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Foot problem outcome measures in older people

Discussion in 'Gerontology' started by Hylton Menz, Feb 14, 2005.

  1. Hylton Menz

    Hylton Menz Guest

  2. admin

    admin Administrator Staff Member

  3. To Admin re Foot pain

    Thanks very much for the manchester foot pain and disability schedule, Shall use it in initial consults with new clients- regards Anita
     
  4. Hylton Menz

    Hylton Menz Guest

    Another foot problem outcome measure:


    Barnett S, Campbell R, Harvey I. The Bristol Foot Score: developing a patient-based foot-health measure. J Am Podiatr Med Assoc. 2005 May-Jun;95(3):264-72.

    We sought to develop a patient-centered foot-health assessment tool by
    conducting in-depth interviews, focus groups, and surveys of relevant patient
    groups. A total of 400 hospital- and community-based podiatric patients took
    part in the development of the Bristol Foot Score, which was refined from a
    41-item self-administered questionnaire to one containing 15 items. Podiatric
    patients easily understood the final questionnaire, and rates of completion were
    excellent. Overall reliability was high (Cronbach alpha = .9036), and
    application of the Bland and Altman technique suggested that the foot score
    produced stable measurements over time. Statistically significant differences
    were detected in scores before and after toenail surgery, indicating that the
    Bristol Foot Score is sensitive to change. A poor level of concordance was found
    between the Bristol Foot Score and a Chiropody Assessment Criteria Score
    routinely used by podiatrists to assess the need for podiatric care. The Bristol
    Foot Score reflects patients' perceptions of their own foot health, providing a
    useful additional tool for evaluating the efficacy of interventions and
    describing foot health within populations.

    Cheers,

    Hylton
     
  5. fantasy

    fantasy Welcome New Poster

    Dear all,
    I am study geriatic field in Hong Kong, I really want to read the Manchester foot Disability Questionnaire to see is it suitable for my final year project. However, I can find the questionnaire on website, do you have any soft copy?
    can you send the soft copy to me?
    email : otfantasy@yahoo.com.hk
     
  6. Hylton Menz

    Hylton Menz Guest

    Recent paper from Rheumatology, validating the Manchester Foot pain and Disability Index in older people:

    Foot pain in community-dwelling older people: an evaluation of the Manchester Foot Pain and Disability Index

    H. B. Menz, A. Tiedemann, M. M. S. Kwan, K. Plumb, and S. R. Lord

    Objectives. The objectives of this study were (i) to examine the psychometric properties of the Manchester Foot Pain and Disability Index (MFPDI) in community-dwelling older people, and (ii) to determine the correlates of disabling foot pain in this age-group.

    Methods. A questionnaire consisting of medical history, the MFPDI, the Goldberg Anxiety and Depression Scale (GADS) and the Medical Outcomes Study Short Form 36 (SF-36) was administered to a sample of 301 community-dwelling people (117 men, 184 women) aged between 70 and 95 yr (mean 77.2, s.d. 4.9), who also underwent a clinical assessment of foot problems.

    Results.
    Using the MFPDI case definition, 108 people (36%) were found to have disabling foot pain. Within this subgroup, the MFPDI had high internal consistency (Cronbach's =0.89). Principal components analysis revealed a four-factor structure representing the constructs of functional limitation, pain intensity, concern about appearance, and activity restriction, which explained 62% of the variance in the original items. Participants with disabling foot pain were more likely to report pain in the back, hips, knees and hands or wrists, and exhibited flatter feet and less range of motion in the ankle joint. The MFPDI and its subscales were significantly associated with scores on the GADS depression subscale and the general health and mental health components of the SF-36.

    Conclusions. These findings confirm the high prevalence of disabling foot pain in older people, and suggest that the MFPDI is a suitable tool for assessing foot pain in this population.​
     
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