Article

OBJECTIVE: To develop a clinically useful patient-reported screening tool for
health care providers to identify patients with spasticity in need of treatment
regardless of etiology. DESIGN: Eleven spasticity experts participated in a
modified Delphi panel and reviewed and revised 2 iterations of a screening tool
designed to identify spasticity symptoms and impact on daily function and sleep.
Spasticity expert panelists evaluated items pooled from existing questionnaires
to gain consensus on the screening tool content. The study also included
cognitive interviews of 20 patients with varying spasticity etiologies to
determine if the draft screening tool was understandable and relevant to patients
with spasticity. RESULTS:
The Delphi panel reached an initial consensus on 21 of
47 items for the screening tool and determined that the tool should have no more
than 11 to 15 items and a 1-month recall period for symptom and impact items.
After 2 rounds of review, 13 items were selected and modified by the expert
panelists. Most patients (n = 16 [80%]) completed the cognitive interview and
interpreted the items as intended. CONCLUSIONS: Through the use of a Delphi panel
and patient interviews, a 13-item spasticity screening tool was developed that
will be practical and easy to use in routine clinical practice.

Langue : ANGLAIS