Diane D. Allen Graduate Program in Physical Therapy, UCSF/SFSUMind the Gap—Targeting Differences in Patients’ Current and Preferred Abilities Does focusing on movement abilities with the largest gaps improve outcomes? Patient-Centered Outcomes Research Institute1. Convert Movement Ability Measure (MAM) to computer-adaptive test (CAT).2. Patients indicate Current and Preferred Abilities on MAM-CAT.3. Calculate current-preferred gaps using item response theory methods.4. Patients have physical therapy with or without reference to the largest self-perceived gaps. Flexibility 9 One item from the MAM addressing flexibility 4 Now Would LikeEndurance Strength 6 I move so easily that I can stretch or reach extra far compared to others. 6 -1 5 I move easily enough for all my normal tasks plus free time and play 5 -6 activities. Would Like 4 I move easily enough to do all my normal tasks but not more. 4 -11 Now 3 I move with difficulty in my normal tasks because of stiffness or tightness. 3 2 I have so much stiffness or tightness that I need special equipment or help 2 to do some of my normal tasks.Adaptability Accuracy 1 Stiffness or tightness keeps me from doing most of my daily care. 1 SpeedMovement Ability Plot (MAP; in logits) based on MAM for an ambulatoryperson with multiple sclerosis. Speed shows the largest current-preferred gap.
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