Optimising mobility outcome measures in Huntington's disease.
Journal article
Busse, Monica, Quinn, Lori, Khalil, Hanan and McEwan, Kirsten 2014. Optimising mobility outcome measures in Huntington's disease. Journal of Huntington's Disease. https://doi.org/10.3233/JHD-140091
| Authors | Busse, Monica, Quinn, Lori, Khalil, Hanan and McEwan, Kirsten |
|---|---|
| Abstract | Abstract. Background: Many of the performance-based mobility measures that are currently used in Huntington’s disease (HD) were developed for assessment in other neurological conditions such as stroke. Objective: We aimed to assess the individual item-response of commonly used performance-based mobility measures, with a view to optimizing the scales for specific application in Huntington’s Disease (HD). Method: Data from a larger multicentre, observational study were used. Seventy-five people with HD (11 pre-manifest & 64 manifest) were assessed on the Six-Minute Walk Test, 10-Meter Walk Test, Timed “Up & Go” Test (TUG), Berg Balance Scale (BBS), Physical Performance Test (PPT), Four Square Step Test, and Tinetti Mobility Test (TMT). The Unified Huntington’s Disease Rating Scale (UHDRS) Total Motor Score, Functional Assessment Scale and Total Functional Capacity scores were recorded, alongside cognitive measures. Standard regression analysis was used to assess predictive validity. Individual item responses were investigated using a sequence of approaches to allow for gradual removal of items and the subsequent creation of shortened versions. Psychometric properties (reliability and discriminant ability) of the shortened scales were assessed. Results: TUG ( 0.46, CI 0.20-3.47), BBS ( −0.35, CI−2.10-0.14), and TMT ( −0.45, CI−3.14-0.64) were good disease specific mobility measures. PPT was the best measure of functional performance ( 0.42, CI 0.00-0.43 for TFC & 0.57 CI 0.15-0.81 for FAS). Shortened versions of BBS and TMT were developed based on item analysis. The resultant BBS and TMT shortened scales were reliable for use in manifest HD. ROC analysis showed that shortened scales were able to discriminate between manifest and pre-manifest disease states. Discussion:OurdatasuggeststhatthePPTisappropriateasageneralmeasureoffunctioninindividualswithHD,andwehave identified shortened versions of the BBS and TMT that measure the unique gait and balance impairments in HD. These scales, alongside the TUG, may therefore be important measures to consider in future clinical trials. |
Abstract. Background: Many of the performance-based mobility measures that are currently used in Huntington’s disease (HD) were developed for assessment in other neurological conditions such as stroke. Objective: We aimed to assess the individual item-response of commonly used performance-based mobility measures, with a view to optimizing the scales for specific application in Huntington’s Disease (HD). Method: Data from a larger multicentre, observational study were used. Seventy-five people with HD (11 pre-manifest & 64 manifest) were assessed on the Six-Minute Walk Test, 10-Meter Walk Test, Timed “Up & Go” Test (TUG), Berg Balance Scale (BBS), Physical Performance Test (PPT), Four Square Step Test, and Tinetti Mobility Test (TMT). The Unified Huntington’s Disease Rating Scale (UHDRS) Total Motor Score, Functional Assessment Scale and Total Functional Capacity scores were recorded, alongside cognitive measures. Standard regression analysis was used to assess predictive validity. Individual item responses were investigated using a sequence of approaches to allow for gradual removal of items and the subsequent creation of shortened versions. Psychometric properties (reliability and discriminant ability) of the shortened scales were assessed. Results: TUG ( 0.46, CI 0.20-3.47), BBS ( −0.35, CI−2.10-0.14), and TMT ( −0.45, CI−3.14-0.64) were good disease specific mobility measures. PPT was the best measure of functional performance ( 0.42, CI 0.00-0.43 for TFC & 0.57 CI 0.15-0.81 for FAS). Shortened versions of BBS and TMT were developed based on item analysis. The resultant BBS and TMT shortened scales were reliable for use in manifest HD. ROC analysis showed that shortened scales were able to discriminate between manifest and pre-manifest disease states. Discussion:OurdatasuggeststhatthePPTisappropriateasageneralmeasureoffunctioninindividualswithHD,andwehave identified shortened versions of the BBS and TMT that measure the unique gait and balance impairments in HD. These scales, alongside the TUG, may therefore be important measures to consider in future clinical trials. | |
| Keywords | Huntington’s disease; Mobility; Outcome measures |
| Year | 2014 |
| Journal | Journal of Huntington's Disease |
| Publisher | IOS Press |
| ISSN | 18796397 |
| 18796400 | |
| Digital Object Identifier (DOI) | https://doi.org/10.3233/JHD-140091 |
| Web address (URL) | http://hdl.handle.net/10545/622847 |
| http://creativecommons.org/licenses/by/4.0/ | |
| hdl:10545/622847 | |
| Publication dates | 2014 |
| Publication process dates | |
| Deposited | 27 Jul 2018, 15:29 |
| Contributors | Cardiff University and Jordan University of Science and Technology |
| File | File Access Level Open |
| File | File Access Level Open |
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Judge, Lorna, Cleghorn, Ailish, McEwan, Kirsten and Gilbert, Paul 2012. An exploration of group-based compassion focused therapy for a heterogeneous range of clients presenting to a community mental health team. International Journal of Cognitive Therapy. https://doi.org/10.1521/ijct.2012.5.4.420Fears of compassion and happiness in relation to alexithymia, mindfulness, and self-criticism.
Gilbert, Paul, McEwan, Kirsten, Gibbons, L., Duarte, Joana and Matos, Marcela 2011. Fears of compassion and happiness in relation to alexithymia, mindfulness, and self-criticism. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/j.2044-8341.2011.02046.xM11 A randomised controlled feasibility trial of a physical activity behaviour change intervention compared to social interaction in huntington’s disease.
Busse, Monica, Quinn, Lori, Drew, Cheney, Kelson, Mark, Trubey, Rob, McEwan, Kirsten, Jones, Carys, Townson, Julia, Dawes, Helen, Tudor-Edwards, Rhiannon, Rosser, Anne and Hood, Kerenza 2016. M11 A randomised controlled feasibility trial of a physical activity behaviour change intervention compared to social interaction in huntington’s disease. Journal of Neurology, Neurosurgery & Psychiatry. https://doi.org/10.1136/jnnp-2016-314597.296Physical activity self-management and coaching compared to social interaction in huntington disease: results from the ENGAGE-HD randomized, controlled, pilot feasibility trial.
Busse, Monica, Quinn, Lori, Drew, Cheney, Kelson, Mark, Trubey, Rob, McEwan, Kirsten, Jones, Carys, Townson, Julia, Dawes, Helen, Tudor-Edwards, Rhiannon, Rosser, Anne and Hood, Kerenza 2017. Physical activity self-management and coaching compared to social interaction in huntington disease: results from the ENGAGE-HD randomized, controlled, pilot feasibility trial. Physical Therapy. https://doi.org/10.1093/ptj/pzx031Assessing the medium-term impact of a home-visiting programme on child maltreatment in England: protocol for a routine data linkage study.
Ludd-Widger, Fiona V., Cannings-John, Rebecca, Channon, Sue, Fitzsimmons, Deborah, Hood, Kerenza, Jones, Kerina H., Kemp, Alison, Kenkre, Joyce, Longo, Mirella, McEwan, Kirsten, Moody, Gwenllian, Owen-Jones, Eleri, Sanders, Julia, Segrott, Jeremy and Robling, Mike 2017. Assessing the medium-term impact of a home-visiting programme on child maltreatment in England: protocol for a routine data linkage study. BMJ Open. https://doi.org/10.1136/bmjopen-2016-015728Availability of breastfeeding peer-support in the UK: a cross-sectional survey.
Grant, Aimee, McEwan, Kirsten, Tedstone, Sally, Greene, Giles, Copeland, Lauren, Hunter, Billie, Sanders, Julia, Phillips, Rhiannon, Brown, Amy, Robling, Mike and Paranjothy, Shantini 2017. Availability of breastfeeding peer-support in the UK: a cross-sectional survey. Maternal and Child Nutrition. https://doi.org/10.1111/mcn.12476Controlled antenatal thyroid screening II: Effect of treating maternal suboptimal thyroid function on child cognition.
Hales, Charlotte, Taylor, Peter N., Channon, Sue, Paradice, Ruth, McEwan, Kirsten, Zhang, Lei, Gyedu, Michael, Bakhsh, Ameen, Okosieme, Onyebuchi, Muller, Ilaria, Draman, Mohd S., Gregory, John W., Dayan, Colin, Lazarus, John H., Rees, D Aled and Ludgate, Marian 2018. Controlled antenatal thyroid screening II: Effect of treating maternal suboptimal thyroid function on child cognition. The Journal of clinical endocrinology and metabolism. https://doi.org/10.1210/jc.2017-02378Evaluation of a web-based self-compassion intervention to reduce student assessment anxiety.
McEwan, Kirsten, Elander, James and Gilbert, Paul 2018. Evaluation of a web-based self-compassion intervention to reduce student assessment anxiety. Interdisciplinary Education and Psychology.Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample.
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca, Baião, Rita and Palmeira, Lara 2013. Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample. British Journal of Clinical Psychology. https://doi.org/10.1111/bjc.12037A descriptive study of feelings of arrested escape (entrapment) and arrested anger in people presenting to an emergency department following an episode of self-harm.
Clarke, Martin, McEwan, Kirsten, Ness, Jennifer, Waters, Keith, Basran, Jaskaran and Gilbert, Paul 2016. A descriptive study of feelings of arrested escape (entrapment) and arrested anger in people presenting to an emergency department following an episode of self-harm. Frontiers in Psychiatry. https://doi.org/10.3389/fpsyt.2016.00155A pilot study mapping citizens' interaction with urban nature
Ferrara, E., Liotta, A., Erhan, L., Ndubuaku, M., Giusto, D., Richardson, M., Sheffield, D. and McEwan, K. 2018. A pilot study mapping citizens' interaction with urban nature. IEEE International Symposium on Dependable, Autonomic and Secure Computing. Athens, Greece 12 - 15 Aug 2018 IEEE. https://doi.org/10.1109/dasc/picom/datacom/cyberscitec.2018.00-21A Demographic Analysis of Urban Nature Utilization
Ferrara, E., Liotta, A., Ndubuaku, M., Erhan, L., Giusto, D., Richardson, M., Sheffield, D. and McEwan, K. 2018. A Demographic Analysis of Urban Nature Utilization. 10th Computer Science and Electronic Engineering Conference. 19 - 21 Sep 2018 IEEE Xplore. https://doi.org/10.1109/ceec.2018.8674206Pragmatic Randomised controlled trial of a trauma-focused guided self-help Programme versus InDividual trauma-focused cognitive behavioural therapy for post-traumatic stress disorder (RAPID): trial protocol.
Nollett, Claire, Lewis, Catrin, Kitchiner, Neil, Roberts, Neil, Addison, Katy, Brookes-Howell, Lucy, Cosgrove, Sarah, Cullen, Katherine, Ehlers, Anke, Heke, Sarah, Kelson, Mark, Lovell, Karina, Madden, Kim, McEwan, Kirsten, McNamara, Rachel, Philips, Ceri, Pickles, Timothy, Simon, Natalie and Bisson, Jonathan 2018. Pragmatic Randomised controlled trial of a trauma-focused guided self-help Programme versus InDividual trauma-focused cognitive behavioural therapy for post-traumatic stress disorder (RAPID): trial protocol. BMC Psychiatry. 18 (77), pp. 1-14. https://doi.org/10.1186/s12888-018-1665-3A pilot feasibility study exploring the practising of compassionate imagery exercises in a nonclinical population
McEwan, Kirsten and Gilbert, Paul 2015. A pilot feasibility study exploring the practising of compassionate imagery exercises in a nonclinical population. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12078Compassion motivations: Distinguishing submissive compassion from genuine compassion and its association with shame, submissive behavior, depression, anxiety and stress
Catarino, Francisca, Gilbert, Paul, McEwan, Kirsten and Baião, Rita 2014. Compassion motivations: Distinguishing submissive compassion from genuine compassion and its association with shame, submissive behavior, depression, anxiety and stress. Journal of Social and Clinical Psychology. https://doi.org/10.1521/jscp.2014.33.5.399Forms of self-criticising/attacking & self-reassuring scale: Psychometric properties and normative study
Baião, Rita, Gilbert, Paul, McEwan, Kirsten and Carvalho, Sérgio 2014. Forms of self-criticising/attacking & self-reassuring scale: Psychometric properties and normative study. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12049Fears of negative emotions in relation to fears of happiness, compassion, alexithymia and psychopathology in a depressed population: A preliminary study
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca and Baião, Rita 2014. Fears of negative emotions in relation to fears of happiness, compassion, alexithymia and psychopathology in a depressed population: A preliminary study. Journal of Depression and Anxiety. https://doi.org/10.4172/2167-1044.S2-004Fears of compassion in a depressed population: Implication for psychotherapy
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca and Baião, Rita 2014. Fears of compassion in a depressed population: Implication for psychotherapy. Journal of Depression and Anxiety. https://doi.org/10.4172/2167-1044.S2-003The physiological and emotional effects of touch: Assessing a hand-massage intervention with high self-critics
Maratos, Frances A., Duarte, Joana, Barnes, Christopher, McEwan, Kirsten, Sheffield, David and Gilbert, Paul 2017. The physiological and emotional effects of touch: Assessing a hand-massage intervention with high self-critics. Psychiatry Research. 250, pp. 221-227. https://doi.org/10.1016/j.psychres.2017.01.066Joy and calm: how an evolutionary functional model of affect regulation informs positive emotions in nature
Richardson, Miles, McEwan, Kirsten, Maratos, Frances A. and Sheffield, David 2016. Joy and calm: how an evolutionary functional model of affect regulation informs positive emotions in nature. Evolutionary Psychological Science. https://doi.org/10.1007/s40806-016-0065-5Do therapeutic imagery practices affect physiological and emotional indicators of threat in high self-critics?
Duarte, Joana, McEwan, Kirsten, Barnes, Christopher, Gilbert, Paul and Maratos, Frances A. 2015. Do therapeutic imagery practices affect physiological and emotional indicators of threat in high self-critics? Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12043Facial expressions depicting compassionate and critical emotions: the development and validation of a new emotional face stimulus set
McEwan, Kirsten, Gilbert, Paul, Dandeneau, Stephane, Lipka, Sigrid, Maratos, Frances A., Paterson, Kevin B. and Baldwin, Mark 2014. Facial expressions depicting compassionate and critical emotions: the development and validation of a new emotional face stimulus set. PLos ONE. https://doi.org/10.1371/journal.pone.0088783