_role author
author2 Carlos Winck, João
Silva, Fátima
Caneiras, Catia
Montes, António Mesquita
Vilarinho, Rui
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Gonçalves, Tânia
Carlos Winck, João
Silva, Fátima
Caneiras, Catia
Montes, António Mesquita
Vilarinho, Rui
dc.subject.por.fl_str_mv Chronic airways disease
Geriatric medicina
Rehabilitation medicine
topic Chronic airways disease
Geriatric medicina
Rehabilitation medicine
description © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
publishDate 2024
dc.date.none.fl_str_mv 2024-02-08T14:45:30Z
2024
2024-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/62522
url http://hdl.handle.net/10451/62522
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv BMJ Open. 2024 Feb 7;14(2):e078425
10.1136/bmjopen-2023-078425
2044-6055
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eu_rights_str_mv openAccess
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publisher.none.fl_str_mv BMJ Publishing Group
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instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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