Evaluation of the Edmonton Functional Assessment Tool (EFAT2) within palliative care: a pilot study
Evaluation of the Edmonton Functional Assessment Tool (EFAT2) within palliative care: a pilot study
Background
There is increasing need for rehabilitation in both cancer and palliative care. However, there are few validated outcome measures that are suitable for measuring functional performance in this population. The present study evaluated the validity, sensitivity and reliability of the Edmonton Functional Assessment Tool (EFAT2) within a UK palliative care setting.
Methods
Eleven participants aged 65 years and over (mean age 76.5 ± 6.7 years) receiving rehabilitation in a palliative care inpatient setting were studied. Concurrent validity was assessed by comparing EFAT2 with the Barthel Index. Inter-rater reliability of EFAT2 was examined using a sample of four participants recruited from a cancer care ward.
Results
A significant negative correlation was observed between the Barthel Index and EFAT2 (r = -0.765,p = 0.01) and both measures were found to be sensitive as determined by Cohen’s effect size (EFAT2 = 0.60, Barthel Index = 0.72). High inter-rater reliability was noted for EFAT2 (ICC3, 1 = 0.85) and the agreement between scores was confirmed by Bland–Altman analysis.
Conclusions
EFAT2 showed concurrent validity with the Barthel Index when used to assess the effects of rehabilitation on participants with advanced cancer. The tool was sensitive to change and was found to be reliable when used by different raters. The findings indicate that EFAT2 might be an appropriate outcome measure to use within the palliative care setting. However, the feasibility of using EFAT2 needs to be explored and larger studies are required to confirm its reliability.
293-298
Gardiner, Andrew
34fdf9f6-f77f-48f7-a74a-4f55e945dccf
Samuel, Dinesh
03b00738-9b9c-4c0a-a85a-cf43fc0932fc
June 2014
Gardiner, Andrew
34fdf9f6-f77f-48f7-a74a-4f55e945dccf
Samuel, Dinesh
03b00738-9b9c-4c0a-a85a-cf43fc0932fc
Gardiner, Andrew and Samuel, Dinesh
(2014)
Evaluation of the Edmonton Functional Assessment Tool (EFAT2) within palliative care: a pilot study.
Aging Clinical and Experimental Research, 26 (3), .
(doi:10.1007/s40520-013-0174-y).
Abstract
Background
There is increasing need for rehabilitation in both cancer and palliative care. However, there are few validated outcome measures that are suitable for measuring functional performance in this population. The present study evaluated the validity, sensitivity and reliability of the Edmonton Functional Assessment Tool (EFAT2) within a UK palliative care setting.
Methods
Eleven participants aged 65 years and over (mean age 76.5 ± 6.7 years) receiving rehabilitation in a palliative care inpatient setting were studied. Concurrent validity was assessed by comparing EFAT2 with the Barthel Index. Inter-rater reliability of EFAT2 was examined using a sample of four participants recruited from a cancer care ward.
Results
A significant negative correlation was observed between the Barthel Index and EFAT2 (r = -0.765,p = 0.01) and both measures were found to be sensitive as determined by Cohen’s effect size (EFAT2 = 0.60, Barthel Index = 0.72). High inter-rater reliability was noted for EFAT2 (ICC3, 1 = 0.85) and the agreement between scores was confirmed by Bland–Altman analysis.
Conclusions
EFAT2 showed concurrent validity with the Barthel Index when used to assess the effects of rehabilitation on participants with advanced cancer. The tool was sensitive to change and was found to be reliable when used by different raters. The findings indicate that EFAT2 might be an appropriate outcome measure to use within the palliative care setting. However, the feasibility of using EFAT2 needs to be explored and larger studies are required to confirm its reliability.
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e-pub ahead of print date: 7 December 2013
Published date: June 2014
Organisations:
Faculty of Health Sciences
Identifiers
Local EPrints ID: 362520
URI: http://eprints.soton.ac.uk/id/eprint/362520
ISSN: 1594-0667
PURE UUID: 0fa3df1c-0c94-46f5-ab2c-2bd06b14ccae
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Date deposited: 26 Feb 2014 13:19
Last modified: 17 Apr 2024 01:39
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Author:
Andrew Gardiner
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